Consent: Rules about Obtaining Consent to Disclose Treatment Information Prairie Village KS

Most general rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31.

Active Interventions
(913) 660-1613
3520 West 75th Street
Prairie Village, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Phoenix Recovery Systems
(816) 401-1494
6005 Martway Street
Mission, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
MARS Consulting
(913) 206-5317
8100 Marty Street
Overland Park, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients

Data Provided by:
Addiction Treatment Services
(913) 722-1118
10200 West 75th Street
Merriam, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Gateway Foundation Inc
(816) 333-9999
1734 East 63rd Street
Kansas City, MO
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
Mission Valley Hope
(913) 432-4037
5410 West 58th Terrace
Shawnee Mission, KS
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Chautauqua Counseling Center
(913) 645-6652
5960 Dearborn Street
Mission, KS
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
Accredited Addiction Recovery Services
(913) 236-8445
6505 East Frontage Road
Merriam, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Substance Abuse Center of
(913) 362-0045
3505 Rainbow Boulevard
Kansas City, KS
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, Men

Data Provided by:
Kansas City Metro Methadone Program
(913) 588-6493
3901 Rainbow Boulevard Mail Stop 4015
Kansas City, KS
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Data Provided by:

Consent: Rules about Obtaining Consent to Disclose Treatment Information

Consent: Rules About Obtaining Consent To Disclose Treatment Information

The most frequently used exception to the regulations’ general rule prohibiting disclosure is client consent. (Parental consent must also be obtained in some States. See below.) The regulations’ requirements regarding consent are strict and somewhat unusual and must be carefully followed.

Most disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31:

1. The name or general description of the program(s) making the disclosure

2. The name or title of the individual or organization that will receive the disclosure

3. The name of the client who is the subject of the disclosure

4. The purpose or need for the disclosure

5. How much and what kind of information will be disclosed

6. A statement that the client may revoke (take back) the consent at any time, except to the extent that the program has already acted on it

7. The date, event, or condition upon which the consent will expire if not previously revoked

8. The signature of the client (and, in some States, his or her parent)

9. The date on which the consent is signed (§2.31(a)).

A general medical release form, or any consent form that does not contain all of the elements listed above, is not acceptable. (See the sample consent form in exhibit 3–1.) ...

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