Consent: Rules about Obtaining Consent to Disclose Treatment Information Wheaton IL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

DuPage County Psychological Services
(630) 407-6400
505 North County Farm Road
Wheaton, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

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Behavioral Health Services of
(630) 653-4000
27 West 350 High Lake Road
Winfield, IL
Hotline
(630) 653-4000
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents

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Conventions Psychiatry and Counseling
(630) 416-8289
4S100 North State Route 59
Naperville, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Breaking Free Inc
(630) 355-2585
800 West 5th Avenue
Naperville, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Latino Treatment Center
(630) 293-9707
245 West Roosevelt Road
West Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Pape and Associates
(630) 668-8710
618 S West Street
Wheaton, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders

Data Provided by:
Healthcare Alternative Systems Inc
(630) 942-9720
799 Roosevelt Road
Glen Ellyn, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Virginia M Mejia
(630) 231-3554
1275 West Roosevelt Road
West Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Central Park of Lisle/Sanya Syrstad
(630) 890-2226
3333 Warrenville Road
Lisle, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
Croatian, French, Italian, Serbian, Spanish

Data Provided by:
Tricon Counseling Centers
(630) 933-9556
380 South Schmale Road
Carol Stream, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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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