Consent: Rules about Obtaining Consent to Disclose Treatment Information Wixom MI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Oakland Family Services
(248) 624-3812x203
2045 West Maple Road
Walled Lake, MI
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Hindi

Data Provided by:
Insight Recovery Center
(248) 442-4944
24230 Karim Boulevard
Novi, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
New Start Inc
(248) 788-9394
33493 West 14 Mile Road
Farmington Hills, MI
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Polish

Data Provided by:
Henry Ford Health Systems
(248) 661-6101
6773 West Maple Road
West Bloomfield, MI
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired, Arabic, Chaldean, Hebrew, Polish

Data Provided by:
Jewish Family Services
(248) 592-2300
6555 West Maple Road
West Bloomfield, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, French, Hebrew, Russian

Data Provided by:
Oakland Psychological Clinic (PC)
(248) 684-6400
1800 North Milford Road
Milford, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Arabic, Chaldean

Data Provided by:
Community Network Services Inc
(248) 994-8001
38855 Hills Tech Drive
Farmington Hills, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Hegira Programs Inc (HPI)
(248) 347-3470
115 North Center Street
Northville, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Broe Rehabilitation Services Inc
(248) 474-2763x29
33634 West Eight Mile Road
Farmington Hills, MI
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Action Net Psychological Services PLLC
(248) 884-2187
27600 Farmington Road
Farmington Hills, MI
Hotline
(248) 925-6644
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Arabic, Chaldean

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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