Using Consent Forms Appleton WI

When a rehab program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse.

Appleton Psychiatric/Counseling Center
(920) 882-6610
477 South Nicolet Road
Appleton, WI
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Mooring Programs Inc
(920) 739-3235
607 West 7th Street
Appleton, WI
Services Provided
Halfway house

Data Provided by:
Lutheran Social Services
(920) 225-1713
820 West College Avenue
Appleton, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults

Data Provided by:
Valley Health Services
(920) 733-4443
1201 West Tuckaway Lane
Menasha, WI
Services Provided
Substance abuse treatment, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
Hmong

Data Provided by:
Winnebago Mental Health Institute
(920) 235-4910x2438
4100 Treffert Drive
Winnebago, WI
Services Provided
Substance abuse treatment
Types of Care
Hospital inpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Lutheran Social Services
(920) 730-1321
3003 North Richmond Street
Appleton, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Casa Clare
(920) 731-3981
201 South Glenridge Court
Appleton, WI
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
Family Services of Northeast WI Inc
(920) 739-4226
1810 Appleton Road
Menasha, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
Gays and Lesbians
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Theda Care Behavioral Health at
(920) 729-2145
130 2nd Street
Neenah, WI
Services Provided
Detoxification
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Nova Counseling Services Inc
(920) 231-0143
3240 Jackson Street
Oshkosh, WI
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Women, Men

Data Provided by:
Data Provided by:

Using Consent Forms

Using Consent Forms

The fact that a client has signed a valid consent form authorizing the release of information does not mean that a program must make the proposed disclosure, unless the program has also received a subpoena or court order (§§2.3(b)(1); 2.61(a)(b)). In most cases, the decision whether to make a disclosure authorized by a client’s signed consent is up to the program, unless State law requires or prohibits a particular disclosure once consent is given. The program’s only obligation under the Federal regulations is to refuse to honor a consent that is expired, deficient, or otherwise known to be revoked, false, or incorrect (§2.31(c)).

In general, it is best to follow this rule: Disclose only what is necessary, for only as long as is necessary, keeping in mind the purpose for disclosing the information.

Using consent forms to seek information from collateral sources

Making inquiries of families, partners, schools, employers, doctors, and other health care providers might, at first glance, seem to pose no risk to a client’s right to confidentiality. But it does.

When a program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse. The Federal regulations generally prohibit this kind of disclosure unless the clie...

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