Using Consent Forms Benton Harbor MI

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.

Berrien County Health Department
(269) 926-7135
756 Pipestone Street
Benton Harbor, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Community Healing Centers
(269) 926-0121
777 Riverview Drive
Benton Harbor, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Pokagon Band of Potawatomi Indians
(269) 782-4141x235
57392 M-51 South
Dowagiac, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Pioneer Counseling Center
(586) 795-0569
36250 Dequindre Road
Sterling Heights, MI
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Eastern Michigan
(810) 364-5800
1600 Gratiot Boulevard
Marysville, MI
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Harbortown Treatment Center PLLC
(269) 926-0015
1022 East Main Street
Benton Harbor, MI
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Van Buren/Cass District Health Dept
(269) 621-3143x305
57418 County Road 681
Hartford, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Sacred Heart Rehabilitation Center Inc
(586) 558-7472
8150 East 13 Mile Road
Warren, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians, Seniors/older adults, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Trinity Counseling Center
(989) 723-0330
123 South Washington Street
Owosso, MI
Hotline
(989) 723-0330
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Bay Mills Health Center
(906) 248-3204x3118
12124 West Lakeshore Drive
Brimley, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

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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