Using Consent Forms Derby KS

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.

Andersons Christian Counseling
(316) 264-3605
1915 Scott Street
Wichita, KS
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Atishwin Institute
(316) 681-2533
937 South Bluffview Drive
Wichita, KS
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Parallax Program Inc
(316) 689-6813
3410 East Funston Street
Wichita, KS
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Korean, Spanish, Vietnamese

Data Provided by:
Redirection Center Inc ABC
(316) 312-4478
605 South Ida Street
Wichita, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Adolescent Specialists of Kansas Inc
(316) 685-4700
650 North Carriage Parkway
Wichita, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Gays and Lesbians

Data Provided by:
A New Dimension Inc
(316) 265-8600
2422 South Seneca Street
Wichita, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Stop Program
(316) 686-7884
8911 East Orme Street
Wichita, KS
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Robert J Dole Medical Center and
(316) 634-3092
5500 East Kellogg Street
Wichita, KS
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
Farm Inc
(316) 684-5300
2627 East Central Street
Wichita, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Addiction Specialists of Kansas Inc
(316) 685-4700
650 North Carriage Parkway
Wichita, KS
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, 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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