Using Consent Forms Dodge City 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.

Destructive Behavioral Alternatives
(620) 225-4600
106 West Frontview Street
Dodge City, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Catholic Social Services Dodge City
(620) 227-1562
906 Central Street
Dodge City, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Area Mental Health Center
(620) 227-5040
3000 North 14th Avenue
Dodge City, KS
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish, Vietnamese

Data Provided by:
Prairie View Inc
(620) 947-3200
805 Western Heights
Hillsboro, KS
Hotline
(800) 362-0180
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
High Plains
(785) 899-5991
723 Main Street
Goodland, KS
Hotline
(800) 432-0333
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
New Chance Inc
(620) 225-0476
2500 East Wyatt Earp Boulevard
Dodge City, KS
Services Provided
Substance abuse , Detoxification, 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
Adolescents, Persons with HIV/AIDS, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Youthville Inc
(620) 225-0276x251
11200 Lariat Way
Dodge City, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Simple Choice LLC
(620) 257-2551
209 West Avenue South
Lyons, KS
Hotline
(620) 257-2551
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

Data Provided by:
Active Interventions
(913) 660-1613
3520 West 75th Street
Prairie Village, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Pawnee Mental Health Services
(785) 632-2108
503 Grant Avenue
Clay Center, KS
Hotline
(800) 609-2002
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, French, Spanish

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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