Using Consent Forms Franklin Park IL

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.

Leyden Family Service
(847) 451-0330
10001 West Grand Avenue
Franklin Park, IL
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Pilsen Little Village
(708) 343-7860
1633 North 37th Avenue
Melrose Park, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Youth Outreach Services
(773) 777-6377
6417 West Irving Park Road
Chicago, IL
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Spanish

Data Provided by:
Way Back Inn Inc
(773) 777-2696
3821 North Harlem Avenue
Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Polish

Data Provided by:
New Leaf Counseling LLC
(847) 391-4180
1460 Renaissance Drive
Park Ridge, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Procare Centers
(708) 681-0073x5208
1414 West Main Street
Melrose Park, IL
Hotline
(708) 681-4357
Services Provided
Substance abuse , Buprenorphine Services
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
Polish, Spanish

Data Provided by:
Pilsen Little Village
(708) 410-0856
1546 North Mannheim Road
Stone Park, IL
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Lutheran Social Services of Illinois
(773) 637-1144
5825 West Belmont Avenue
Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women

Data Provided by:
DUI Counseling Center
(773) 489-5200
4701 North Cumberland Avenue
Norridge, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Polish, Spanish

Data Provided by:
Norwood Park Township Family Services
(708) 867-6886
4600 North Harlem Avenue
Harwood Heights, IL
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
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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