Using Consent Forms Granger IN

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.

Addiction Recovery Centers Inc
(574) 807-8690
2012 Ironwood Circle
South Bend, IN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Madison Center Inc
(574) 280-4655
801 East Washington Street
South Bend, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Gays and Lesbians
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
YWCA of Saint Joseph County
(574) 233-9491
1102 South Fellows Street
South Bend, IN
Hotline
(866) 937-9922
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Women, Residential beds for clients' children

Data Provided by:
Life Treatment Centers Inc
(574) 233-5433x218
1402 South Michigan Street
South Bend, IN
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
Pregnant/postpartum women, Women

Data Provided by:
Dockside Services Inc
(574) 299-8595
2625 South Michigan Street
South Bend, IN
Hotline
(574) 299-8595
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Addictions Recovery Centers Inc
(574) 807-8690
2012 Ironwood Circle
South Bend, IN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Crossroads Counseling
(574) 233-4183
2319 Edison Road
South Bend, IN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Madison Center Inc
(574) 282-8712
813 South Michigan Street
South Bend, IN
Services Provided
Substance abuse
Types of Care
Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men

Data Provided by:
Community Healing Centers
(269) 684-7741
1225 South 11th Street
Niles, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Recovery Journey Inc
(574) 264-5840
2851 East Bristol Street
Elkhart, IN
Services Provided
Substance abuse
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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