Using Consent Forms Kokomo 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.

Kokomo Living Life Clean LLC
(317) 695-8576
122 West Walnut Street
Kokomo, IN
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Four County Counseling Center
(574) 722-5151
655 East Main Street
Peru, IN
Hotline
(800) 552-3106
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Counsel House, LLC
(812) 738-3277
1556 North Old Hwy 135
Corydon, IN
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Indy Interventions LLC
(317) 885-8296
500 South Polk Street
Greenwood, IN
Hotline
(317) 885-8296
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders

Data Provided by:
Midwest Counseling Associates Inc
(317) 545-8490
120 West Jackson Street
Cicero, IN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Saint Joseph Hospital and Health Ctr
(765) 456-5900
1907 West Sycamore Street
Kokomo, IN
Hotline
(800) 638-7844
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Southwest IN Mental Health Center Inc
(812) 423-4418
1 North Barker Street
Evansville, IN
Hotline
(812) 423-7791
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:
Building Blocks in Education Inc
(765) 446-7900
2130 Sagamore Parkway North
Lafayette, IN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Centerstone
(800) 266-2341
Jefferson and Mound Streets
Nashville, IN
Hotline
(800) 832-5442
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

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:
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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