Using Consent Forms Lake Zurich 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.

Omni Youth Services
(847) 540-0680
1025 Old McHenry Road
Lake Zurich, IL
Hotline
(847) 353-1500
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
Renacer Latino Inc
(847) 336-7302
900 North Lake Street
Mundelein, IL
Hotline
(847) 336-7302
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Bosnian, German, Hungarian, Polish, Portugese, Russian, Serbian, Spanish

Data Provided by:
Lake County Health Dept /CHC
(847) 377-7950
24647 North Milwaukee Avenue
Vernon Hills, IL
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Residential beds for clients' children

Data Provided by:
Northern Illinois Council on Alc and
(847) 634-6422
2900 North Main Street
Buffalo Grove, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Bridge Youth and Family Services
(847) 359-7490
721 South Quentin Road
Palatine, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Genesis Therapy Center Inc
(847) 668-8969
118 Barrington Commons Court
Barrington, IL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Omni Youth Services
(847) 949-1020
115 North Seymour Avenue
Mundelein, IL
Hotline
(847) 353-1500
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
DUI and Addiction Counseling Center
(847) 949-4596
333 East Route 83
Mundelein, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Omni Youth Services
(847) 353-1500
1111 West Lake Cook Road
Buffalo Grove, IL
Hotline
(847) 353-1500
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
Cornell Interventions
(847) 526-0404
26991 Anderson Road
Wauconda, IL
Services Provided
Substance abuse
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
Adolescents

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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