Using Consent Forms Liberal 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.

Family Alcohol and Drug
(620) 626-4508
316 West 7th Street
Liberal, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Pawnee Mental Health Services
(785) 762-5250
814 Caroline Avenue
Junction City, 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:
DCCCA Inc
(316) 262-0505
1319 West May Street
Wichita, KS
Hotline
(316) 262-0505
Services Provided
Substance abuse , Detoxification
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, Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
Hope Help Health
(785) 305-0549
11549 222nd Road
Holton, KS
Hotline
(785) 220-2291
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Mirror Inc
(620) 232-9550
1008 West 4th Street
Pittsburg, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men, Criminal justice clients

Data Provided by:
Cimmarron Basin Community Corrections
(620) 626-3284
517 North Washington Street
Liberal, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, Criminal justice clients

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:
Kings Alcohol and Drug Treatment Ctr
(316) 256-9978
204 South Osage Street
Wichita, KS
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

Data Provided by:
DCCCA Inc
(785) 233-5885
2930 SW Wanamaker Drive
Topeka, 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
Women, Residential beds for clients' children, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Saint Francis Academy at Ellsworth
(785) 472-4453
1655 Avenue K
Ellsworth, KS
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired, 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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