Using Consent Forms Springfield OH

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.

Mercy Memorial Hospital
(937) 390-5338
1343 North Fountain Boulevard
Springfield, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Mental Health Servs for Clark Cnty Inc
(937) 390-7960
1835 Miracle Mile
Springfield, OH
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents

Data Provided by:
Consolidated Care Inc
(937) 653-5583
1522 East U.S. Highway 36
Urbana, OH
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
TCN Behavioral Health Services Inc
(937) 376-8700
600 Dayton-Yellow Springs Road
Fairborn, OH
Hotline
(937) 376-8700x6
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Recovery Center
(937) 352-2900
515 Martin Drive
Xenia, OH
Services Provided
Substance abuse , Halfway house, Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
McKinley Hall Inc
(937) 328-5300
1101 East High Street
Springfield, OH
Hotline
(937) 328-5300
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Alcohol/Drug Abuse Prog for Treatment
(937) 323-0951
825 East High Street
Springfield, OH
Services Provided
Substance abuse , Detoxification
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:
Mercy Memorial Hospital
(937) 653-3001
904 Scioto Street
Urbana, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men

Data Provided by:
Wright Patterson Air Force Base
(937) 257-8560
88 MDOS/SGOHS
Wright Patterson AFB, OH
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
TCN Behavioral Health Services Inc
(937) 376-8700
476 West Market Street
Xenia, OH
Hotline
(937) 376-8700x6
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

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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