Using Consent Forms Urbandale IA

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.

VA Central Iowa Healthcare System
(515) 699-5999
3600 30th Street
Des Moines, IA
Hotline
(515) 699-5999
Services Provided
Substance abuse , Detoxification
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment

Data Provided by:
Bernie Lorenz Recovery Inc
(515) 255-3373
4014 Kingman Boulevard
Des Moines, IA
Hotline
(515) 262-0349
Services Provided
Substance abuse , Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient

Data Provided by:
Center for Behavioral Health Iowa Inc
(515) 244-9500
1200 University Street
Des Moines, IA
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
United Community Services
(515) 280-3860
401 SW 8th Street
Des Moines, IA
Hotline
(515) 280-3860
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Gays and Lesbians, Pregnant/postpartum women, Women, Criminal justice clients

Data Provided by:
Orchard Place Child Guidence Center
(515) 697-5700
620 8th Street
Des Moines, IA
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

Data Provided by:
First Step Mercy Recovery Center
(515) 271-6075
1818 48th Street
Des Moines, IA
Hotline
(515) 271-6111
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
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:
Broadlawns Medical Center
(515) 282-6610
1801 Hickman Road
Des Moines, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
House of Mercy
(515) 643-6500
1409 Clark Street
Des Moines, IA
Services Provided
Substance abuse , 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
Adolescents, Women, Residential beds for clients' children

Data Provided by:
Powell Chemical Dependency Center
(515) 263-2424
IA Lutheran Hosp/Powell Chem Dep Ctr
Des Moines, IA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Everest Institute
(515) 270-1344
2327 70th Street
Urbandale, IA
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

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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