Consent: Rules about Obtaining Consent to Disclose Treatment Information Bedford IN

Most general rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31.

Transitions Counseling and Support
(812) 279-8651
1702 C Street
Bedford, IN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Amethyst House Inc
(812) 336-3570
322 West 2nd Street
Bloomington, IN
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, Partial hospitalization/day treatment
Special Programs/Groups
Persons with HIV/AIDS, Gays and Lesbians, Pregnant/postpartum women, Women, Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Centerstone of Indiana
(812) 339-1691
645 South Rogers Street
Bloomington, IN
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Arabic, Russian, Spanish

Data Provided by:
Park Center Inc
(260) 481-2721
2720 Gay Street
Fort Wayne, IN
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Southern Indiana Treatment Center Inc
(812) 283-4844
1713 East 10th Street
Jeffersonville, IN
Hotline
(877) 637-6237
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Recovery Works of Bloomington LLG
(812) 330-1477
417 South Walnut Street
Bloomington, IN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Amethyst House Inc
(812) 336-3570
645 North Walnut Street
Bloomington, IN
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Gays and Lesbians, Pregnant/postpartum women, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
LifeSpring
(812) 283-7116
1060 Sharon Drive
Jeffersonville, IN
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Fresh Start Counseling Services
(219) 933-7990
7108 Calumet Avenue
Hammond, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Midwest Counseling Associates Inc
(317) 545-8490
5321 Cheviot Place
Indianapolis, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Data Provided by:

Consent: Rules about Obtaining Consent to Disclose Treatment Information

Consent: Rules About Obtaining Consent To Disclose Treatment Information

The most frequently used exception to the regulations’ general rule prohibiting disclosure is client consent. (Parental consent must also be obtained in some States. See below.) The regulations’ requirements regarding consent are strict and somewhat unusual and must be carefully followed.

Most disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31). To be valid, a consent form must be in writing and must contain each of the items specified in §2.31:

1. The name or general description of the program(s) making the disclosure

2. The name or title of the individual or organization that will receive the disclosure

3. The name of the client who is the subject of the disclosure

4. The purpose or need for the disclosure

5. How much and what kind of information will be disclosed

6. A statement that the client may revoke (take back) the consent at any time, except to the extent that the program has already acted on it

7. The date, event, or condition upon which the consent will expire if not previously revoked

8. The signature of the client (and, in some States, his or her parent)

9. The date on which the consent is signed (§2.31(a)).

A general medical release form, or any consent form that does not contain all of the elements listed above, is not acceptable. (See the sample consent form in exhibit 3–1.) ...

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