Consent: Rules about Obtaining Consent to Disclose Treatment Information Chesterton 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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Porter Starke Services Inc
(219) 762-9557
3349 Willowcreek Street
Portage, IN
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient

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Choices Counseling Services
(219) 548-8727
607 East Lincoln Way
Valparaiso, IN
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, Persons with HIV/AIDS, DUI/DWI offenders, Criminal justice clients
Language Services
French, Spanish

Data Provided by:
Joseph Corporation
(219) 759-6760
793-2 Juniper Road
Valparaiso, IN
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
LaPorte County Comprehensive MH Inc
(219) 879-4621
450 Saint John Road
Michigan City, IN
Hotline
(888) 257-4421
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Southlake Center for Mental Health Inc
(219) 942-4040
1348 South Lake Park Avenue
Hobart, IN
Hotline
(219) 769-4005
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients

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Porter Starke Services Inc
(219) 531-3500
601 Wall Street
Valparaiso, IN
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient

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Madison Center Inc
(219) 879-8539
3714 South Franklin Street
Michigan City, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Fresh Start Counseling Services
(219) 548-9400
1552 West Lincoln Way
Valparaiso, 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:
Metro Treatment of Gary LP
(219) 938-4651
8060 Melton Road
Gary, IN
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient

Data Provided by:
Behavioral Health Services of
(219) 326-2420
1007 Lincoln Way
La Porte, IN
Hotline
(219) 326-2419
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women, Men

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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