Consent: Rules about Obtaining Consent to Disclose Treatment Information Dearborn Heights MI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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.

Insight Recovery Center
(313) 730-8118
23400 Michigan Avenue
Dearborn, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Family Service Inc
(313) 274-5840
19855 West Outer Drive
Dearborn, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Catholic Social Services of
(313) 792-9286
20382 Van Born Road
Dearborn Heights, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Emmanuel House Inc
(313) 270-4099
18570 Fitzpatrick Court
Detroit, MI
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)

Data Provided by:
Henry Ford Behavioral Health Services
(313) 317-2000
5111 Auto Club Drive
Dearborn, MI
Services Provided
Substance abuse , Detoxification
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:
Apex Behavioral Health PLLC
(313) 271-8170
18181 Oakwood Boulevard
Dearborn, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Arabic

Data Provided by:
Vista Maria/Girls Care Program
(313) 271-3050x101
20651 West Warren Avenue
Dearborn Heights, MI
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Parkview Company
(313) 532-8015x154
25639 Ford Road
Dearborn Heights, MI
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient

Data Provided by:
Eastwood Clinics
(313) 583-0735
5111 Auto Club Drive
Dearborn, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Arab Community Center for
(313) 945-8380
6451 Schaefer Road
Dearborn, MI
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients
Language Services
Arabic

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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