Consent: Rules about Obtaining Consent to Disclose Treatment Information Effingham IL

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Discovery to Recovery Substance Abuse
(217) 347-7931
120 W Jefferson Avenue
Effingham, IL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient

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Diel Counseling Inc
(217) 347-7384
444 South Willow Street
Effingham, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, DUI/DWI offenders, Criminal justice clients

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Restoration MBS Center Inc
(708) 483-8320
1127 South Mannheim Road
Westchester, IL
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment

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Family Guidance Centers Inc
(312) 943-6545
310 West Chicago Avenue
Chicago, IL
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Criminal justice clients

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Serenity House Inc
(630) 620-6616x128
1045 Adler Lane
Naperville, IL
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Women

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Heartland Human Services
(217) 347-7179
1200 North 4th Street
Effingham, IL
Hotline
(217) 342-5504
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

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Sojourn House Inc
(815) 232-5121
565 North Turner Avenue
Freeport, IL
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
DUI/DWI offenders

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New Visions Counseling Services Inc
(630) 493-1100
7808 West College Drive
Palos Heights, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Jefferson County Comp Services Inc
(618) 242-1511
Route 37 North
Mount Vernon, IL
Hotline
(618) 242-1512
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Alternative Behavior Counsultations I
(312) 813-7009
20 North Wacker Street
Chicago, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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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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