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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Elkhart General Hospital
(574) 294-2621x3348
600 East Boulevard
Elkhart, IN
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Center for Problem Resolution Inc
(574) 294-7447
211 South 5th Street
Elkhart, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Oaklawn Psychiatric Center Inc
(574) 533-1234
2600 Oakland Avenue
Elkhart, IN
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Oaklawn Psychiatric Center Inc
(574) 533-1234
101 Marilyn Avenue
Goshen, IN
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Danen Counseling Services
(574) 537-9868
109 East Clinton Street
Goshen, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
Spanish

Data Provided by:
Addiction Recovery Centers Inc
(574) 293-1086
120 South Main Street
Elkhart, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Recovery Journey Inc
(574) 264-5840
2851 East Bristol Street
Elkhart, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Center for Problem Resolution Inc
(574) 533-0664
117 West Washington Street
Goshen, IN
Hotline
(574) 533-0664
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Men, DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Addiction Recovery Centers Inc
(574) 533-6154
114 North Main Street
Goshen, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Oaklawn Psychiatric Center Inc
(574) 533-1234
330 Lakeview Drive
Goshen, IN
Hotline
(800) 282-0809
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

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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