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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Bridgeway Inc
(309) 344-4200
2323 Windish Drive
Galesburg, IL
Hotline
(800) 322-7143
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women

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Radius Foundation Inc
(708) 424-3085
10522 South Cicero Avenue
Oak Lawn, IL
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women

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Tri County Counseling Center
(618) 498-9587
220 East County Road
Jerseyville, IL
Hotline
(618) 498-9587
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

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Tools For Life Ltd
(630) 499-6300
1315 Macom Drive
Naperville, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
Spanish

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Garfield Counseling Center Inc
(773) 533-0433x212
4132 West Madison Street
Chicago, IL
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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Bridgeway Inc
(309) 734-9461
301 Industrial Park Drive
Monmouth, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Piatt County Mental Health Center
(217) 762-5371
1921 North Market Street
Monticello, IL
Hotline
(217) 762-4357
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Pregnant/postpartum women, Women, DUI/DWI offenders

Data Provided by:
Alexander Zubenko and Associates
(630) 960-5860
4699 Auvergne
Lisle, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Russian

Data Provided by:
Northern Illinois Council on Alc and
(847) 244-4434
1113 Greenwood Avenue
Waukegan, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Southeastern IL Counseling Centers Inc
(618) 842-2125
407 North Basin Drive
Fairfield, IL
Hotline
(618) 842-2125
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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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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