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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Otis R Bowen Ctr for Human Servs Inc
(260) 356-2875
2860 North Park Avenue
Huntington, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

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Evergreen Meadows Inc
(805) 681-7242
35 West Market Street
Huntington, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Otis R Bowen Ctr for Human Servs Inc
(260) 248-8176
119 West Market Street
Columbia City, IN
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
Spanish

Data Provided by:
Otis R Bowen Ctr for Human Servs Inc
(260) 563-8446
255 North Miami Street
Wabash, IN
Services Provided
Substance abuse
Types of Care
Outpatient
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:
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:
New Options
(260) 355-0717
35 West Market Street
Huntington, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Counseling Services and Consulting LLC
(260) 432-9916
4660 West Jefferson Boulevard
Fort Wayne, IN
Hotline
(260) 438-1828
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Persons with HIV/AIDS, Pregnant/postpartum women, DUI/DWI offenders, Criminal justice clients

Data Provided by:
Addiction Recovery Centers Inc
(574) 533-6154
232 West Van Buren Street
Columbia City, IN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Park Center Inc
(260) 824-1071x3520
1115 South Main Street
Bluffton, IN
Hotline
(866) 481-2700
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

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

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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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