Consent: Rules about Obtaining Consent to Disclose Treatment Information Indianola IA

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Orchard Place Child Guidence Center
(515) 697-5700
620 8th Street
Des Moines, IA
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:
Mental Health Institute
(319) 385-7231
1200 East Washington Street
Mount Pleasant, IA
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Center for Alcohol and Drug Services
(563) 322-2667
1523 South Fairmount Street
Davenport, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Jackson Recovery Centers Inc
(712) 258-4578
3200 West 4th Street
Sioux City, IA
Hotline
(712) 234-2300
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Pregnant/postpartum women, Women, Residential beds for clients' children

Data Provided by:
SIEDA Substance Abuse Services
(641) 774-8279
115 South Main Street
Chariton, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
United Community Services
(515) 280-3860
401 SW 8th Street
Des Moines, IA
Hotline
(515) 280-3860
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Gays and Lesbians, Pregnant/postpartum women, Women, Criminal justice clients

Data Provided by:
Great River Medical Center
(319) 768-3725
1221 South Gear Avenue
West Burlington, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with HIV/AIDS, Gays and Lesbians, Seniors/older adults, Pregnant/postpartum women, Women, Men, DUI/DWI offenders

Data Provided by:
Community and Family Resources
(515) 602-6292
120 Central Avenue East
Clarion, IA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Woodlands Treatment Center
(319) 753-0700x603
4715 Sullivan Slough Road
Burlington, IA
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, Residential beds for clients' children

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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