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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Premier Care Marion
(765) 664-0101
315 South Norton Avenue
Marion, IN
Services Provided
Substance abuse , Methadone Maintenance, Methadone Detoxification, Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Grant Blackford Mental Health Inc
(765) 662-3971
505 North Wabash Avenue
Marion, IN
Hotline
(765) 662-3974
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired, 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:
Pro-Active Resources
(317) 852-3690
515 North Green Street
Brownsburg, IN
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Adams Counseling and
(765) 778-0380
1 Plaza Drive
Pendleton, 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

Data Provided by:
Grant Blackford Mental Health Inc
(765) 662-2039
116 East 32nd Street
Marion, IN
Hotline
(765) 662-3971
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Grant Blackford Mental Health Inc
(765) 348-1303
118 East Washington Street
Hartford City, IN
Hotline
(765) 662-3971
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Center for Mental Health Inc
(765) 649-8161
2020 Brown Street
Anderson, IN
Hotline
(765) 608-5598
Services Provided
Substance abuse
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
Adolescents, Persons with co-occurring mental and substance abuse disorders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Saint Francis Hospital And Health Ctrs
(317) 782-6422
1600 Albany Street
Beech Grove, IN
Hotline
(317) 782-6495
Services Provided
Detoxification, Buprenorphine Services
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Southwest IN Mental Health Center Inc
(812) 838-6558
100 Vista Drive
Mount Vernon, IN
Hotline
(812) 423-7791
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:
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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