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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Advantage Counseling/Education Servs
(866) 856-0200
1710 Hospital Drive
Martinsville, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Centerstone of Indiana
(317) 834-8187
11370 North SR 67
Mooresville, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Criminal justice clients

Data Provided by:
Bloomington Meadows GP
(812) 331-8000
3600 North Prow Road
Bloomington, IN
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient
Special Programs/Groups
Residential beds for clients' children
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Centerstone of Indiana
(812) 829-4871
272 North U.S. Highway 231
Spencer, IN
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Centerstone
(800) 266-2341
Jefferson and Mound Streets
Nashville, IN
Hotline
(800) 832-5442
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Centerstone of Indiana
(765) 342-6616
1175 Southview Drive
Martinsville, IN
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Partners In Recovery
(812) 330-8183
830 West 17th Street
Bloomington, IN
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment

Data Provided by:
Amethyst House Inc
(812) 336-3570
215 North Rogers Street
Bloomington, IN
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Hamilton Center Inc
(812) 829-0037
909 West Hillside Avenue
Spencer, IN
Hotline
(800) 742-0787
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Tara Treatment Center Inc
(317) 933-2945
7919 South 100 East
Nineveh, IN
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Pregnant/postpartum women

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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