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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Central East Alcohol and Drug Council
(217) 258-2968
416 North 19th Street
Mattoon, IL
Hotline
(217) 348-8108
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Moultrie County Counseling Center
(217) 728-4358
12 West Harrison Street
Sullivan, IL
Hotline
(217) 728-7611
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, DUI/DWI offenders

Data Provided by:
CEAD Council/Charleston Primary
(217) 348-8118
845 18th Street
Charleston, IL
Hotline
(217) 348-8108
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Walter DUI and Counseling Services
(217) 348-3847
1550 Douglas Drive
Charleston, 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

Data Provided by:
Naval Health Clinic Great Lakes
(847) 688-2190
3001 6th Street
Great Lakes, IL
Services Provided
Substance abuse
Types of Care
Outpatient, Partial hospitalization/day treatment

Data Provided by:
Central East Alcohol and Drug Council
(217) 235-1303
8500 East County Road 150 North
Lerna, IL
Hotline
(217) 235-1303
Services Provided
Substance abuse
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Adolescents

Data Provided by:
Central East Alcohol and Drug Council
(217) 348-8651
720 4th Street
Charleston, IL
Hotline
(217) 348-8108
Services Provided
Substance abuse , Halfway house
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
ABBCON Counseling
(217) 345-3156
603 Monroe Street
Charleston, IL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Cumberland Associates Counseling Ctr
(217) 849-3803
120 Courthouse Square
Toledo, IL
Hotline
(217) 849-3803
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Seniors/older adults, DUI/DWI offenders

Data Provided by:
Riverside Resolve Center
(815) 468-3241
411 West Division Street
Manteno, IL
Services Provided
Substance abuse
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders, Criminal justice clients
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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