Consent: Rules about Obtaining Consent to Disclose Treatment Information Rice Lake WI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Herrington Program
(800) 767-4411
34700 Valley Road
Oconomowoc, WI
Hotline
(800) 767-4411
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Dodge County Department of
(920) 386-3500
199 Home Road
Juneau, WI
Hotline
(920) 386-3500
Services Provided
Substance abuse treatment, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Meta House Inc
(414) 962-1200
2266 North Prospect Avenue
Milwaukee, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Pregnant/postpartum women, Women
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Ho Chunk Nation Dept of Hlth/Soc Servs
(715) 284-9851x5010
6520 North Guy Road
Black River Falls, WI
Services Provided
Substance abuse treatment, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Hochunk, Spanish

Data Provided by:
Wheaton Franciscan Health/All Saints
(262) 687-2564
1320 Wisconsin Avenue
Racine, WI
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents

Data Provided by:
Langlade Healthcare Center
(715) 627-6694
1225 Langlade Road
Antigo, WI
Hotline
(800) 799-0122
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Franciscan Skemp Healthcare
(608) 392-6147x24994
1005 Jackson Street
La Crosse, WI
Services Provided
Substance abuse treatment, Halfway house, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days)
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women

Data Provided by:
Interconnections SC
(262) 654-5333
920 60th Street
Kenosha, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient

Data Provided by:
Rogers Memorial Hospital
(800) 767-4411x230
34700 Valley Road
Oconomowoc, WI
Hotline
(800) 767-4411
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, 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:
Blandine House Inc
(920) 922-9487
25 North Park Avenue
Fond Du Lac, WI
Services Provided
Substance abuse treatment
Types of Care
Residential long-term treatment (more than 30 days)
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.) ...

Click here to read the rest of this article from Sober Recovery


Featured Facilities