Consent: Rules about Obtaining Consent to Disclose Treatment Information Rockford MI

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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Beauchamp Consulting Associates Inc
(616) 235-9303
8500 Algoma Street
Rockford, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Pine Rest Christian Mental Hlth Servs
(616) 364-1500
1700 East Beltline Street
Grand Rapids, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
West Michigan Addiction Consultants PC
(616) 365-8800
3001 Fuller Avenue NE
Grand Rapids, MI
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment

Data Provided by:
Salvation Army
(616) 742-0351x742
72 Sheldon Boulevard SE
Grand Rapids, MI
Services Provided
Substance abuse , Detoxification
Types of Care
Residential short-term treatment (30 days or less), Outpatient

Data Provided by:
Anderson Substance Abuse Treatment Ctr
(616) 975-0400
3501 Lake Eastbrook Boulevard
Grand Rapids, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
North Kent Guidance Services LLC
(616) 361-5001
5250 Northland Drive NE
Grand Rapids, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Arbor Circle Corporation
(616) 459-7215
1115 Ball Avenue
Grand Rapids, MI
Hotline
(616) 485-3001
Services Provided
Substance abuse , Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Alcohol and Chemical Abuse Consultants
(616) 957-5850
3949 Sparks Drive SE
Grand Rapids, MI
Hotline
(616) 957-5850
Services Provided
Substance abuse
Types of Care
Outpatient
Language Services
German, Italian, Spanish

Data Provided by:
Proaction Behavioral Health Alliance
(616) 776-0891
200 Eastern Avenue SE
Grand Rapids, MI
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
Persons with co-occurring mental and substance abuse disorders, Men, Criminal justice clients
Language Services
Spanish

Data Provided by:
Mel Trotter Ministries
(616) 454-8249x229
225 Commerce Street SW
Grand Rapids, MI
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
Residential beds for clients' children
Language Services
Spanish

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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