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rule prohibiting disclosures are permissible if a client has signed a valid consent form that has not expired or been revoked (§2.31).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

Carle Addiction Recovery Center
(217) 383-6039
204 West University Avenue
Urbana, IL
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Substance abuse , Detoxification, Buprenorphine Services
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Alcohol/Chemical Evaluation Services
(217) 344-2671
217 North Broadway Avenue
Urbana, IL
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Substance abuse
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DUI/DWI offenders, Criminal justice clients

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Prairie Center Health Systems Inc
(217) 356-7576
122 West Hill Street
Champaign, IL
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(217) 356-7576
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Substance abuse , Detoxification
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Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
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Allison and Lawyer Counseling Servs PC
(217) 352-5533
2917 Crossing Court
Champaign, IL
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Substance abuse
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DUI/DWI offenders, Criminal justice clients

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Polish American Association
(773) 282-8206x354
3834 North Cicero Avenue
Chicago, IL
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Substance abuse
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Outpatient
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Polish

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Prairie Center Health Systems Inc
(217) 328-4500
718 Killarney Street
Urbana, IL
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(217) 356-7576
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Substance abuse
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Outpatient, Partial hospitalization/day treatment
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Adolescents, Women, Men, DUI/DWI offenders, Criminal justice clients
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ASL or other assistance for hearing impaired, Spanish

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Mental Health Center of Champaign Cnty
(217) 398-7785
70 East Washington Street
Champaign, IL

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Kathi Cullop
(217) 398-8067
1207 South Mattis Avenue
Champaign, IL
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Substance abuse
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Outpatient
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DUI/DWI offenders

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Good Shepherd Foundation Inc
(309) 944-6205
796 Boone Drive
Geneseo, IL
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Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

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Community Counseling Center of Chicago
(773) 305-1101
4007 North Broadway
Chicago, IL
Services Provided
Substance abuse , Detoxification
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

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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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