Using Consent Forms Adrian MI

When a rehab program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse.

Family Service and Children''s Aid
(517) 263-2625x14
142 East Maumee Street
Adrian, MI
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Catholic Charities of
(517) 263-2191
199 North Broad Street
Adrian, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Criminal justice clients
Language Services
Spanish

Data Provided by:
Family Healthcare
(231) 745-2743
1615 Michigan Avenue
Baldwin, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Seniors/older adults, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Treatment Works Inc
(517) 332-9000
2722 East Michigan Avenue
Lansing, MI
Services Provided
Substance abuse , Detoxification, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient

Data Provided by:
Sacred Heart
(313) 245-4357
17131 Gitre Street
Detroit, 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
Women

Data Provided by:
McCullough Vargas and Associates
(517) 264-2244
227 N Winter Street
Adrian, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, Men, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Spanish

Data Provided by:
Insight Counseling of Tecumseh LLC
(517) 424-5438
106 South Maumee Street
Tecumseh, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Men, Criminal justice clients

Data Provided by:
Catholic Charities West Michigan
(231) 843-4899
5816 West U.S. 10
Ludington, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women
Language Services
Spanish

Data Provided by:
Catholic Charities of
(989) 723-8239
120 West Exchange Street
Owosso, MI
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Women, DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Psychological Associates in Rehab
(517) 887-9801
3960 Patient Care Drive
Lansing, MI
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Data Provided by:

Using Consent Forms

Using Consent Forms

The fact that a client has signed a valid consent form authorizing the release of information does not mean that a program must make the proposed disclosure, unless the program has also received a subpoena or court order (§§2.3(b)(1); 2.61(a)(b)). In most cases, the decision whether to make a disclosure authorized by a client’s signed consent is up to the program, unless State law requires or prohibits a particular disclosure once consent is given. The program’s only obligation under the Federal regulations is to refuse to honor a consent that is expired, deficient, or otherwise known to be revoked, false, or incorrect (§2.31(c)).

In general, it is best to follow this rule: Disclose only what is necessary, for only as long as is necessary, keeping in mind the purpose for disclosing the information.

Using consent forms to seek information from collateral sources

Making inquiries of families, partners, schools, employers, doctors, and other health care providers might, at first glance, seem to pose no risk to a client’s right to confidentiality. But it does.

When a program that offers assessment and treatment for substance abuse asks a family member (including a parent), partner, employer, school, or doctor to verify information it has obtained from the client, it is making a disclosure that the client has sought help for substance abuse. The Federal regulations generally prohibit this kind of disclosure unless the clie...

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