Using Consent Forms Arlington Heights IL

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.

Bridge Youth and Family Services
(847) 359-7490
721 South Quentin Road
Palatine, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Therapeutic Interventions Inc
(847) 991-4800x27
1645 Hicks Road
Rolling Meadows, IL
Services Provided
Substance abuse , Methadone Maintenance
Types of Care
Outpatient
Special Programs/Groups
Women, Men
Language Services
Spanish

Data Provided by:
Omni Youth Services
(847) 253-6010
1616 North Arlington Heights Road
Arlington Heights, IL
Hotline
(847) 353-1500
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Criminal justice clients
Language Services
Polish, Russian, Spanish

Data Provided by:
Arlington Center for Recovery LLC
(847) 427-9680
1655 S Arlington Heights Road 200
Arlington Heights, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Adult Counseling and Educational Servs
(847) 593-6201
415 East Golf Road
Arlington Heights, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Families and Adolescents In Recovery
(847) 359-5192
1995 Hicks Road
Rolling Meadows, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
Polish

Data Provided by:
Rolling Meadows Counseling Center
(847) 991-5710
1835 Hicks Road
Rolling Meadows, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Spanish

Data Provided by:
Northwest Community Hospital
(847) 618-2700
901 West Kirchoff Road
Arlington Heights, IL
Services Provided
Substance abuse , Detoxification, Buprenorphine Services
Types of Care
Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents

Data Provided by:
Counseling Center of Illinois
(773) 777-6767
115 South Wilke Road
Arlington Heights, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders
Language Services
Polish, Russian, Serbian, Spanish

Data Provided by:
Victory Vision Counseling
(847) 788-9622
500 West Central Road
Mount Prospect, IL
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired, Bosnian, Gujurati, Hindi, Polish, Russian, Ukrainian

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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