Using Consent Forms De Pere WI

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.

Bellin Psychiatric Center
(920) 431-5533
301 East Saint Joseph Street
Green Bay, WI
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Hospital inpatient, Outpatient, Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Quality Addiction Management
(920) 337-6740
2979 Allied Street
Green Bay, WI
Services Provided
Substance abuse treatment, Methadone Maintenance, Methadone Detoxification
Types of Care
Outpatient

Data Provided by:
Lutheran Social Services
(920) 730-1321
3003 North Richmond Street
Appleton, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders, Criminal justice clients

Data Provided by:
Gundersen Lutheran
(608) 326-3380
610 East Taylor Street
Prairie Du Chien, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Courage To Change Recovery
(715) 223-0480
106 Galvin Road
Abbotsford, WI
Hotline
(800) 863-3560
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Jackie Nitschke Center Inc
(920) 435-2093
700 Cherry Street
Green Bay, WI
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Special Programs/Groups
DUI/DWI offenders

Data Provided by:
Libertas Treatment Center
(920) 498-8600
1701 Dousman Street
Green Bay, WI
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Adolescents

Data Provided by:
Mooring Programs Inc
(920) 739-3235
607 West 7th Street
Appleton, WI
Services Provided
Halfway house

Data Provided by:
Horizon House
(414) 342-3237
2511 West Vine Street
Milwaukee, WI
Services Provided
Substance abuse treatment
Types of Care
Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Women

Data Provided by:
Lincoln Healthcare Center
(715) 536-9482
607 North Sales Street
Merrill, WI
Hotline
(800) 799-0122
Services Provided
Substance abuse treatment
Types of Care
Outpatient
Language Services
ASL or other assistance for hearing impaired

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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