Using Consent Forms Fond Du Lac 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.

Blandine House Inc
(920) 922-9487
25 North Park Avenue
Fond Du Lac, WI
Services Provided
Substance abuse treatment
Types of Care
Residential long-term treatment (more than 30 days)
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Affiliated Counseling Center LLC
(920) 922-7440
17 Forest Avenue
Fond du Lac, WI
Hotline
(920) 576-8866
Services Provided
Substance abuse treatment, Buprenorphine Services
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders

Data Provided by:
Beacon House
(920) 923-3999
166 South Park Avenue
Fond Du Lac, WI
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Women, Residential beds for clients' children

Data Provided by:
Nova Counseling Services Inc
(920) 231-0143
3240 Jackson Street
Oshkosh, WI
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Women, Men

Data Provided by:
Harambee Ombudsman Project Inc
(414) 442-6334
3614 North 39th Street
Milwaukee, WI
Services Provided
Substance abuse treatment
Types of Care
Residential long-term treatment (more than 30 days)
Special Programs/Groups
Men

Data Provided by:
Fond Du Lac County
(920) 929-3500
459 East 1st Street
Fond Du Lac, WI
Hotline
(920) 929-3535
Services Provided
Substance abuse treatment, Detoxification
Types of Care
Hospital inpatient, Outpatient
Special Programs/Groups
Adolescents
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Saint Agnes Hospital
(920) 926-4290
430 East Division Street
Fond Du Lac, WI
Hotline
(920) 926-4290
Services Provided
Substance abuse treatment, Detoxification, Buprenorphine Services
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, Seniors/older adults, Pregnant/postpartum women, Women, Men, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
ARC Community Services Inc
(920) 907-0813
17 Forast Avenue
Fond Du Lac, WI
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Pregnant/postpartum women, Women, Criminal justice clients

Data Provided by:
Serenity House Inc
(715) 723-8468
205 East Grand Avenue
Chippewa Falls, WI
Services Provided
Substance abuse treatment, Halfway house
Types of Care
Residential long-term treatment (more than 30 days), Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders

Data Provided by:
Genesis Behavioral Services Inc
(262) 681-3202
4107-4109 Saint Clair Street
Racine, WI
Services Provided
Substance abuse treatment
Types of Care
Residential long-term treatment (more than 30 days)

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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