Using Consent Forms Mason City IA

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.

Prairie Ridge
(641) 424-2391
320 North Eisenhower Avenue
Mason City, IA
Services Provided
Substance abuse , Halfway house
Types of Care
Residential short-term treatment (30 days or less), Residential long-term treatment (more than 30 days), Outpatient, Partial hospitalization/day treatment
Special Programs/Groups
Adolescents, Persons with co-occurring mental and substance abuse disorders, Men, DUI/DWI offenders, Criminal justice clients
Language Services
Spanish

Data Provided by:
Community and Family Resources
(515) 602-6292
120 Central Avenue East
Clarion, IA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Community and Family Resources
(515) 332-4843
19 6th Street South
Humboldt, IA
Services Provided
Substance abuse
Types of Care
Outpatient

Data Provided by:
Alcohol and Drug Dependency Servs of
(319) 385-2216
122 North Main Street
Mount Pleasant, IA
Hotline
(319) 385-2216
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, DUI/DWI offenders

Data Provided by:
Powell Chemical Dependency Center
(515) 263-2424
IA Lutheran Hosp/Powell Chem Dep Ctr
Des Moines, IA
Services Provided
Substance abuse , Detoxification
Types of Care
Hospital inpatient, Residential short-term treatment (30 days or less), Outpatient, Partial hospitalization/day treatment
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Zion Recovery
(712) 243-5091
601 Walnut Street
Atlantic, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Women, Men, DUI/DWI offenders

Data Provided by:
Substance Abuse Services Center Inc
(563) 582-3784
Nesler Centre
Dubuque, IA
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, Pregnant/postpartum women, Women, Men, Criminal justice clients
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Alcohol and Drug Dependency Servs of
(319) 523-8436
304 Highway 61 North
Wapello, IA
Hotline
(319) 523-8436
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Adolescents, DUI/DWI offenders

Data Provided by:
Northwest Iowa Alcoholism and
(712) 439-1170
1126 Main Street
Hull, IA
Hotline
(712) 262-2952
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
Language Services
ASL or other assistance for hearing impaired

Data Provided by:
Northwest Iowa Alcoholism and
(712) 262-2952
1900 Grand Avenue North
Spencer, IA
Hotline
(712) 262-2952
Services Provided
Substance abuse
Types of Care
Outpatient
Special Programs/Groups
Persons with co-occurring mental and substance abuse disorders, DUI/DWI offenders
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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