Consent to Release Information
Consent Form
Download, print and fill out this form to give ADDS the authority to release treatment information for use within the facility.
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The Iowa Department of Public Health licenses the Alcohol and Drug Dependency Services of Southeast Iowa (ADDS) to provide chemical dependency treatment services. Individuals and family members who experience the effects of alcohol and drug dependency may receive ADDS treatment services as well as those persons suffering from compulsive gambling.
Consent Form
Download, print and fill out this form to give ADDS the authority to release treatment information for use within the facility.