Pharmacist Naloxone Prescription Program Reporting Form
Gives a sample naloxone prescription program reporting form to be entered into the patient record or chart or given to the primary care provider.
ex. Nurses, case managers, medical assistants, office managers
Gives a sample naloxone prescription program reporting form to be entered into the patient record or chart or given to the primary care provider.
Provides a template to track inventory of stock buprenorphine supplies, including patient, quantity dispensed, and manufacturer and lot number.
Provides a general overview of the principles that characterize effective treatment for drug addiction and can be used to introduce staff and patients to this topic.
Describes development and validation of a low-literacy, English-language opioid contract.
Provides patients with information about why opioid treatment can no longer be provided and information about local treatment programs.
Provides a template for an agreement that describes the patient's responsibilities and commitment not to engage in certain activities.