Sample Notification of Discontinuation of Opioid Treatment Form
Provides patients with information about why opioid treatment can no longer be provided and information about local treatment programs.
Tools and resources for addressing the prevention of SUD.
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.
Helps ensure patients who are beginning long-term therapy with opioid analgesics understand the side effects, risks, conditions, and purpose of their treatment. Facilitates clear communication between patients and healthcare providers about long-term opioid therapy, defines treatment expectations, and resolves any patient questions or concerns.
Provides information on the potential benefits and risks of opioid medications and documents that both the patient and provider agree on a care plan.
Asks the patient to agree to follow the treatment plan, keep appointments, and take medicine as prescribed.
Details the material risks associated with the medication and risk of physical dependence.
Provides a sample treatment agreement that describes the patient's responsibilities as well as the risks and side effects of using opioid medications.