Using a Patient Contract During Buprenorphine Treatment
Discussing rules and expectations is an important step when starting a patient on buprenorphine treatment. Some providers choose to use a printed patient contract that clearly spells out the rules and terms of treatment. Such a document protects both the patient and the provider it explains privacy and confidentiality and outlines the patient's responsibilities in treatment, as well as the consequences for breaking the rules of the contract.
When writing a patient contract, be sure to spell out the offenses that are allowable to some extent (e.g., a patient who misses one appointment can continue in treatment) and those that are not allowable (e.g., a patient who steals from or vandalizes the office will be discharged from treatment).
- Initial patient contact
- Managing challenging patients
- Logistics of buprenorphine treatment
- Consent
- Contract
- Patient and physician communication
- What to expect during first treatment
- Physician and patient agreements
- Patient education materials
- Experienced prescriber
- Just became waivered
- Setting up a practice
- Home
- Training/CME
- Resources
- How-To Guides
- All How-To Guides
- Get Started Prescribing Buprenorphine
- Assess and Treat Patients with Comorbid Health Issues
- Conduct Buprenorphine Induction
- Establish and Manage a Buprenorphine Practice
- Manage Challenging Patients
- Comply with Rules, Regulations, and Recordkeeping
- Understand Insurance and Billing Issues
- Screen for Substance Abuse
- Refer Patients to an Addiction Specialist
- Review: What is Buprenorphine?
- Your Bup Site!
How-To Guides
- How to Assess and Treat Patients with Comorbid Health Issues
- How to Conduct Buprenorphine Induction
- How to Establish and Manage a Buprenorphine Practice
- How to Manage Challenging Patients
- Talking to Patients About Substance Use and Other Sensitive Issues
- The Physician's Role in Preventing Abuse and Diversion
- Identifying Abuse and Diversion
- Preventing Abuse and Diversion
- Taking Action when Abuse or Diversion is Suspected
- Using a Patient Contract During Buprenorphine Treatment
- Dealing with Negative or Disruptive Behaviors of Opioid Dependent Patients
- Taking Action when a Patient Violates the Patient Contract
- Patient Management Issues Specific to Rural Practices
- Summary
- How to Comply with Rules, Regulations, and Recordkeeping
- How to Understand Insurance and Billing Issues
- How to Screen for Substance Abuse
- How to Refer Patients to an Addiction Specialist
- Review: What is Buprenorphine?

