Resource Center: Confidentiality
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Description:
This is the full text of Title 21, Chapter 13 of the US Code, which deals with drug abuse prevention and control.
Source:
Drug Enforcement Administration (DEA) 4.333335
Your rating: None Average: 4.3 (3 votes)
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Description:
An example of the wording and structure necessary in a consent for release of information form.
Source:
Substance Abuse and Mental Health Services Administration (SAMHSA) 0
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Description:
The California Society of Addiction Medicine (CSAM) website provides information and materials for buprenorphine treatment providers, including screening tools and sample consent and patient agreement forms, and provides links to other helpful resources.
Source:
California Society of Addiction Medicine (CSAM) 0
Your rating: None
Tags:
- General information - buprenorphine
- Getting a waiver/setting up your practice
- Initial patient contact
- Screening and diagnosis
- Rules, regulations and recordkeeping
- Physician and staff training
- Addiction
- Assessment
- Confidentiality
- Consent
- Contract
- COWS
- Recordkeeping
- Screening
- Training
- Waiver
- Misc. informational materials
- Becoming waivered
- Just became waivered
- Need to refer
- Setting up a practice
Patient Handout: Confidentiality and Consent
Description:
This is a patient handout to inform patients about their rights when undergoing office-based buprenorphine treatment. Patient Rights: Confidentiality and Consent
As a patient getting treatment for a substance use disorder, your personal and medical
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Description:
Informational checklist designed to aid health care providers in making sure their practice is compliant with HIPAA regulations.
Source:
Substance Abuse and Mental Health Services Administration (SAMHSA) 4
Your rating: None Average: 4 (3 votes)
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Description:
Comprehensive document detailing the HIPAA Privacy Rule and its implications for alcohol and substance abuse programs.
Source:
Department of Health and Human Services (DHHS) 4.666665
Your rating: None Average: 4.7 (3 votes)
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Description:
This website from the American Academy of Family Physicians provides information about HIPAA and how physicians can implement its guidelines in their practices.
Source:
American Academy of Family Physicians (AAFP) 0
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Consent to Release Confidential Information
Description:
Consent to Release Confidential Information Consent to Release Confidential Information
I ___________________________________ hereby authorize and request,
Name: ______________________________________
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- Login or register to post comments
- Read more
- 1 attachment
Description:
CONSENT FOR RELEASE OF INFORMATION
Source:
training.aaap.org 0
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Sample Consent Form
Description:
This is a sample of a consent form that can be used when initiating buprenorphine treatment for a new patient. BUPRENORPHINE MAINTENANCE TREATMENT
Sample #1 --Patient information and consent to treatment with buprenorphine
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Tags:
- 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!
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Topics
Commonly Used Forms
- Consent forms (4)
- Rules and regulations (1)
Patient Handouts
Physician stage in practice
- Just became waivered (17)
- Setting up a practice (17)
- Experienced prescriber (9)
- Becoming waivered (3)
- Need to refer (1)

