Resource Center: Initial patient contact, Confidentiality
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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
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- 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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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
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- 1 attachment
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
: all » Initial patient contactCommonly Used Forms
- Consent forms (2)
Patient Handouts
Physician stage in practice
- Just became waivered (3)
- Setting up a practice (3)
- Experienced prescriber (2)
- Becoming waivered (1)
- Need to refer (1)
