Resource Center: Initial patient contact, Addiction
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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
Consent to Release Confidential Information
Description:
Consent to Release Confidential Information Consent to Release Confidential Information
I ___________________________________ hereby authorize and request,
Name: ______________________________________
0
Your rating: None
Tags:
- Login or register to post comments
- Read more
- 1 attachment
Description:
This form serves as a sample consent for release of the patient's information (type of information to be specified by the patient and/or doctor).
Source:
American Academy of Addiction Psychiatry (AAAP) 4.333335
Your rating: None Average: 4.3 (3 votes)
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 (1)
Physician stage in practice
- Just became waivered (2)
- Setting up a practice (2)
- Becoming waivered (1)
- Experienced prescriber (1)
- Need to refer (1)

