Consent forms
Description:
This appendix from TAP 13: Confidentiality of Patient Records for Alcohol and Other Drug Treatment provides sample consent forms for substance abuse patients.
Source:
Substance Abuse and Mental Health Services Administration (SAMHSA) 0
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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:
This series of tables provides state-by-state information about minors' rights regarding providing consent for substance abuse treatment.
Source:
Guttmacher Institute 4.333335
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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
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Description:
This consent form informs the patient of the limited amount of research and knowledge currently available regarding buprenorphine use during pregnancy, and acknowledges that risks related to such use may exist, but are not yet known.
Source:
Colleen LaBelle, RN/Boston Medical Center 4.333335
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- 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!

