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1351 South County Trail, Building 2, Suite 220, East Greenwich, Rhode Island 02818 Phone: 401.886.5907 Matthew J. Smith, MD George J. Pasquale, DO, FAO Robert A. Manifest, MD Claudia A. Wheeler, DO
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Start by reading the form carefully and understanding the instructions provided. It is crucial to have a clear understanding of what information is being requested.
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Proceed to the section where you need to indicate your medical history. Provide detailed information about any previous opioid use, medications, or treatments you have undergone.
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If applicable, include any relevant medical records or documentation that support your opioid use prevention efforts. This may include letters from healthcare professionals, treatment plans, or discharge summaries from previous rehabilitation programs.
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In the section asking about your current opioid prevention strategies, be as honest and detailed as possible. Describe any methods, therapies, or support groups you are currently utilizing to prevent opioid use or addiction.
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Who needs does opioid formrapy prevent:

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Family members or friends who are concerned about someone struggling with opioid use may encourage them to fill out this form. It can provide insights into the individual's current efforts and serve as an opportunity for open communication about prevention strategies.
Note: It is essential to consult with a healthcare professional or the specific organization requesting the form for further guidance on its purpose and how to accurately complete it.
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Opioid formrapy is used to prevent opioid overdose and addiction.
Healthcare providers who prescribe opioids are required to file opioid formrapy.
Opioid formrapy can be filled out electronically or manually, with details of the patient and opioid prescription.
The purpose of opioid formrapy is to monitor and regulate opioid prescriptions to prevent abuse and addiction.
Information such as patient's name, date of birth, drug name, dosage, quantity, prescriber's information, and date of prescription must be reported on opioid formrapy.
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