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DATE 6/20/2017TIME 07:40 IMPATIENT REGISTRATION ID:Chart ID:First Name: Patient Is:Last Name: Policy HolderResponsible PartyMiddle Initial:Preferred Name:Responsible Party (if someone other than the
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The form opioid-overdose reduction continuum is a structured documentation process designed to track and facilitate efforts aimed at reducing opioid overdoses, including data collection on interventions, treatment access, and outcomes.
Entities such as healthcare providers, public health organizations, and facilities that administer opioid use disorder treatments or overdose prevention programs are typically required to file this form.
To fill out the form, one must complete all required sections including identification details, intervention data, patient demographics, and any relevant outcomes, ensuring all information is accurate and submitted before the deadline.
The purpose of the form is to collect data that helps evaluate the effectiveness of strategies in preventing and treating opioid overdoses and to guide future policy and program decisions.
Information that must be reported includes patient demographics, types of interventions provided, the number of overdoses prevented, treatment access metrics, and any follow-up outcomes related to opioid addiction.
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