Get the free Initial questionnaire for opioid addcition-to be filled out by patient-Sept. 22, 202...
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Fax/Email to Dr. Joseph Park DATE:___TO:Mississauga Pain Clinic FAX: 9058583527 EMAIL: jppainclinic@yahoo.ca RE:___# of Pages including the cover sheet: ___ Notes/Comments: From (Patient name): ___Confidentiality
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How to fill out initial questionnaire for opioid
How to fill out initial questionnaire for opioid
01
Start by entering your personal information such as name, date of birth, and contact details.
02
Proceed to provide details about your medical history, including any previous opioid usage or related health conditions.
03
Answer questions about your current opioid usage, including type of opioid, dosage, frequency, and duration.
04
Complete any additional questions or sections as required by the healthcare provider administering the questionnaire.
05
Review your answers for accuracy before submitting the completed initial questionnaire.
Who needs initial questionnaire for opioid?
01
Individuals who are prescribed or considering opioid treatment for pain management.
02
Healthcare providers who are assessing a patient's suitability for opioid therapy.
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