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OPIOID DIRECTIVE FORM; PROVISION. B. 5262 (S1)5264: SUMMARY OF BILL REPORTED FROM COMMITTEE House Bill 5262 (Substitute S1 as reported) House Bill 5263 (Substitute H1 as reported without amendment)

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How to fill out nonopioid directive form

01

Review the purpose and instructions of the nonopioid directive form

02

Fill out your personal information such as name, address, contact information

03

Indicate any specific nonopioid pain management preferences or restrictions

04

Sign and date the form

Who needs nonopioid directive form?

01

Individuals who wish to communicate their preferences for nonopioid pain management to healthcare providers

02

Patients who want to avoid opioid medications for pain relief

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What is nonopioid directive form?

Nonopioid directive form is a document used to instruct healthcare providers not to prescribe opioid medications to a patient.

Who is required to file nonopioid directive form?

The nonopioid directive form is typically completed by a patient who wishes to decline opioid medication treatment.

How to fill out nonopioid directive form?

To fill out a nonopioid directive form, the patient must provide their personal information, medical history, reasons for refusing opioid medication, and sign the form.

What is the purpose of nonopioid directive form?

The purpose of the nonopioid directive form is to communicate the patient's decision to healthcare providers and ensure they do not receive opioid medication against their wishes.

What information must be reported on nonopioid directive form?

The nonopioid directive form should include the patient's name, date of birth, contact information, medical conditions, allergies, reasons for refusing opioids, and signature.

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