Resources

OBAT Clinical Tools and Forms

Clinical Pathway for Medication for Addiction Treatment
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Clinic Visit Documentation

Buprenorphine-Naloxone Maintenance Visit Checklist
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Checklist Prior to Buprenorphine-Naloxone Induction
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Checklist Prior to Naltrexone Induction
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Nursing Follow Up for Buprenorphine-Naloxone
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Nursing Follow Up for Naltrexone
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Nursing Intake Form
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Telephone Screening Form
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Clinical Tool

Buprenorphine Start Guide for Patients - English
This is a modified version of NIDA's guidance on conducting a buprenorphine community induction that can be given out to patients.
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Buprenorphine Start Guide for Patients - Spanish
This is the Spanish translation of a modified version of NIDA's guidance on conducting a buprenorphine community induction that can be given out to patients.
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Clinical Statement from BMC Regarding Formulation Change During Pregnancy
This statement, from Project RESPECT within Boston Medical Center, details the evidence-based practice of using the buprenorphine-naloxone films for pregnant women instead of the buprenorphine monotherapy.
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Considerations for Medication for Addiction Treatment in HCV+ Patients
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Considerations for Medication for Addiction Treatment in Patients with HIV
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COWS Scale Opioid Withdrawal Record Induction Form
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DSM-5 Checklist of Diagnostic Criteria Opioid Use Disorder
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Patient Medication Guide for Injectable Buprenorphine
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Patient Medication Guide for Injectable Naltrexone (Vivitrol)
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Patient Medication Guide for Injectable Naltrexone (Vivitrol), Spanish Translation
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Perioperative Management
This document gives management guidelines for patients maintained on buprenorphine who are scheduled for surgery or other procedures.
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Pharmacotherapy for Alcohol Use Disorder
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Pharmacotherapy for Opioid Use Disorder
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Transfer Guidelines for Methadone to Buprenorphine or Buprenorphine to Naltrexone Transition
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Consents and Treatment Agreements

Appointed Pharmacy Consent Form
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Consent for Release of Information
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Consent for Treatment with Buprenorphine-Naloxone
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Consent for Treatment with Buprenorphine-Naloxone in Pregnancy
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Consent for Treatment with Disulfiram
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Consent for Treatment with Injectable Buprenorphine
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Consent for Treatment with Naltrexone
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Treatment Agreement for Buprenorphine-Naloxone
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