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Colleague Letter Introducing the OTP Mortality Reporting Form - dpt samhsa

Colleague Letter Introducing the OTP Mortality Reporting Form - dpt samhsa 2025

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The document is a communication from SAMHSA's Center for Substance Abuse Treatment regarding the approval of the Opioid Treatment Program Mortality Reporting Form. It emphasizes the need for OTPs to voluntarily report mortality data of patients receiving medication-assisted treatment to better understand and reduce preventable deaths. The form aims to standardize reporting, improve quality of care, and may lead to mandatory reporting in the future. Instructions for completing and submitting the form are provided, along with contact information for further inquiries.

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Click ‘Get Form’ to open it in the editor.
Begin by reviewing the introductory section, which outlines the purpose of the form and its importance in reporting mortality data for patients receiving medication-assisted treatment.
Fill out the patient information section, ensuring that all required fields such as name, date of birth, and treatment details are accurately completed.
In the cause of death section, provide detailed information regarding any known circumstances surrounding the patient's death. This may include drug interactions or other health conditions.
Once all sections are filled out, review your entries for accuracy. Utilize our platform's editing tools to make any necessary adjustments before submission.
Submit the completed form online through our platform, or choose to fax or mail it as per your preference. Ensure submission within 48 hours of notification of a patient death.

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