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How to use or fill out consent naltrexone form with our platform
- Click ‘Get Form’ to open the consent naltrexone form in the editor.
- Begin by entering your name and date of birth in the designated fields. This information is crucial for identifying your medical records.
- Read through the section outlining the reasons for using naltrexone, including potential benefits and side effects. Ensure you understand this information thoroughly.
- In the initial section, provide your initials to confirm that you acknowledge the need to be weaned off narcotics before starting naltrexone.
- Sign and date the form at the bottom. This confirms your agreement to proceed with treatment and that all questions have been answered satisfactorily.
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What forms are available for naltrexone?
Naltrexone is available as an intramuscular injection (Vivitrol) and as oral tablets.
How do you write a good consent form?
The consent form should describe if/when identifiable data will be destroyed and how such data will be protected and how it will be used or shared. Language - Consent forms should be written in the 2nd person (i.e., you are) and in a language that is clear, concise, and understandable to the subject population.
What is necessary before a patient can start naltrexone?
It is necessary to stop all drugs/medications that have any opiates/opioids in them 710 days before starting naltrexone to avoid getting sick. It is also important that you NOT have any opioids (such as: methadone, , , oxycodone, ultram, etc.)
Does naltrexone require prior authorization?
Extended-release injectable naltrexone often requires prior authorization from insurance and ordering through a specialty pharmacy; this process may take several days and requires thoughtful planning.
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