Tools for Opioid Prescribing & Pain Management Agreements
This section of the toolkit is designed for providers who are prescribing opioid medications to their patients based on the patient’s functional goals in addition to the failure of non-pharmacologic or non-opioid treatment options. This section will walk you through the Michigan legal requirements of informed consent and establishing a bona fide patient-provider relationship using a pain management agreement.
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Sample Opioid Treatment Agreement
Download this sample opioid treatment agreement form to be used with patients prescribed ongoing use of an opioid (narcotic) medication.
Tools for Assessing Longitudinal Progress in Pain Management
Ottawa Personal Decision Guide
Download this sample personal decision guide to be completed between the patient and provider to explore treatment decisions based on the patient’s knowledge, values, and certainty–Available in French, Swedish, Dutch, Danish, Norwegian, Spanish, German, Japanese, and Mandarin Chinese.
Tools for Assessing Longitudinal Progress in Pain Management
How Should a Physician Respond to a Patient’s Pain When New Opioid Prescribing Laws Limit Shared Decision Making?
This commentary responds to a case and examines pragmatic concerns about operating a busy outpatient practice in compliance with new laws that regulate opioid prescribing.
Pain Management Agreements
Establishing a “Bona Fide” Patient-Provider Relationship
As required by Public Act 247 of 2017, Michigan prescribers must be in a bona fide prescriber-patient relationship prior to prescribe Schedules 2-5 controlled substances for more than 7 days. As stated in the Public Act 101 of 2018, the effective date for the bona fide prescriber-patient relationship is required by 3/31/19. Please refer to the Public Act …
Legal Resources
LARA: Nonopioid Directives
For patients who do not want to be prescribed opioids, consider a nonopioid directive, available on the LARA website under “Additional Resources” Download the Word template version of the form now:
Legal Resources
As required by Public Act (PA) 246 of 2017, the start talking form is designed to satisfy new patient education and parental consent regulations regarding opioid prescriptions starting on 6/1/18. This form must be completed and saved to the patient’s medical record only when prescribing an Opioid drug. Download the Word template version of the form …
Legal Resources
MI Automated Prescription System (MAPS)
Access information on a tool used by prescribers and dispensers to track controlled substances, manage patient risk and prevent drug abuse and diversion. Create an account or log in to MAPS
Legal Resources
Sample Pain Management Agreement
Edit this sample agreement as needed to use in your clinical practice.
Legal Resources Pain Management Agreements