Click to download. Standard questionnaire to monitor levels of well-being and pain over time.
Click to download. This questionnaire allows us to recognize and monitor signs and symptoms of Attention Deficit Disorder.
Click to download. This is our standard prescription for a urine drug screen. Once downloaded and printed out please complete with date, your name, and your date of birth. Most laboratories will then honor the lab requisition. Call office if problems.
Above click to link to forms we often use at the start and intermittently in the course of care.
AGREEMENTS AND CONSENT FORMS
The following two forms
OMS Controlled Substance Use Agreement
General Opiate/Opioid Information Sheet & Consent
are the agreements/consents related to the use of prescribed controlled substances. If you are considering having us prescribe you any controlled substance, please review and be prepared to annually sign the agreement . If you are wanting to be prescribed an opioid such as buprenorphine, morphine, oxycodone, tramadol, etc. please also review and be prepared to sign annually the opioid use agreement: