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Form F252-095-000 Opioid Treatment Agreement - Washington
What Is Form F252-095-000?
This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form F252-095-000?
A: Form F252-095-000 is the Opioid Treatment Agreement specific to the state of Washington.
Q: What is the purpose of the Opioid Treatment Agreement?
A: The Opioid Treatment Agreement is used to establish an agreement between a patient and their healthcare provider regarding the use and management of opioids for pain treatment.
Q: Who needs to use Form F252-095-000?
A: Patients who are prescribed opioids for pain treatment in the state of Washington may be required to use Form F252-095-000.
Q: What information is included in Form F252-095-000?
A: Form F252-095-000 includes information such as the patient's responsibilities, risks and benefits of opioid treatment, and guidelines for safe opioid use.
Q: Can the Opioid Treatment Agreement be modified?
A: The Opioid Treatment Agreement can be modified based on the individual needs of the patient and at the discretion of the healthcare provider.
Form Details:
- Released on July 1, 2013;
- The latest edition provided by the Washington State Department of Labor and Industries;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form F252-095-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.
Download Form F252-095-000 Opioid Treatment Agreement - Washington
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