Informed Consent for Suboxone Treatment (Buprenorphine-Naloxone)
OVERVIEW
Buprenorphine (Suboxone) is a medication used to treat Opioid Use Disorder
(OUD). OUD is a medical condition that occurs when opioid use causes negative
effects on health, relationships, responsibilities, and quality of life. This is not a
problem of willpower—it is a medical condition that requires treatment.
Buprenorphine helps by: Reducing withdrawal symptoms, Decreasing cravings,
Providing safer, more stable management compared to other opioids.
BENEFITS OF TREATMENT
· Safer than other opioids (less risk of overdose)
· Helps reduce or stop opioid misuse
· Provides similar pain relief to other opioids
· Improves mental clarity and daily functioning
RISKS AND SIDE EFFECTS
Like all medications, buprenorphine may have side effects, including:
Drowsiness or sleepiness, Constipation, Nausea, upset stomach, or vomiting,
Sweating, headaches, or body aches.
Do not mix buprenorphine with alcohol, benzodiazepines (e.g., Xanax, Ativan,
Klonopin), or sleeping pills, as this can be dangerous.
If you need surgery or treatment for pain, tell your doctors you are taking
buprenorphine.
TREATMENT
You must be in moderate withdrawal before your first dose; otherwise,
buprenorphine can make withdrawal worse.Your provider will guide you on the
correct timing of your first dose and make adjustments as needed.
Some people may take buprenorphine for months; others for years.
Research shows long-term use lowers the risk of relapse.
If you want to stop, do not quit suddenly. Talk with your provider about a safe
taper plan.
To comply with FDA and DEA regulations, patients must agree to the following:
Prescriptions will only be written according to federal guidelines.
Early refills are not allowed.
Refills require an appointment at the interval set by your provider.
You must use one designated pharmacy for all prescriptions.
Lost or stolen prescriptions will not be replaced unless you file a police report
and provide a copy to your provider.
PATIENT RESPONSIBILITIES
1. Take medication only as prescribed
2. Never share or sell medication
3. Keep medication in a safe, secure place
4. Attend all scheduled appointments
5. Provide urine drug screens as requested
6. Report any side effects or concerns to your provider promptly
FEE FOR SERVICE
It is your responsibility to inquire about fee for service with the Behavioral
Health Solutions Administration (BHS), if needed. Regardless of negotiated fee
arrangements and/or insurance coverage, payment for services is your
responsibility and due at the time of your appointment or billing statement date.
If filing with insurance, you are ultimately responsible for any claims not paid
by your insurance company for any reason. Behavioral Health Solutions requires
clients to submit a credit card authorization. Payment is expected at the time of
your appointment. Your session fee, co-pay, co-insurance, deductibles, late
cancellations fees, and missed appointments fees will be charged to the credit
card on file. If your account has not been paid for more than 30 days, or you
accrue a balance greater than $150, services will be paused until your balance is
paid in full or a payment plan is setup. It is counterproductive to the therapeutic
process to add financial stressors to it. In cases where arrangements for payment
have not been agreed upon, BHS has the option of using legal means to secure
the payment. This may involve hiring a collection agency. The personal
information and insurance information provided is complete and accurate. I
authorize the release of any information necessary to file an insurance claim on
my behalf and I assign insurance benefits to be paid to Behavioral Health
Solutions.
I understand that payment for copays and deductibles
are required at the time services are rendered. In the event that my insurance
company denies a claim, I will become financially responsible for all amounts
not covered, payable to Behavioral Health Solutions. I agree to be contacted by
telephone, mail or email according to the contact information that I have
provided. I understand if outstanding balances are due for more than 90 days
without payment, Behavioral Health Solutions may turn over the outstanding
balance due to a collections agency and that I will be financially responsible for
additional collections costs.
Insurance Disclaimer: A quote of benefits and/or authorization does not
guarantee payment or verify eligibility. Payment of benefits are subject to all
terms, conditions, limitations, and exclusions of the member’s contract at time
of service. Behavioral Health Solutions will attempt to verify your health
insurance benefits and/or necessary authorizations on your behalf. PLEASE
NOTE: this is only a quote of benefits and/or authorization. We cannot guarantee
payment or verification eligibility as conveyed by your health insurance provider
will be accurate and complete. Payment of benefits are subject to all terms,
conditions, limitations, and exclusions of the member’s contract at the time of
service.
Insurance Liability for Payment: Your health insurance company will only
pay for services that it determines to be “reasonable and necessary.” Every effort
will be made by this office to have all services and procedures pre authorized by
your health insurance company, when applicable. If your health insurance
company determines that a particular service is not reasonable and necessary, or
that a particular service is not covered under the plan, your insurer will deny
payment for that service. We suggest to all patients that they contact their
insurance to confirm that these services are covered. Under this arrangement,
you are responsible for paying your co-pay, any noncovered portions, and any
deductible you have yet to cover. In addition, if your insurance company does
not pay for our services, you agree to pay for the services provided.
Insurance Referral/Pre-Certification/Authorization of Services: Many insurance
companies may require preauthorization of services. Please know that it is your
responsibility to obtain authorization of services for an out-of-network provider
if needed. You will be responsible for any charges not covered by insurance due
to lack of precertification/authorization for an out-of-network provider. Please
contact BHS administration if you need assistance with this process. Refunds are
only issued when an overpayment has been identified. If you feel there has been
an overpayment, please contact Behavioral Health Solutions’ office. We do NOT
accept personal checks.
Beneficiary Agreement: I understand that my health insurance company may
deny payment for the services identified above, for the reasons stated. If my
health insurance company denies payment, I agree to be personally and fully
responsible for payment. I also understand that if my health insurance company
does make payment for services, I will be responsible for any co-payment,
deductible, or coinsurance that applies: You are entitled to receive this “Good
Faith Estimate” of what the charges could be for Mental Health services provided
to you. While it is not possible for a provider to know, in advance, how many
visits may be necessary or appropriate for a given person, this form provides an
estimate of the cost of services provided. Your total cost of services will depend
upon the number of visits you attend, your individual circumstances, and the type
and amount of services that are provided to you. This estimate is not a contract
and does not obligate you to obtain any services from the provider(s) listed, nor
does it include any services rendered to you that are not identified here. This
Good Faith Estimate is not intended to serve as a recommendation for treatment
nor a prediction that you may need to attend a specified number of Mental Health
visits. The number of visits that are appropriate in your case, and the estimated
cost for those services, depends on your needs and what you agree to in
consultation with your provider. You are entitled to disagree with any
recommendations made to you concerning your treatment and you may
discontinue treatment at any time. I agree to Behavioral Health Solutions
charging my session payment, co-pay, co-insurance, deductibles, late
cancellations fees, and missed appointments fees to the credit card on file
ACKNOWLEDGEMENT AND CONSENT
I understand that buprenorphine is used to treat Opioid Use Disorder and that:
The risks, benefits, and alternatives have been explained to me.
I understand how to take the medication and what precautions to follow.
I agree to follow this treatment plan and the prescribing rules outlined above and
instructed by my provider.
I understand that failure to follow this agreement may result in discontinuation
of buprenorphine prescribing