Get Opioid Risk Tool Clinician Form

The Opioid Risk Tool Clinician Form is designed to help clinicians assess the risk of opioid use in their patients. This guide will provide you with step-by-step instructions to effectively fill out the form online, ensuring that you are thorough and accurate in your assessment.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to acquire the Opioid Risk Tool Clinician Form and open it in your online editor.
2. Begin with the section on family history of substance abuse. Mark the box that applies to the family history of the patient. Choices include female, male, alcohol, illegal drugs, and prescription drugs, each with corresponding point values. Ensure you are marking all relevant boxes.
3. Move to the personal history of substance abuse section. Mark any factors that are applicable to the patient. Similar to the previous section, there are specific point values for different choices that contribute to the overall score.
4. Identify and mark the age of the patient. If the patient is between the ages of 16 to 45, make sure to select the appropriate box.
5. Complete the section on history of preadolescent sexual abuse by marking the relevant box, if applicable. This section may also impact the scoring totals.
6. Review the psychological disease section. Indicate any relevant psychological conditions that apply to the patient, such as attention deficit disorder, obsessive-compulsive disorder, bipolar disorder, schizophrenia, or depression. These also have assigned point values.
7. Once all applicable sections have been completed, calculate the scoring totals by adding up the points based on the boxes marked. Ensure accuracy in this step to reflect the correct risk assessment.
8. After finalizing the form, you can save your changes, download a copy for your records, print it for distribution or sharing, or complete any other necessary actions.

Complete the Opioid Risk Tool Clinician Form online to support accurate patient risk assessments.