understand and voluntarily agree to the following statements
I will keep (and be on time) for all my scheduled appointments with the doctor and other members of the treatment team.
I will participate in all other types of treatment that I am asked to participate in.
I will keep the medications safe, secure and out of reach of children. If medicine is lost or stolen, I understand it will NOT be replaced.
I will take my medications as instructed and not change the way I take it without first talking to the doctor or other members of the treatment team.
I will not call between appointments, at night, or on weekends looking for refills.
I understand that prescriptions will be filled only during scheduled office visits with the treatment team.
I will make sure I have an appointment for refills.
I will always treat the staff at the office respectfully. I understand that if I do not, my treatment will be stopped.
I will not sell the medication or share it with others. I understand that if I do, my treatment will be stopped.
I will let the doctor speak to all other doctors or providers that I see.
I will tell the doctor all other medications that I take and let him know right away if I have a prescription for a new medication.
I will agree to do a drug screen when required.
I will use only one pharmacy to get all my medications:
I will not get any opioid pain medicines or other medications that can be addictive such as benzodiazepines(Klonopin, Xanax, Valium) or stimulants (Ritalin, amphetamine) without telling a member of the treatment team before I fill that prescription. I understand that the only exception to this is if I need pain medicine for an emergency at night or on the weekend. If this occurs I will call the next business day.
I will not use illegal drugs such as heroin, cocaine or amphetamines. I understand that if I do, my treatment will be stopped.
I will come in for drug testing and counting of my pills within 24 hours of being called. I understand that I must make sure the office has current contact information to reach me and that any missed drug screens will be considered positive for drugs.
I understand that I may lose my right to treatment in this office if I break any part of this agreement.
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I understand that this doctor may stop prescribing opioids or change the treatment plan if:
There is currently an opioid crisis in Louisiana and the United States. More people are dying of drug overdoses than in car accidents.
The United States government and particularly the state of Louisiana is very concerned about this and has changed the way that pain medications, antigenic anxiety medications, and muscle relaxants can be prescribed in the state of Louisiana.
As an orthopedic surgeon, I can write for narcotics only for acute pain such as fractures, acute injuries or after surgery.
If you have chronic pain defined as any pain over three months I cannot write pain medication for you. You need to see a pain doctor. If you are here to get narcotics for chronic pain, please cancel your appointment and either contact your primary care provider or your insurance for a referral to a pain physician. I cannot help you. And I cannot write your medication for a month or two until you find a pain physician.
If you have an acute injury, we do have multiple rules we have to abide by.
First giving you a prescription for narcotics for pain is a trial. If it is ineffective in decreasing your pain, increasing your function or giving you side effects the medication will be discontinued.
Secondly, there are risks in taking narcotics for pain. Some but not all are outlined below.
Dr. Traina and his staff have explained the risks and benefits of opioid therapy for my pain.
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