ALL NEW PATIENTS PLEASE COMPLETE FORMS 1, 2 and 3 and OTHER FORMS AS NECESSARY
FOR PAIN TREATMENT (MANAGEMENT): please fill out forms 1-3 then form 4 THE PAIN ASSESSMENT THEN THE NARCOTIC PRESCRIBING AGREEMENT AND WE WILL CONTACT YOU - DO NOT SUBMIT THIS INSTRUCTION FORM JUST GO TO FORM 1.
For MEDICAL MARIJUANA certification: fill out forms 1-3 THEN
the 5, MARIJUANA CONSENT
& THE PAIN FORM IF YOU HAVE A PAIN CONDITION,
WE WILL CONTACT YOU - DO NOT SUBMIT THIS FORM JUST GO TO FORM 1
FOR OPIOID DETOX OR ONGOING OPIOID USE DISORDER TREATMENT: please fill out forms 1-3 then then the 2 forms for Suboxone below DO NOT FILL OUT THE NARCOTIC DISPENSING AGREEMENT. If you wish, you can fill out the Pain Assessment Form if you also have a history of pain that is relevant to your opioid problem AND WE WILL CONTACT YOU - DO NOT SUBMIT THIS FORM JUST GO TO FORM 1 to START
OK PLEASE GO TO FORM 1 to START, THANKS DR ZAHL AND STAFF