Opioid Progress Report Supplement: Chronic, Noncancer Pain

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Title   Opioid Progress Report Supplement: Chronic, Noncancer Pain (314 KB PDF)
Description

When prescribing opioids for chronic, noncancer pain; the attending physician must submit this form, or an equivalent form at least every 60 days. Providers are encouraged to submit after each visit.

Detail
Form number F245-359-000
Availability
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Keywords attending doctor, self-insurance, self-insurer
Languages English
Valid dates 12-2010
Contact information Managing Injured Workers' Claims
Claims for Job Injuries
Web pages For Medical Providers

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