New Patients

  • We follow the guidelines set in place by the CDC and Oklahoma State Medical Board
  • Opioids will not be prescribed on the first visit. An office visit will be dedicated to discussing risks and benefits of opioid therapy prior to any prescription being issued.
    • A consent form will be reviewed
    • An assessment to screen for patient-specific risk factors for addiction and abuse will be performed
    • A urine drug test will be done
    • A physician-patient contract will be signed
    • PMP will be queried
  • If a patient is already on opioids at a higher dose than recommended by the CDC we will recommend a taper
  • We do not fill opioid prescriptions outside of regular office hours
  • It is our goal to treat patients in the safest manner possible by taking these routine measures with all patients

Established Patients

  • All patients on chronic opioid therapies will be given monthly prescriptions, at which time the PMP will be queried
  • Patients must be seen at least every 3 months in person for a dedicated visit to address only chronic opioid therapy, including:
    • an assessment for risk factors of addiction or abuse
    • urine drug test
    • PMP will be queried
    • the patient will be offered a naloxone prescription
    • ensuring that non-opioid therapies are maximized
  • If the patient’s painful conditions are improving, a slow taper will occur
  • We do not provide replacement prescriptions in the case of lost or damaged prescriptions



Disposal of Opioids

  • The state of Oklahoma publishes recommendations on safely storing and disposing of opioids:
  • Click here for a list of drop-boxes in Oklahoma
  • Police departments and sherriff’s offices usually accept opioids or will direct you to a nearby drop-box location
  • Before throwing away pill bottles, be sure and scratch off or mark through all information on the bottle