Resources for integrating buprenorphine treatment within HIV/AIDS programs, as developed by the HRSA SPNS Buprenorphine project.
Treatment Materials
- Authorization to Exchange Health Information
- Consent to Treatment with Buprenorphine
- Take-Home Dose Agreement
- Documentation of Clinical Eligibility
- Worksheet for DSM–IV Criteria for Diagnosis of Opioid Dependence
- Prescribers’ Direct Dispensing Log Information
Recruitment Materials
- San Francisco DPH’s Integrated Buprenorphine Intervention Services Brochure
- Patient Brochure
- Patient Flyer
- Program Exam Room Laminate Card
Protocols
- Program Description
- Provider–Patient Expectations
- Referral Procedures for HIV/AIDS Patients
- Clinical Guidelines for Prescribing Buprenorphine in the Office-Based Treatment of Opioid Dependence
- Jail Health Services Buprenorphine Inventory
Supporting Files
This resource was developed by
University of California, San Francisco
