Initial patient contact

Description: 
Pain Management located in Broward and Palm Beach counties. 877-412-7272 Treating sciatica, back pain, neck pain headache. Interventional Pain Management. Having studied Interventional Pain Management, Dr. Cameron has been trained to provide pain relief in patients by blocking or interrupting the transmission of neurological pain signals. Dr. Cameron may perform treatments such as spinal cord and nerve stimulation, nerve or medial branch blocks, or the implantation of drug delivery systems.  Office Cameron Spine Institute 7710 NW 71st Court University Medical Center, Suite #205 Tamarac, FL 33321  Insurances Accepted Aetna Assurant Health Cigna Delta Health Systems Guardian See more ↓ NOTE: Please contact the doctor’s office to confirm your coverage before making an appointment.  Links Official Website Dr. Blaine Cameron graduated from Howard University College of Medicine in 1999. Dr. Cameron completed a residency in Anesthesiology at University of Southern California in Los Angeles, CA. Dr. Cameron has one office in Florida. Specializing in the field of Interventional Pain Management, Dr. Cameron is prepared to provide pain relief in patients by blocking or interrupting the transmission of neurological pain signals. Dr. Cameron may perform treatments such as spinal cord and nerve stimulation, nerve or medial branch blocks, or the implantation of drug delivery systems.
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Description: 
This patient consent form (in Word®) explains buprenorphine treatment and warns about the adverse effects of mixing buprenorphine with other medications. The section at the bottom is for the patient and a witness to sign and date, indicating that the patient understands and wishes to receive treatment.
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California Society of Addiction Medicine (CSAM)
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The California Society of Addiction Medicine (CSAM) website provides information and materials for buprenorphine treatment providers, including screening tools and sample consent and patient agreement forms, and provides links to other helpful resources.
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California Society of Addiction Medicine (CSAM)
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Description: 
This patient questionnaire from the California Society of Addiction Medicine (CSAM) is useful when beginning a new patient on buprenorphine maintenance treatment.
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California Society of Addiction Medicine (CSAM)
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Description: 
This document provides a form for recording important information about prospective patients, including drug use history, treatment history, criminal history, health information, and more.
Source: 
Colleen LaBelle, RN/Boston Medical Center
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This flow chart for buprenorphine treatment displays the steps to patient recovery, from initial patient contact or referral, through intake process, induction, day #2, stabilization, maintenance, and tapering.
Source: 
Colleen LaBelle, RN/Boston Medical Center
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Description: 
This checklist provides a list of the forms that must be signed, the information that should be recorded for each patient (including current medications and allergies), and tests and labs that should be drawn during the intake assessment.
Source: 
Colleen LaBelle, RN/Boston Medical Center
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