Status Update Form – The Clinic at 8737

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If you are restarting or following up for Suboxone (buprenorphine) treatment, please complete the form below before your appointment.

 

This helps us:

• Plan your visit safely

• Avoid withdrawal complications

• Choose the right way to restart your medication

 

Tap below to complete your form::
Status Update

 

Important:

• This form takes about 2 minutes

• Please answer honestly so we can treat you safely

• This does NOT replace medical care

 

Go to the ER immediately if you have:

• Severe withdrawal symptoms

• Uncontrolled vomiting

• Chest pain, trouble breathing, or feel unsafe

 

Once you submit the form, we will review it and confirm your appointment.

 

We’re here to help you restart treatment safely and comfortably.