Campaign for Meds Management Resource Page 3

Patient > Opioids > Assessments, Trackers, and Agreements

Current Opioid Misuse Measure

Source: Inflexxion, Inc.

The Current Opioid Misuse Measure (COMM)™ is a brief patient self-assessment to monitor chronic pain patients on opioid therapy.

My Pain Management Plan

Source: NPS MedicineWise

This is an electronic, fillable form for patients and caregivers to document their pain treatment plan.

 Prescriber and Patient Treatment Agreement

Source: Beneficiary Developed

This agreement was created with patient input on content and can be used to clearly document both patient and provider responsibilities during pain management. This can be used as a "pain contract" as it allows signatures and agreements about pain treatment plans.

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