General Members Area Preferred Members Area

We have created forms for providers to use as appropriate in their practices as they encounter patients who are using controled medications as part of a treatment plan for behavioral health or chronic pain.

The forms may need to be altered and we are waiving all call and form fees for the next 30 days, effective March 23, 2020.


Use the Subject: COVID-19 PRACTICE FORMS.

We will not market or try to sell you on anything. We just need to deal directly with healthcare providers and their staff members to ensure the form is tailored to the most current version for your state and your state's public health emergency declarations and regulations.

We are working on an additional telehealth/telemedicine specific form and we will let you know when it's available.

Thank you and do not hesitate to reach out if you have any questions. Stay well.