TX HHS Form 4009. Informed Consent for Pregnant Opioid/Opiate Use Disorder Individuals Seeking Treatment

TX HHS Form 4009: Informed Consent for Pregnant Opioid/Opiate Use Disorder Individuals Seeking Treatment is a crucial document that helps pregnant individuals with opioid/opiate use disorder make informed decisions about their treatment options. This form provides essential information to help them understand the diagnosis, potential risks and benefits of different treatments, and the importance of seeking medical care during pregnancy.

The form presents four treatment options: medication-assisted treatment for opioid use, medically managed withdrawal treatment, no treatment, and explains the benefits and risks associated with each. It highlights the importance of addressing opioid/opiate use disorder during pregnancy to ensure better outcomes for both the mother and the baby. The document also emphasizes the dangers of attempting detox without medical supervision.

This form should be used by pregnant individuals who have been diagnosed with opioid/opiate use disorder and are seeking treatment options. It is essential for healthcare providers to discuss the contents of this form with their patients and ensure they understand the implications of each treatment option before making an informed decision.