TX HHS Form 4010. Informed Consent for Opiate Use Disorder Individuals Seeking Treatment – Adults

TX HHS Form 4010, "Informed Consent for Opiate Use Disorder Individuals Seeking Treatment – Adults," is a crucial document that helps individuals struggling with opioid/opiate use disorder make informed decisions about their treatment options. This form provides essential information to help patients understand the diagnosis of opioid/opiate use disorder and the four available treatment options.

The form highlights the importance of medication-assisted treatment (Option 1), which includes a daily dose of medication to prevent withdrawal symptoms or cravings, as well as substance use counseling and other necessary care. This option offers benefits such as receiving a steady and stable dose of medication, eliminating cravings, and reducing risks of contracting infectious diseases through injection.

The form also presents two alternative options: Medically managed withdrawal treatment (Option 2) and No treatment (Option 3). The latter carries significant risks, including worsening symptoms, increased problems with physical and mental health issues, and a higher risk of overdose and death. By understanding the diagnosis and treatment options, individuals can make informed decisions about their care and take the first step towards recovery.