In some cases, patients may not want an Opioid administered as part of their treatment. The form below constitutes the directive that will advise medical practitioners of that decision. A few key notes to take into account:
- An individual who has executed a nonopioid directive on their own behalf may revoke the directive at any time and in any way they are able to communicate their intent to revoke the form
- A guardian or patient’s advocate can revoke at any time by issuing a revocation in writing and providing notice of the revocation to the individual’s health professional or their delegate
- This directive does not apply to:
- A patient receiving opioids for substance use disorder treatment
- A patient who is in hospice
- A patient is being treated at a hospital, or in a setting outside of a hospital in the case of an emergency, and, in the prescriber’s professional opinion, the administration of the opioid is medically necessary to treat the individual