Will he PMP require a drug test my first appointment?
- 20 Jul 2011 by ChronicICPain
- 21 Jul 2011
- pain, drug test
i am going tomorrow in the morning. Is it possible just to go for a consultation first? What if he doesn't try to help my pain and I am stuck with a contract? I dsont want to sign anything until I trust his judgment I have heard horror stories here and don't want to be stuck with somebody for 6 mts. Can I sign the contract after I decide to allow him to be my doctor,or during the appointment? Will I do a drug test my first visit?
It depends on the practice. Some do an initial test the first visit, others do not. You could do a consultation to get a feel for the Dr and ask him/her to explain his plan of care to you. Many will expect you to sign a contract if or before they prescribe an opioid medication for you, but not all so it really depends on this Dr practice.
It's fine to go there for a consultation or to get a second opinion, see how this doctor would do things, what he has to offer, etc. Many doctors will not prescribe narcotic medications on the first visit anyway - and you don't need to sign a contract until you are sure he/she is the right doctor for you. You won't be bound by the contract until you sign it. By the same token, you can't expect the doctor to actively treat you until you sign the contract. If it were me, I'd make sure nothing could show up in that urine test before I took it. Having a dirty urine in the beginning may not get you denied treatment but it will most assuredly guarantee you that you will be monitored closely and not trusted until a good deal of time has passed. I know canceling an appointment at the last minute is supposed to be an indicator that someone is hiding something, but everyone gets the flu at one time or another.
After all, you are going to this doctor for help, and you want to have no barriers to that help. Also, if you want to be treated by this doctor, make sure you can commit to keeping clean - you don't want to be in the middle of being treated and doing well then be shown the door because you failed a urine test. Because they will test you, and you can guarantee they are going to stick to their part of the contract. They have to stay in business. This is just my opinion - I am not judging you. I want you to have the best pain treatment possible and by the best doctor you can find, and I want you to be able to stay with that doctor if you should at all want to. Regards -
I just changed PM docs in April, & had to take a urine test before I saw the the nurse practioner a week later & also sign the contract before they would prescribe any meds. This is for their protection as well as yours.The contract means you will not get any other pain meds from another doctor or any other source to remain a patient there. If you decide you don't like this doctor , you have the right to change doctors, and that voids your contract with the first one. meaning you cannot return there. Each clinic is different. Like I said at my new one I saw the doc first, & then a week later saw the nurse proctioner. At my old clinic I always saw the doctor, & she wrote all prescriptions. I did not recind my contract by writing a letter or anything. It voided itself by me seeing a new doctor for my pain problems. Hope this helps you understand...
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