Detox Physician Referral Documents


ALCOHOL REFERRAL PACKAGE:

A) Admission Checklist Referral – PDF | Word

B) Inclusion/Exclusion Criteria – PDF | Word

D) Alcohol Withdrawal Protocol – Word

E) Clinical Institute for Withdrawal Scale – PDF | Word

F) Plan G Application – PDF

G) What to Bring – PDF | Word

H) Occupancy Guidelines – PDF | Word

OPIATE REFERRAL PACKAGE:

A) Admission Checklist Referral – PDF | Word

B) Inclusion/Exclusion Criteria – PDF | Word

C) Opiate Orders – Word

D) Suboxone Induction Protocol – Word

E) Safety Bulletin Withdrawal Management – PDF

F) COWS Scale – PDF | Word

G) Plan G Application – PDF

H) Occupancy Guidelines – PDF | Word

I) What to Bring – PDF | Word

STIMULANTS REFERRAL PACKAGE:

A) Admission Checklist Referral – PDF | Word

B) Inclusion/Exclusion Criteria – PDF | Word

C) Stimulant Protocol for Adults – Word

D) Plan G Application – PDF

E) What to Bring – PDF | Word

F) H) Occupancy Guidelines – PDF | Word