Please read the text below then sign at the bottom.
I understand that the use of alcohol can be damaging, and even deadly when used in combination with Suboxone/Buprenorphine. I have been counseled on the need to abstain from alcohol and understand that significant risks can occur if I continue to use both.
These risks can include:
Methods to help to decrease and/or stop alcohol use include:
I acknowledge that I have been counseled on the need to refrain from alcohol use. I understand that if I continue to use alcohol that I am at considerable risks of health issues including death. I understand that I would benefit from additional treatment for alcohol use, and I understand that I can receive additional assistance with a referral for alcohol treatment.
Your email address will not be published. Required fields are marked *
Save my name, email, and website in this browser for the next time I comment.