Help build New Hampshire’s written opioid-treatment-agreement record
New Hampshire mandates written treatment agreements for covered chronic-pain opioid treatment and specifies minimum agreement subjects across several professional boards. Individual practices may add stricter refill, testing, pharmacy, appointment, substance-use, financial, or dismissal provisions. Seeds of Vice is collecting the actual New Hampshire forms so those layers can be separated accurately.
What is most useful
- A blank opioid, chronic-pain, controlled-substance, narcotic, or treatment agreement used by a New Hampshire practice.
- The complete packet if it came with refill, drug-screen, pill-count, pharmacy, cannabis/substance, taper, dismissal, financial, privacy, or appointment policies.
- The revision date, footer, clinic name, prescriber name, office location, and document number.
- Older versions of the same agreement.
- Written notices showing how an alleged agreement violation, abnormal drug test, taper, discontinuation, discharge, or transfer of care was handled.
- Board-approved model agreements or professional-board implementation materials not already included in the public record.
Protect patient information
A blank form is best. On a completed copy, permanently redact the patient’s name, birth date, address, contact information, signatures, account or medical-record numbers, insurance information, individualized diagnoses and prescriptions, test results, barcodes or QR codes, and other personal medical information before submission.
How the agreement is classified
Each clause is compared with RSA 318-B:41 and the governing professional rule. State-required terms such as safe medication use/storage, one-prescriber-or-practice opioid sourcing, consent to periodic/random testing, and clinical coverage are separated from clinic-added terms.
Submit
Use the national Seeds of Vice submission channel and identify the document as a New Hampshire Contract for Care / chronic-pain opioid treatment agreement.
Open the Contract for Care submission page
New Hampshire evidence library
Return to the New Hampshire Contract-for-Care Evidence Library
A submitted document becomes an evidence lead. It is verified, dated, and classified before being promoted into the public New Hampshire record.