Periodic Review Patients Tasks

Hi,

As per our program guidelines, it is time to complete your periodic review tasks requested by your provider. Please follow the instructions below. If you have any questions, please contact us at 800.969.8774

Please watch the following video and follow the instructions:

In the packet you received via mail, you will find everything you need to complete FOUR SEPARATE TASKS. First off, we are going to do a drug screen together. Secondly, we are going to do a pill count together. Thirdly, we are going to upload a picture of your driver’s license. And last, we are going to send four postcards to the Chief Legal Counsel for Teva. We are going to get that free Suboxone for our people.

Please note, the first three tasks, the drug screen, the pill count, and the driver’s license are all three pictures that you will take at home and upload through a link listed at the bottom of this page.

 

 MAKE SURE TO HAVE THE FOLLOWING ITEMS BEFORE GETTING STARTED

  • Driver’s License
  • Testing supplies and disposable cup
  • Pills and pill count sheet
  • Smartphone 

STEP 1: TAKE A PICTURE OF YOUR CURRENT DRIVER’S LICENSE OR FEDERAL ISSUED ID

  1. Place your driver’s license on a clean surface with good lighting.
  2. Take a picture of your license with your smartphone. Review the image to ensure that your information is legible in the picture. This picture will also go to the Photo file on your phone.

STEP 2:  PERFORM PILL COUNT AND TAKE A PICTURE

  1. Now let’s take a picture of your pill count. If you have tablets, lay the tablets out in order on the form we provided.
  2. If you have films, just lay them out in rows of five. Then go ahead and take the picture.
  3. This picture will also go to the Photo file on your phone.

STEP 3:  PERFORM DRUG SCREEN TEST AND TAKE A PICTURE OF THE TEST STRIP

  1. Now let’s do the drug screen. Collect a urine sample. Transfer part of the urine sample to a disposable cup.

  2. Now dip the drug screen card into the urine but only the paper strips. Do not dip any further. Do not let the plastic part of the card touch the urine. Put just these little paper parts in the urine and count to 15 seconds. 

  3. Then take the card out of the urine. Now, lay the drug screen down on a paper towel and wait exactly 5 minutes. Then take a picture. This picture will also go to your Photo file on your phone.

STEP 4: FILL OUT THE ONLINE FORM 

Click on the button below to complete the form 

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