Already a member or subscriber? Sign in now

How to evaluate patients for opioid therapy

FPM Editors
February 12, 2018

Following a standard process for determining whether a patient is a good candidate for opioid therapy is a key component of a patient-centered approach to treating patients with chronic pain. The process should include obtaining medical records from any previous doctors, a report from the state’s prescription drug monitoring program, and a urine drug screen. The patient should also review and sign a controlled substance agreement and a document describing the practice’s opioid medication policies.

Once you have collected and reviewed these items and completed your clinical evaluation, you should be well prepared to make a confident prescribing decision.

Adapted from “How to Monitor Opioid Use for Your Patients With Chronic Pain” and related tools.

Posted on Feb 12, 2018 by FPM Editors

Copyright © 2026 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. See permissions for copyright questions and/or permission requests.