Link to questionnaire

We, The Doctor Patient Forum, are a small nonprofit organization. Our mission is to advocate, educate, and protect the sanctity of the doctor-patient relationship, while equipping our constituents with resources and tools to maintain quality-filled lives. One of our main missions is to raise awareness to the current issue of patient abandonment and forced opioid tapers. You can find us at thedoctorpatientforum.com
 
We are collecting data/stories from patients who were on daily opioid therapy for pain and are currently no longer receiving a prescription from their provider, are currently in the process of being force tapered by their provider, or were force tapered by their provider down to a lower dose than they were previously given. Please do not fill out this form if you lost your provider and were able to find a new one at the same dose you were given. Please do not fill out this form if you have initiated an opioid taper.

If filling out on a computer, you can use the form right on this page or use the link.

If using your phone, please use the google doc link

If using your phone, please use the google doc link

The Doctor Patient Forum

Claudia A. Merandi 5 Chedell Ave, E Providence, RI 029141.401.523.0426

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