Patient Forms
Most new patients will be required to complete their consent forms at the clinic. However, if you have been directed by an Ideal Option staff member to complete your new patient forms online, please click on the "New Patient Packet" below. The release of information (ROI) forms can be completed online and submitted as needed.
New Patient Packet Release of Information to Outside Provider Release of Information to Individual Release of Information to Insurance Provider Ideal Balance DisclosuresPatient Booklets
Getting Started on Buprenorphine (Conventional)
The conventional initation method is for new patients who have abstained from opioids for 24-36 hours and are feeling moderate withdrawal symptoms before starting buprenorphine. For dosing questions or concerns please call our nurse care team on 1-877-522-1275.
Getting Started on Buprenorphine (Low Dose)
The low dose (micro) initation method is for new patients who have been directed by their provider to maintain their baseline use of opioids while gradually increasing their dose of buprenorphine over five to seven days. For dosing questions or concerns please call our nurse care team on 1-877-522-1275.
Getting Started on Buprenorphine (High Dose)
The high dose (macro) initation method is for new patients who have been directed by their provider to stop all use of opioids and start immediately on a high dose of buprenorphine. For dosing questions or concerns please call our nurse care team on 1-877-522-1275.
Top 3 Myths About Suboxone Booklet
This is our most popular booklet for patients and supporters who want to learn more about how Suboxone works. The booklet debunks three common misconceptions about Suboxone that prevent new patients from starting on this life-saving treatment and contribute to the stigma surrounding addiction medicine.
Six Phases of Recovery Booklet
Many of our patients ask us what to expect after starting treatment for addiction. The booklet covers six common phases of recovery based on our experience treating more than 55,000 individuals since 2012. Recovery is unique to every individual but there are common themes. We hope you find the information and real life stories found in this booklet helpful.
Supporters Booklet
If someone you love is struggling with addiction, it can be hard to know what to say and do without enabling them or pushing them away. This Supporters Guide has been downloaded thousands of times and provides expert knowledge and helpful tips on how to help your loved one while avoiding common mistakes.
Get Support
/ Ideal Option: Patient Forms
Insurance & Billing
How much does treatment cost?
Your out of pocket cost for treatment depends on your insurance and specific benefit package. When you call to make an appointment, you’ll be transferred to a financial counselor to verify your insurance, your deductible, and any out of pocket costs you may incur. Our financial counselors will also provide you with an estimate of the total cost so you will know what to expect. Most Medicaid plans do not require a co-pay, but every state differs.
How much does treatment cost?
For the majority of our patients who are Medicaid members, the medication is fully covered. For Medicare and commercially insured patients, the co-pay varies depending on the plan you are enrolled in. If you have non-standard Medicaid coverage, our insurance verification team will send you an explanation of your benefits including any out-of-pockets costs before your first appointment.
What if I am uninsured and can't pay for treatment?
An Ideal Option financial counselor will work with you to apply for Medicaid, financial hardship assistance, or to develop an affordable payment plan for your treatment or even co-pays if you are insured. If you are committed to your recovery but experiencing financial duress, we will do everything possible to help you. Please contact us and ask to speak with a financial counselor today.