Please help us by taking a few minutes to tell us about your experience referring and coordinating care with the Opiate Treatment Outpatient Program (OTOP/Ward 93). We appreciate your feedback and thank you for giving us the opportunity to better serve our patients and the community.

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* 1. It is easy for referred patients to access methadone/buprenorphine treatment at OTOP/Ward 93.

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* 2. OTOP/Ward 93 admits referred patients in a timely fashion.

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* 3. Please rate the responsiveness and courtesy of the OTOP/Ward 93 staff.

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* 4. How effectively does OTOP coordinate patient care with your agency?

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* 5. OTOP provides culturally sensitive care that meets the needs of patients from diverse cultural and ethnic backgrounds.

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* 6. OTOP provides high quality care.

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* 7. OTOP services have a positive community impact.

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* 8. How satisfied are you with the services provided by OTOP?

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* 9. How likely are you to refer your patient to OTOP?

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* 10. I am aware of the comprehensive services provided by OTOP (buprenorphine treatment, narcan distribution, onsite HIV Primary Care, Directly Observed Therapy for HIV, HCV, TB, alcohol use disorders, psychiatric medications, PrEP/PEP, and medications for other chronic conditions, Hepatitis C screening and treatment, psychiatric treatment, and social work and case management services).

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