What to Expect at Your First Visit
What to Expect at Your First Appointment
Starting treatment can feel overwhelming. Our goal at your first visit is simple: understand your situation and create a safe, personalized plan, and get you started on buprenorphine immediately (i.e. the same day).
Here’s what typically happens:
Before the Visit
Text/Call to Help Schedule a Visit
You’ll talk with a member of our outreach team to help you:
Verify that your insurance will cover the cost of your visit
Fill out medical consent forms over your phone/device (this gives the doctor permission to treat you)
Complete the Check-In form that tells us about your medical history and allergies
Upload your payment information securely over our encrypted platform
Click on the visit link to start your appointment at your scheduled time
During the Visit
1. We Listen to Your Story
You’ll talk with a medical provider about:
What substances you’re using (or trying to stop)
Your past experiences with withdrawal or treatment
Any history of precipitated withdrawal
Your physical and mental health
Your goals (stability, tapering eventually, pain control, etc.)
There is no judgment. This is medical care, not a test you can fail.
2. We Assess Safety
We review:
Current medications
Medical conditions
Pregnancy status (if applicable)
History of reactions to medications
This helps us choose the safest induction plan for you.
3. We Create Your Induction Plan
Your starting plan depends on your situation:
Kratom / prescription opioids → Often a standard or slightly modified start
Fentanyl or heroin → May use a macro-induction or carefully timed start
History of precipitated withdrawal → More customized strategy
Chronic pain → Dosing may be split or adjusted
You’ll receive clear instructions through an app that will walk you step-by-step through:
When to stop other opioids
When to take your first dose
How much to take
What to do if symptoms come up
4. We Prescribe Medications during the visit
Your medications are sent during the visit:
Opioid withdrawal is scary, so we understand you want reassurance that you will get relief through medications
Medications are e-prescribed directly and immediately to your pharmacy before you leave your visit
We use the pharmacy of your choice
You will coordinate with your pharmacy for pick up
You are not expected to wait around and wonder if your medications were sent after the visit.
After the Visit
1. Start Your Medications ASAP
Once you sign out of your visit:
You call your pharmacy to coordinate pickup
If you run into pharmacy issues you can text/call our team
Start your medications as prescribed so you can feel better as soon as possible
2. Follow-Up Visit
Once you’re stable, we shift focus toward:
Relapse Prevention
Balancing life, work, and family
Support groups (if you want it)
Long-term options like maintenance, tapering, or Sublocade
The first visit is about getting you safely started. Everything after that builds on stability.

