O How long the client has been in treatment. O How the treatment plan and progress are regularly evaluated, including type and frequency of drug testing. O Client’s progress in treatment. O Title and credentials of the physician/practitioner writing the letter. O Basic medical and scientific basis of opioid addiction and MAT. Loss of job or failure to complete an education or training program due to an addiction 9. Pattern of addiction interferes with activities of daily living 10. Actual suicide attempt 11. Other If referred or transferred to a different treatment program or site, specify below: Name of Treatment program: Address of Treatment Site. Sample letter completion drug treatment program free software and shareware.

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