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Teen Substance Use: Making a Contract With Your Teen

Overview

Putting a plan for avoiding alcohol and substance use in writing will help your teen make good decisions in the future. Using the example below, have your teen help you write the contract. Teens feel more responsible for their actions when they are part of the rule-making process. The symbolism of signing a contract gives both parties a heightened sense of commitment to the process.

We know that alcohol, cigarette, inhalant, and drug use can affect a young person's physical growth, emotional development, school performance, and health. We agree that I, __________________________________, will not drink alcohol or use any other harmful or illegal substances. Our plan for preventing substance use problems includes what to do in risky situations and what the consequences are for substance use.

Risky situations

In risky situations, we agree to the following:

  • If offered a substance (alcohol, cigarettes, inhalant, or drugs), I will:
  • If I am at an event where alcohol or drugs are being used, I will:
  • If offered a ride from someone who has been using drugs or drinking, I will:
  • Other risky situations that we have identified include:

Consequences

We agree to the following:

  • If I smoke, the consequence will be:
  • If I use an inhalant, the consequence will be:
  • If I drink alcohol, the consequence will be:
  • If I take other drugs, the consequence will be:
  • If I ride with a driver who is or has been drinking or using drugs, the consequence will be:
  • If I drive after or while drinking alcohol or using other drugs, the consequence will be:
  • If I continue to drink alcohol or use other substances, the consequence will be:
  • If I develop signs of substance use disorder, the consequence will be:

Credits

Current as of: October 24, 2024

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: October 24, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Ignite Healthwise, LLC education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

5115 Fannin, Suite 801
Houston, TX 77004

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Interventional Cardiology Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded ICA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary