I'm in the process of establishing my office policies and am curious if a consensus exists as to the approach taken when dealing with opioid analgesic management: 1. Are urine drug screens ordered on day one and on all opioid patients? 2. How frequently do you do follow up screens? 3. Does anyone write for opioids on day one? If not, what happens if the referring doc just gives enough medication for the patient to get to your door? Any advice would be greatly appreciated.