Frequently Asked Questions

Site Information provides skills training to minimize the risk of prescription opioid misuse.

This website is for clinicians who treat pain and who want more training, information and communication about topics in the interface of pain and addiction medicine, including primary care physicians, resident physicians, nurse practitioners, and others who treat pain.

The mission of this site is to create an online environment that enables pain management providers to better manage co-morbid substance misuse and addiction or risk for addiction in patients suffering from pain.

Primary Care Physicians who need to learn skills to minimize the risk of prescription opioid misuse.

Clinical Tools will not share your personal information with any third parties. However, if taking one of our modules is part of your required coursework, your measurement data (e.g.pre/post tests) will be reported to your professor upon their request.

This website is funded by the National Institute of Drugs and Addiction (NIDA contract No. HHSN271200800012C), awarded to Clinical Tools, Inc as "Web Based Training (in Addiction Medicine) for Pain Management".

In the About Us section, there is a brief overview of CTI, as well as a link to our corporate site.

Once you complete the "Buprenorphine Training: Waiver Training for NPs & PAs [Part 1: 8 of 24 hours]" or "SBIRT and Motivational Interviewing: Waiver Training for NPs & PAs [Part 2a: 5 of 24 hours]" and "Opioids, Pain, and Risk Reduction: Waiver Training for NPs & PAs [Part 2b: 11 of 24 hours]", your information is recorded in our records. If you have an NP or PA degree, your information is sent to SAMHSA at the beginning of the next work week.

Things to Note:

  • You must have an NP or PA degree listed under your account in order for us to send off your information.
  • If you plan on applying for a waiver, you must select the full amount of credit for each section (8 hours for BupPractice, 16 hours for the combination of SBIRT and OpioidRisk after completing both. You must also send your training certificates (8 hour + 16 hour) to SAMHSA via fax or email.

Those who have older certificates with the 16 hour requirement in 2 parts should contact us.

SAMHSA accepts applications from eligible NPs & PAs who have completed a total of 24 hours of qualifying waiver training. The application is completed via a waiver application form on their website. Once you have completed all three parts of the waiver training activity, part 1 (Buppractice), part 2a (SBIRTTraining), and part 2b (Opioid Risk), Clinical Tools Inc. will send your name to SAMHSA to corroborate that you have completed the training. You then may begin the online Waiver Notification form. A link to the Waiver Notification form is found by going to Qualify for Nurse Practitioners (NPs) and Physician Assistants (PAs) Waiver. You also need to send your training certificates (one for 8 hours and one for 16 hours of training) to SAMHSA via email to OR via fax to 301-576-5237.

Physicians, nurse practitioners, and physician assistants who can prescribe narcotics, according to the DATA 2000 and CARA 2016 laws, can become waivered to prescribe buprenorphine. Providers must complete a training, 8 hours for physicians and 24 hours for NPs and PAs. Clinical Tools, Inc., the company that produced, offers waiver training through the website Although some of that training for NPs and PAs takes place on, you must register for the training and enter it through the website.

Site Content

The use of medications, originally prescribed to treat pain, to help cope with stress or manage mood. It does not necessarily mean the patient is addicted.

A treatment agreement is an understanding between physician and patient of the upcoming treatment plan that aims to promote therapeutic adherence and enhance the physician-patient relationship; previously referred to as a patient “contract.” Best practice guidelines from the APS/AAPM refer to these agreements as "Opioid Management Plans." It is not mandated by law but many specialists recommend a written agreement be used with all chronic pain patients on controlled substances. Physicians may choose to combine this written agreement with the informed consent document.

Informed consent is mandated by laws at both the federal and state level. Its components include goals/purpose of treatment, potential benefits and risks, special issues, and alternative treatment(s).

The guides provide key information related to treating pain with opioids and avoiding substance use problems. They are step by step guides to common clinical skills, assessment tools, evidence, and regulations.

The Resources Tab gives you the ability to navigate tagged resources relevant to pain and addiction, as well as to search through related categories.

Using the Site

The courses are available to registered users once they have created an account, logged in, and completed the short survey.

Using the site resources and Key Info Guides are free. Users must pay in order to view and receive credit for completing Module Content.

If you start the program and are not satisfied for any reason, we will refund your training fee. The request for a refund must be emailed to and be within 60 days of the original payment. Refunds will be in the original form of payment. If you complete the program, we will not issue a refund.

Credits vary by module. Users will receive a set amount of CME credit hours upon completing the activity.

Users may view both their module transcript and activity status at any time by accessing the relevant program.

A module will be marked in your transcript as complete when you have viewed all pages in the module. If you are missing a page, it will not be counted as complete.

Typically the missing page is the resources or references at the bottom of the list. If you progress through using the next button at the bottom right of the pages it should direct you through the Module Resources, then References. On the Reference page's left menu, the green progress bar will show a "Module Complete!" above it, with a button at the top of the References page to "Return to the Activity Homepage."

Occasionally, the module completion reporting from the activity home page takes a few minutes to update. If this should happen, please log out, and re-login, then access the activity homepage.

Additionally, you may also keep up with progress via your transcript, accessible from your activity homepage, via the button on the right-hand side of the screen titled, "View My Progress in This Activity".

Please be sure to always access the activity through the activity homepage, to ensure being able to progress through the modules correctly (Please do not "bookmark" pages directly). Once you enter through the activity homepage, you should get normal navigation.

The activity midpoint survey is a presented when you have completed half of the training program. We are only using the data from this survey to study the impact of our training activity. No data on individual responses will be reported. Your responses help us improve this and other training activities for future users.

To access your individual module certificates, click the Account link at the top right and go to the Module Transcript tab. From there you can access your certificates or print them if necessary.

Clinical Tools includes multiple measures in our modules to assess changes in knowledge, attitudes, self-efficacy, and intended behavior. We track this data for all users to assess the impact of our online curriculum.

If your questions were not answered through our FAQ section, feel free to Contact Us with your specific request and we will get back to you in a timely manner.

Please do not call. Support phone calls cannot be returned in a timely fashion.