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Medication-Assisted Treatment (MAT) Program Coordinator Evaluation Form
About this free form template

Medication-Assisted Treatment (MAT) programs require careful monitoring and evaluation to ensure patient success and program effectiveness. This MAT Program Coordinator Evaluation Form provides a structured framework for tracking critical patient outcomes including craving reduction, side effect management, counseling integration, and long-term recovery milestones.

Designed for addiction recovery centers, outpatient clinics, behavioral health facilities, and MAT program coordinators, this template helps standardize patient assessment while capturing the nuanced information needed to optimize treatment plans. The form tracks medication effectiveness across different MAT medications (methadone, buprenorphine, naltrexone), monitors side effects that may impact adherence, evaluates the integration of counseling and behavioral therapies, and measures progress toward sustained recovery.

By digitizing MAT program evaluations with Paperform, coordinators can maintain comprehensive patient records, identify trends across their patient population, and make data-driven decisions about treatment adjustments. The form's conditional logic adapts questions based on medication type and patient responses, while secure submission handling ensures compliance with patient privacy requirements.

For programs looking to streamline their workflow further, Stepper can automatically route completed evaluations to clinical supervisors for review, update patient records in your EHR system, flag patients requiring immediate intervention, and schedule follow-up assessments—keeping your entire care team coordinated without manual data entry.

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