Since the advent of the "opioid crisis" we have seen significant increases in overdose deaths involving opiates & opioids. One particular drug, Fentanyl, has been found to be a primary factor in overdoses and overdose deaths. We respect that our patients have the right to choice their path to sobriety and that might initially include the use of opiate blockers such as Naltrexone, an opioid replacement drugs such as Buprenorphine or Methadone.