At time of certification (and re-certification) the certifying health care practitioner must check a box indicating the following:
“I certify that this patient has intractable pain. That is, this patient has pain whose cause cannot be removed and, according to generally accepted medical practice, the full range of pain management modalities appropriate for this patient has been used without adequate result or with intolerable side effects.”
Source: Minnesota Department of Health Practitioner Guide
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