Don't worry, they assume it anyway so you might as well ask.

I went to the ER with no recent history of being on pain meds and was treated like I was seeking drugs when I told them the Tylenol wasn't doing anything for the pain. Had to convince them to give me a catheter so they could get a urine sample to see if it was kidney stones before they gave me anything that worked. "Juat pee for us" they said to the guy who told them I came to the ER because I couldn't pee and was in incredible pain.

Fuck the fear mongering about drug seeking behavior. Why do ERs care if somebody wants to feed their addiction more than whether someone is in actual pain?