For women. I am not pregnant. I agree to tell my provider if I become pregnant or think I may be pregnant. The safety of buprenorphine in pregnancy is unknown, and if I become pregnant, I will discuss treatment options with my buprenorphine provider.
Appears in 5 contracts
Samples: Informed Consent and Patient Agreement for Treatment With Buprenorphine, Informed Consent and Patient Agreement for Treatment With Buprenorphine, Informed Consent and Patient Agreement for Treatment With Buprenorphine
