Common Contracts
1 similar Medication Agreement contracts
Benzodiazepine Medication AgreementMedication Agreement • May 5th, 2023
This document is an agreement between patient and physician regarding the use of benzodiazepines, a class of controlled substance medications used to treat a variety of conditions including anxiety, insomnia, muscle spasticity, convulsive disorders, as well as detoxification from alcohol and other substances. This document establishes clear guidelines for the safe use of these medications. This agreement is intended for patients with an established or anticipated chronic use of a benzodiazepine medication, defined as 90 or more days of use in a 12- month period.
