Common Contracts
1 similar Medication Agreement contracts
PRINT CLEARLY AND SIGN AT BOTTOM OF PAGEMedication Agreement • February 3rd, 2009
In order to provide medications to you as part of your pain management program, certain guidelines need to be followed to ensure your safety and maximum benefit from the medication. By signing this form, you are agreeing to follow all the information provided below, as well as the important facts provided by your physician.
