CONTROLLED SUBSTANCE PRESCRIPTION AGREEMENTControlled Substance Prescription Agreement • January 11th, 2018
Contract Type FiledJanuary 11th, 2018Depending on your specific care needs, your provider may prescribe you something that is deemed a controlled substance. To adequately care for you, the patient, please review the following agreement and sign. Failure to do so will prohibit you from receiving the medication you may need.