Common Contracts

2 similar Consent and Controlled Substance Agreement contracts

Informed Consent and Controlled Substance Agreement for Treatment of Chronic Pain
Consent and Controlled Substance Agreement • March 26th, 2020

The purpose of this agreement is to provide information to the patient regarding the use of controlled substances (opioid medications) for the treatment of chronic pain and to advise the patient of Valley Pain Consultants’ expectations and requirements concerning prescriptions of controlled substances for their patients. The goal of any therapy is to assist the patient in achieving the best possible quality of life given the reality of the clinical condition being treated. Prescriptions of controlled substances may be part of the overall treatment plan in order to reduce pain and increase functional capacity.

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Informed Consent and Controlled Substance Agreement for Treatment of Chronic Pain
Consent and Controlled Substance Agreement • March 26th, 2020

The purpose of this agreement is to provide information to the patient regarding the use of controlled substances (opioid medications) for the treatment of chronic pain and to advise the patient of Valley Pain Consultants’ expectations and requirements concerning prescriptions of controlled substances for their patients. The goal of any therapy is to assist the patient in achieving the best possible quality of life given the reality of the clinical condition being treated. Prescriptions of controlled substances may be part of the overall treatment plan in order to reduce pain and increase functional capacity.

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