Medication Management AgreementMedication Management Agreement • May 1st, 2017
Contract Type FiledMay 1st, 2017The decision to use opioid (narcotic) medications was made because of my specific condition or because other treatments have not helped my pain. Because BCT MEDICAL ASSOCIATES and its Physicians (hereinafter referred to as BCT MEDICAL ASSOCIATES) are prescribing such medication for me to help manage my pain, when I sign this form I acknowledge that I understand and agree to the following conditions to make my treatment as safe and successful as possible. Please initial each numbered item: