Common Contracts
2 similar Medication Management Agreement contracts
MEDICATION MANAGEMENT AGREEMENTMedication Management Agreement • October 22nd, 2020
This Agreement between (Patient) and Midwest Spine Interventionalist LLC (Doctor), is for the purpose of establishing an agreement between Doctor and patient on clear conditions for the prescription and use of pain controlling medications prescribed by the Doctor for the patient. Doctor and patient agree that this agreement is an essential factor in maintaining the trust and confidence necessary in a Doctor/patient relationship.
MEDICATION MANAGEMENT AGREEMENTMedication Management Agreement • January 22nd, 2014
This Agreement between (Patient) and Midwest Spine Interventionalist LLC (Doctor), is for the purpose of establishing an agreement between Doctor and patient on clear conditions for the prescription and use of pain controlling medications prescribed by the Doctor for the patient. Doctor and patient agree that this agreement is an essential factor in maintaining the trust and confidence necessary in a Doctor/patient relationship.
