NARCOTIC MEDICATION AGREEMENTMedication Agreement • December 2nd, 2014
Contract Type FiledDecember 2nd, 2014You have agreed to receive narcotics for the treatment of your pain. It is important that you have an understanding of the risks and responsibilities that go along with this treatment. Please read each statement and sign this agreement/contract below. If you have any questions regarding this information or the office policy regarding the prescribing of narcotics, please request clarification.