Common Contracts

1 similar Medication Agreement contracts

MEDICATION AGREEMENT
Medication Agreement • August 21st, 2007

We are committed to doing all we can to treat your chronic pain condition. In some cases, controlled substances are prescribed as a therapeutic option in the management of chronic pain, and this form of treatment is strictly regulated by both state and federal agencies. This agreement is a tool to protect both you and the physician by establishing guidelines, within the laws, for proper controlled substance use. The words "we" and "our" refer to Dr. Siegel’s medical practice and the words "you”, "me," or "my" refer to you, the patient.

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