Common Contracts
2 similar Controlled Substances Agreement contracts
Controlled Substances Agreement for:Controlled Substances Agreement • December 6th, 2023
This Controlled Substance Medication Agreement allows you and your physician to work together in good faith, and for you to understand the importance of these medications. A “controlled substance medication”, or CSM, is a drug or chemical that is government regulated because of its illegality for sale or use when not prescribed by a physician. In prescribing a CSM, we partner with you to create the best treatment plan for your improvement and management of pain. This requires cooperation, trust, and mutual respect. If you cannot agree to the following terms, we will be unable to prescribe controlled pain medication for you.
Controlled Substances Agreement for:Controlled Substances Agreement • April 7th, 2023
This Controlled Substance Medication Agreement allows you and your physician to work together in good faith, and for you to
