Common Contracts

1 similar Opioid Agreement contracts

Johnston Pain Management, P.A. Opioid Agreement Form
Opioid Agreement • October 26th, 2021

I, understand that following these guidelines for opioid therapy is important to my safety and necessary to continuing opioid therapy with Johnston Pain Management. I agree to follow ALL the requirements of this agreement. I understand that per the recommendations of the Federal Drug Enforcement agency and the North Carolina Medical Board, this form will be reviewed at 6-month intervals. I am completely responsible for every item on this list:

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