Common Contracts
1 similar Controlled Substance Agreement contracts
Controlled Substance AgreementControlled Substance Agreement • February 2nd, 2016
The providers at Family Care Walk In Clinic understand the need for pain control for patients suffering from chronic pain. Ultimately, it is our goal to decrease pain and discomfort for each of our patients in a safe, effective manner. Below, is a contract intended to promote a mutual understanding between the provider and the patient regarding controlled medications for pain and other scheduled medications such as Adderall, Xanax, etc. Patients with prolonged (chronic) symptoms will have an individualized plan to improve symptoms which may include Physical Therapy, Psychological Assessment, Counseling, or a reduction and eventual cessation of narcotic use. The pain management plans are based upon clinical findings, the patient’s pain level and ultimately, the discretion of the providers. Generally, the providers at Family Care prescribe controlled substances on a short-term basis for acute problems and will not prescribe these medications for long term use.
