Common Contracts

1 similar Controlled Substance Agreement contracts

David Donahue, D.O.
Controlled Substance Agreement • April 7th, 2024

The purpose of this contract is to establish an agreement between the clinician and patient on conditions for prescribing and use of controlled substances in the event use of these agents is deemed medically appropriate. This agreement is essential in maintaining the trust and confidence necessary in the clinician/patient relationship. Should controlled medication be a part of your treatment, the frequency and type of medication prescribed is, and must be, under the discretion of your prescribing clinician: David Donahue, D.O., David Fawks, APRN, Kristoffer Guerrero, APRN or Smitha Ajesh, APRN.

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