Common Contracts
1 similar Pain Management Agreement contracts
PAIN MANAGEMENT AGREEMENTPain Management Agreement • February 10th, 2022
This agreement relates to my use of controlled substances for chronic pain prescribed by a physician at Peak Anesthesia and Pain Management (PAPM). I have been informed and understand the policies regarding the use of controlled substances that are followed by the physicians and staff at PAPM. I understand that I may be prescribed controlled substances only if I adhere to the following conditions. My physician’s goal is for me to have the best quality of life possible given the reality of my clinical condition. The success of treatment depends on mutual trust and honesty in the physician/patient relationship and full agreement and understanding of the risks and benefits of using opioids to treat pain.
