Common Contracts

1 similar Controlled Substance Agreement contracts

Controlled Substance Agreement
Controlled Substance Agreement • November 8th, 2022

My physician and I have a common treatment goal to improve my ability to function and/or work. In consideration of that goal, I am being treated with medications such as benzodiazepines or barbiturates. These medications may impair my alertness, reflexes, coordination and judgment. The use of these types of medications is controlled and monitored by local, state and federal agencies. These medications can be highly effective when taken as directed under medical supervision, but have the potential of abuse and misuse.

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