VOLUNTEER BEHAVIORAL HEALTH CARE SYSTEM POLICY & PROCEDURESMedication Agreement • January 22nd, 2019
Contract Type FiledJanuary 22nd, 2019Subject: Medication Agreement References: VBHCS, Regulatory & Contractual Entities Approved By: Medical Director Forms & Attachments: Reference to Best Practice Standards for Benzodiazepines & Guidelines for use of Benzodiazepines in Office Practice, Medication Agreement for Sedative/Hypnotics (Form #270A), Medication Agreement for Stimulants (Form #270B), Cognitive Behavioral Therapy (CBT) ExclusionForm #270C Effective/Revised Date: 01-01-99; 9/2002, 1/2006, 10/2007, 6/2015, 12/2018 Policy #: QM-MR-270