Common Contracts
2 similar Informed Consent and Pain Medication Management Agreement contracts
INFORMED CONSENT AND PAIN MEDICATION MANAGEMENT AGREEMENTInformed Consent and Pain Medication Management Agreement • October 16th, 2023
TO THE PATIENT: As a patient, you have the right to be informed about your condition and the recommended medical or diagnostic procedure or drug therapy to be used, so that you may make the informed decision whether or not to take the drug after fully knowing the risks and hazards involved. This disclosure is not meant to scare or alarm you, but rather it is an effort to make you better informed so that you may give or withhold your consent/permission to use the drug(s) recommended to you by me, as your physician. For the purpose of this agreement the use of the word “physician” is defined to include not only the primary pain physician (Dr. Priscilla Agbenyefia), but also the physician’s authorized associates, technical assistants, nurses, staff, and other health care providers as might be necessary or advisable to treat my condition.
INFORMED CONSENT AND PAIN MEDICATION MANAGEMENT AGREEMENTInformed Consent and Pain Medication Management Agreement • October 5th, 2020
TO THE PATIENT: As a patient, you have the right to be informed about your condition and the recommended medical or diagnostic procedure or drug therapy to be used, so that you may make the informed decision whether or not to take the drug after fully knowing the risks and hazards involved. This disclosure is not meant to scare or alarm you, but rather it is an effort to make you better informed so that you may give or withhold your consent/permission to use the drug(s) recommended to you by me, as your physician. For the purpose of this agreement the use of the word “physician” is defined to include not only the primary pain physician ( Dr. Sreenadha Vattam), but also the physician’s authorized associates, technical assistants, nurses, staff, and other health care providers as might be necessary or advisable to treat my condition.
