Common Contracts

1 similar Patient Responsibility Agreement contracts

Patient Responsibility Agreement for Controlled Substances Prescriptions
Patient Responsibility Agreement • January 17th, 2019

Controlled substance medications (ie narcotics, tranquilizers, and barbiturates) are very useful but have a high potential for misuse and are, therefore, closely controlled and monitored by the local, and state, as well as the federal government. The conditions outlined here are designed to keep both patient and physician within the bounds of applicable laws. By accepting a prescription for a controlled substance, I understand and agree to the following:

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