Common Contracts
1 similar Medication Agreement contracts
The purpose of this agreement is to structure our plan to work together to treat your chronic pain. This will protect your access to controlled substances and our ability to prescribe them to you. By initialing the statements below, I acknowledge that...Medication Agreement • August 19th, 2013
Opioids have been prescribed to me on a trial basis. One of the goals of this treatment is to improve my ability to perform various functions, including return to work. If significant, demonstrable improvement in my functional capabilities does no result from this trial of treatment; my prescriber may determine to end the trial.
