Common Contracts

Alpine Pain Solutions of Utah Pain Management Patient Agreement

Patient Agreement • February 2nd, 2018

• Contract Type
  Patient Agreement
• Filed
  February 2nd, 2018

______ A. USE OF MEDICATIONS: I will take all medications as prescribed. I will speak with a provider at Alpine Pain Solutions of Utah before making any change in either the dose or frequency of taking my medication. There will be no early refills of pain medications due to taking more than prescribed (self-escalation). Narcotic pain medications must all be obtained from the same pharmacy (any exceptions must be approved by Alpine Pain Solutions of Utah).