Common Contracts

1 similar Patient Treatment Agreement contracts

Patient Treatment Agreement For Use of Controlled Substances in Treating Chronic Pain
Patient Treatment Agreement • April 6th, 2017

The purpose of this agreement is to inform me about the use of pain medications and to ensure that I and [PHYSICIAN NAME] comply with all state and federal regulations concerning the prescribing of controlled substances. My compliance with this agreement is necessary to ensure that [PHYSICIAN NAME] can effectively prescribe opioids and other medication to decrease my pain and provide an improved quality of life.

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