PLEASE COMPLETE ALL DETAILSTreatment Contract • August 7th, 2009
Contract Type FiledAugust 7th, 2009I, , understand that an opioid medicine is to be prescribed to me in an attempt to improve my level of functioning and reduce my pain. My medical practitioner and I have discussed that strong opioid (morphine-like) medicines may only be partially helpful in achieving this goal and on occasion will not help at all. I understand that an opioid medicine is only one part of the management of my chronic pain. My medical practitioner and I agree to the following conditions regarding my treatment and the prescribing of an opioid medicine for my pain:
PLEASE COMPLETE ALL DETAILSTreatment Contract • August 7th, 2009
Contract Type FiledAugust 7th, 2009I, , understand that an opioid medicine is to be prescribed to me in an attempt to improve my level of functioning and reduce my pain. My medical practitioner and I have discussed that strong opioid (morphine-like) medicines may only be partially helpful in achieving this goal and on occasion will not help at all. I understand that an opioid medicine is only one part of the management of my chronic pain. My medical practitioner and I agree to the following conditions regarding my treatment and the prescribing of an opioid medicine for my pain: