Common Contracts

1 similar Controlled Substances Therapy Agreement contracts

Agreement on Controlled Substances Therapy for Chronic Pain Treatment
Controlled Substances Therapy Agreement • March 28th, 2020

This agreement creates an understanding between me (name of patient) and Dr. Nairn, the medical director of Pain Solutions, regarding the use of controlled substances to benefit my chronic pain. The term “I” refers to the name listed above and my signature appears at the bottom of this agreement. The term providers refers to any current or future physicians or providers at Pain Solutions.

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