Controlled Substances ContractControlled Substances Contract • March 9th, 2018
Contract Type FiledMarch 9th, 2018This agreement is between patient and his/her doctor. It is agreed that the controlled substances discussed today, stated in “my medication” in this contract will be given by my physician on a regular basis to me only if the following terms are met: By initialing and signing this consent form for chronic controlled medication administration, I indicated that I understand the discussion about the use of my medication, including all side effects, and agree to start this treatment under the terms set by my doctor.