Common Contracts

1 similar Patient Agreement contracts

PATIENT AGREEMENT
Patient Agreement • January 5th, 2017

The purpose of this agreement is to protect your access to controlled substances and to protect our ability to treat you. Our practice follows the guidelines of the American Society of Addiction Medicine and adheres to a strict anti-diversion policy. Please carefully read this agreement in its entirety. By signing it, and entering into treatment, you agree to comply with these policies and requirements.

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