Common Contracts

1 similar Pain Treatment Agreement contracts

Pain Treatment with Opioid Medications: Patient Agreement
Pain Treatment Agreement • March 24th, 2017

This Agreement is essential to the trust and confidence necessary in a prescriber/patient relationship. My prescriber has discussed my treatment plan with me. I understand that there is a risk of psychological and/or physical dependence and addiction associated with the chronic use of controlled substances for pain. I have been told about the side effects that I may experience. My prescriber is undertaking to treat me with controlled substances for pain because:

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