AGREEMENT FOR OPIOID MAINTENANCE FORAgreement for Opioid Maintenance • November 4th, 2022
PLEASE READ THE ENTIRE AGREEMENT. The purpose of this agreement is to give you information about the medications you will be taking for pain management, and to ensure that you and your provider comply with all state and federal regulations concerning the prescription of controlled substances. A trial of opioid therapy can be considered for moderate to severe pain with the intent of pain reduction and increasing functionality. The provider's goal is for you to have the best quality of live possible, given the reality of your of your clinical condition. The The success of your treatment depends on mutual trust and honesty in the provider/patient relationship as well as full agreement and understanding of both the risks and benefits of using opiates to treat pain.
AGREEMENT FOR OPIOID MAINTENANCE THERAPY FOR NON-CANCER/CANCER PAINAgreement for Opioid Maintenance • February 19th, 2005
The purpose of this agreement is to give you information about the medications you will be taking for pain management and to assure that you and your physician comply with all state and federal regulations concerning the prescribing of controlled substances. A trial of opioid therapy can be considered for moderate to severe pain with the intent of reducing pain and increasing function. The physician’s goal is for you to have the best quality of life possible given the reality of your clinical condition. The success of treatment depends on mutual trust and honesty in the physician/patient relationship and full agreement and understanding of the risks and benefits of using opioids to treat pain.
