Controlled Substance Informed Consent and Therapy Agreement Sample Contracts

CONTROLLED SUBSTANCE INFORMED CONSENT AND THERAPY AGREEMENT
Controlled Substance Informed Consent and Therapy Agreement • May 25th, 2023

The purpose of this agreement is to clarify the responsibilities of the patient and the prescribing provider when controlled substances are utilized in medical management. Please read this entire document carefully. If you feel there is any section in which you will be unable to comply, please discuss this with your provider prior to starting the medication.

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