Controlled Substances ContractControlled Substances Contract • March 9th, 2018
This 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.
CONTROLLED SUBSTANCES CONTRACTControlled Substances Contract • October 11th, 2008
