Pain Agreement Sample Contracts

CLINICAL NEUROSCIENCES OF TAMPA BAY, LLP
Pain Agreement • January 29th, 2021

This is an agreement concerning the use of Mediction prescribed from our office. Medications prescribed are for the use of the patient and not to be shared.

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HIGHLAND FAMILY PRACTICE
Pain Agreement • March 24th, 2020

The purpose of this agreement is to protect your access to controlled substances and to protect our ability to prescribe for you.

Pain Agreement Section I
Pain Agreement • April 3rd, 2015

my condition will require a plan/program involving medication therapy for pain management. There are numerous state and Federal laws and regulations regarding the use of prescription medications and specifically controlled substances such as opioids. The purpose of this agreement is to help this healthcare practice and I comply with these laws and regulations. I understand this agreement will provide me with information about my treatment plan, and the medications I am prescribed to alleviate my pain to help me understand my pain.

Pain Agreement (Opioid)
Pain Agreement • February 20th, 2020

Definition: A pain medication agreement is a contract between a doctor and a patient. The goal of the agreement is to ensure that patients who are taking opioid drugs do exactly as their doctor has prescribed.

Pain Agreement Section I
Pain Agreement • March 20th, 2015

understand treating my condition will require a plan/program involving medication therapy for pain management. There are numerous state and Federal laws and regulations regarding the use of prescription medications and specifically controlled substances such as opioids. The purpose of this agreement is to help this healthcare practice and I comply with these laws and regulations. I understand this agreement will provide me with information about my treatment plan, and the medications I am prescribed to alleviate my pain to help me understand my pain.

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