Pain Treatment AgreementPain Treatment Agreement • July 20th, 2024
Pain Treatment AgreementPain Treatment Agreement • December 14th, 2020
Effective pain management requires that the patient and the clinician work together. This agreement is designed to make sure that you understand the rules we will use in your care. If you do not understand any part of this agreement, please discuss it again with your clinician. It is important that you understand that if you do not fulfill your obligations with your care, we will be less effective in helping you and may have to stop treating you altogether.
Pain Treatment AgreementPain Treatment Agreement • May 7th, 2024
• I will give written consent for ongoing access to my PharmaNet profile by my doctor as a condition of prescribing. PharmaNet is an important tool in ensuring opioids are used safely.
Pain Treatment AgreementPain Treatment Agreement • May 7th, 2013
I understand that by definition, chronic pain is a long term problem; therefore, I must use long term solutions, including medications that are safe for long term use, physical therapy, psychological counseling and other therapies.
Pain Treatment AgreementPain Treatment Agreement • July 22nd, 2020
This Agreement between (“Patient”) and Pain Consultants (“Doctor”) is for the purpose of establishing agreement between Doctor and Patient on clear conditions for the prescription and use of pain controlling medications prescribed by the Doctor for the Patient. Doctor and Patient agree that this Agreement is an essential factor in maintaining the trust and confidence necessary in a doctor/patient relationship.
