Physician/Patient Informed Consent and Agreement for Long-Term Opioid/Narcotic Therapy Sample Contracts

PHYSICIAN/PATIENT INFORMED CONSENT AND AGREEMENT FOR LONG-TERM OPIOID/NARCOTIC THERAPY FOR TREATMENT OF CHRONIC PAIN
Physician/Patient Informed Consent and Agreement for Long-Term Opioid/Narcotic Therapy • September 14th, 2020

You have agreed to or may potentially receive opioid/narcotic therapy for the treatment of chronic pain. You understand that these drugs are very useful but have a potential for misuse and are therefore closely controlled by local, state and federal governments. The goal of this treatment is to: (a) reduce your pain; and (b) improve your level of function in performing your activities of daily living. Our goal at Florida Pain Medicine is to not initiate or continue opioid therapy whenever possible, but sometimes this may be warranted for more effective pain management.

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PHYSICIAN/PATIENT INFORMED CONSENT AND AGREEMENT FOR LONG-TERM OPIOID/NARCOTIC THERAPY FOR TREATMENT OF CHRONIC PAIN
Physician/Patient Informed Consent and Agreement for Long-Term Opioid/Narcotic Therapy • February 3rd, 2017

You have agreed to or may potentially receive opioid/narcotic therapy for the treatment of chronic pain. You understand that these drugs are very useful but have a potential for misuse and are therefore closely controlled by local, state and federal governments. The goal of this treatment is to: (a) reduce your pain; and (b) improve your level of function in performing your activities of daily living. Our goal at Florida Pain Medicine is to not initiate or continue opioid therapy whenever possible, but sometimes this may be warranted for more effective pain management.

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