Controlled Drug or Substance AgreementSubstance Agreement • September 12th, 2018
This is an agreement to help you use medication as safely as possible. This is for patients we for whom we are planning to prescribe an opiate (also known as a controlled drug). These medications that have extra legal restrictions and have some extra risks, including potentially harmful effects of use. We ask all of - people using one or more of these medications, or people who are may need to use these medications on a regular basis, to sign this agreement.
CONTROLED MEDICATION/SUBSTANCE AGREEMENTSubstance Agreement • October 18th, 2020
I, , understand that in order to receive care for the treatment of pain and the use of controlled medications, I agree to and will comply with the following:
