Common use of FROM OTHER STATES Clause in Contracts

FROM OTHER STATES. Considerations: 🞎 Discuss any monitoring tools that the physician wishes to use, such as pill counts. 🞎 The patient is prohibited from sharing, giving, or selling any medication to others. 🞎 If the physician becomes concerned that there has been illegal activity, the physician may notify the authorities. 🞎 The patient provides informed, written consent for release of the agreement to local emergency departments and/or pharmacies; therefore, other providers such as ER personnel or pharmacists may report violations of the agreement back to the prescribing physician. 🞎 The prescriber’s responsibility to provide referrals to substance abuse counseling when the abuse potential is present and also for failed drug screens. 🞎 The patient may be responsible for keeping a pain diary or a diary of daily accomplishments. 🞎 If the patient violates the terms of the agreement, those violations and the physician’s response to them will be documented along with the rationale for changes in the treatment plan. INFORMED CONSENT MINNESOTA STATE SPECIFIC

FROM OTHER STATES. Considerations: 🞎 Discuss any monitoring tools that the physician wishes to use, such as pill counts. 🞎 The patient is prohibited from sharing, giving, or selling any medication to others. 🞎 If the physician becomes concerned that there has been illegal activity, the physician may notify the authorities. 🞎 The patient provides informed, written consent for release of the agreement to local emergency departments and/or pharmacies; therefore, other providers such as ER personnel or pharmacists may report violations of the agreement back to the prescribing physician. 🞎 The prescriber’s responsibility to provide referrals to substance abuse counseling when the abuse potential is present and also for failed drug screens. 🞎 The patient may be responsible for keeping a pain diary or a diary of daily accomplishments. 🞎 If the patient violates the terms of the agreement, those violations and the physician’s response to them will be documented along with the rationale for changes in the treatment plan. INFORMED CONSENT MINNORTH CAROLINA NESOTA STATE SSPECIFIC Required by State: No requirements.PECIFIC

FROM OTHER STATES. Considerations: 🞎 Discuss any monitoring tools that the physician wishes to use, such as pill counts. � � The patient is prohibited from sharing, giving, or selling any medication to others.  🞎 If the physician becomes concerned that there has been illegal activity, the physician may notify the authorities. 🞎 The patient provides informed, written consent for release of the agreement to local emergency departments and/or pharmacies; therefore, other providers such as ER personnel or pharmacists may report violations of the agreement back to the prescribing physician . 🞎 The prescriber’s responsibility to provide referrals to substance abuse counseling when the abuse potential is present and also for failed drug screen s. 🞎 The patient may be responsible for keeping a pain diary or a diary of daily accomplishmen ts. 🞎 If the patient violates the terms of the agreement, those violations and the physician’s response to them will be documented along with the rationale for changes in the treatment plan. INFORMED CONSENT MINIDAHO NESOTA STATE SPECIFIC

FROM OTHER STATES. Considerations: 🞎 Discuss any monitoring tools that the physician wishes to use, such as pill counts. � � The patient is prohibited from sharing, giving, or selling any medication to others.  🞎 If the physician becomes concerned that there has been illegal activity, the physician may notify the authorities. 🞎 The patient provides informed, written consent for release of the agreement to local emergency departments and/or pharmacies; therefore, other providers such as ER personnel or pharmacists may report violations of the agreement back to the prescribing physician . 🞎 The prescriber’s responsibility to provide referrals to substance abuse counseling when the abuse potential is present and also for failed drug screen s. 🞎 The patient may be responsible for keeping a pain diary or a diary of daily accomplishmen ts. 🞎 If the patient violates the terms of the agreement, those violations and the physician’s response to them will be documented along with the rationale for changes in the treatment plan. INFORMED CONSENT MINVIRGINIA NESOTA STATE SPECIFIC

FROM OTHER STATES. Considerations: 🞎 Discuss any monitoring tools that the physician wishes to use, such as pill counts. 🞎 The patient is prohibited from sharing, giving, or selling any medication to others. 🞎 If the physician becomes concerned that there has been illegal activity, the physician may notify the authorities. 🞎 The patient provides informed, written consent for release of the agreement to local emergency departments and/or pharmacies; therefore, other providers such as ER personnel or pharmacists may report violations of the agreement back to the prescribing physician. 🞎 The prescriber’s responsibility to provide referrals to substance abuse counseling when the abuse potential is present and also for failed drug screens. 🞎 The patient may be responsible for keeping a pain diary or a diary of daily accomplishments. 🞎 If the patient violates the terms of the agreement, those violations and the physician’s response to them will be documented along with the rationale for changes in the treatment plan. INFORMED CONSENT MINWEST VIRGINIA NESOTA STATE SSPECIFIC Required by State: No requirements.PECIFIC