Common use of I will Clause in Contracts

I will. ☐ I will only get my pain medicine from this clinic during scheduled appointments. ☐ I will take my pain medicine the way that my healthcare provider has ordered. ☐ I will be honest with all my healthcare providers if I am using street drugs. ☐ I will be honest about all the medicine I use. This includes medicine from stores and herbal medicines. ☐ I will be honest about my full health history. ☐ I will tell my healthcare provider if I go to an emergency room for any reasons. ☐ If I get pain medicine from an emergency room, I will tell my healthcare provider. ☐ I will call this office if I am prescribed any new medicine. ☐ I will call this office if I have a reaction to any medicine. ☐ I will tell all other healthcare providers that I have a pain medication agreement. ☐ I will tell the emergency room people that I have a pain medication agreement. ☐ I will take drug tests and other tests when I am told to do so. ☐ I will go to office visits when I am told to do so. ☐ I will go to physical therapy when I am told to do so. ☐ I will go to counseling when I am told to do so. ☐ I will follow directions for all treatment. ☐ I will show up on time for all appointments. ☐ I will make an appointment for refills before I run out of medicine. ☐ I will tell my health provider if I will be out of town so that I can get my refills. ☐ I will get past health records from other offices when needed. ☐ I will deliver these records by hand if needed. I will do this within one month of being asked. I will pay for these records if needed. ☐ I will give permission to this clinic to talk about my treatment with pharmacies, doctors, nurses, and others who are helping me. ☐ I will give permission to any healthcare provider to get information from this clinic about my health and my pain treatment. ☐ I will take responsibility if I overdose myself accidentally or on purpose. ☐ I will tell my healthcare provider if I plan to become pregnant. ☐ I will tell my healthcare provider if I am pregnant while I am taking pain medicine. ☐ I will only take this medicine the way I was told to take it.

I will. ☐ I will only get my pain medicine from this clinic during scheduled appointments. ☐ I will take my pain medicine the way that my healthcare provider has ordered. ☐ I will be honest with all my healthcare providers if I am using street drugs. ☐ I will be honest about all the medicine I use. This includes medicine from stores and herbal medicines. ☐ I will be honest about my full health history. ☐ I will tell my healthcare provider if I go to an emergency room for any reasons. ☐ If I get pain medicine from an emergency room, I will tell my healthcare provider. ☐ I will call this office if I am prescribed any new medicine. ☐ I will call this office if I have a reaction to any medicine. ☐ I will tell all other healthcare providers that I have a pain medication agreement. ☐ I will tell the emergency room people that I have a pain medication agreement. ☐ I will take drug tests and other tests when I am told to do so. ☐ I will go to office visits when I am told to do so. ☐ I will go to physical therapy when I am told to do so. ☐ I will go to counseling when I am told to do so. ☐ I will follow directions for all treatment. ☐ I will show up on time for all appointments. ☐ I will make an appointment for refills before I run out of medicine. ☐ I will tell my health provider if I will be out of town so that I can get my refills. ☐ I will get past health records from other offices when needed. ☐ I will deliver these records by hand if needed. I will do this within one month of being asked. I will pay for these records if needed. ☐ I will give permission to this clinic to talk about my treatment with pharmacies, doctors, nurses, and others who are helping me. ☐ I will give permission to any healthcare provider to get information from this clinic about my health and my pain treatment. ☐ I will take responsibility if I overdose myself accidentally or on purpose. ☐ I will tell my healthcare provider if I plan to become pregnant. ☐ I will tell my healthcare provider if I am pregnant while I am taking pain medicine. ☐ I will only take this medicine the way I was told to take it. ☐ I will not share or sell, or trade any of my medicine. ☐ I will not drink alcohol or take street drugs while I am taking pain medicine. ☐ I know that I cannot call the office to have my medicine refilled over the phone. ☐ I will not go to the emergency room or other doctors for more pain medicine or other drugs. ☐ I know that when I drive a car, I must be fully alert. I know that when I use machines, I must also be fully alert. Pain medicines can make me less alert. When I am taking pain medicines, I need to be sure that I am alert. I need to be sure that it is safe for me to drive a car or use a machine. ☐ I will not stand in high places or do anything to hurt others after I have taken pain medicine. ☐ I will not leave my medicine where it can be stolen or where others can take it. ☐ I will not leave my medicine where children can find it. ☐ I will not suddenly stop taking my medicine. I know that if I do this, I can have withdrawals. ☐ I will use the same pharmacy for all my medicines. This is the pharmacy that I have picked: ☐ I will not ask for early refills or more pain medicine, even if I lose my medicine.