Common Contracts

1 similar Patient Responsibility Agreement contracts

Patient Responsibility Agreement for Controlled Drug Prescriptions
Patient Responsibility Agreement • February 16th, 2022

Controlled substance medications (i.e. narcotics, tranquillizers and barbiturates) are very useful, but have a high potential for misuse and are, therefore, closely controlled by local, state and federal governments. They are intended to relieve pain, thus improving function and/or ability to work. Because my physician is prescribing controlled substance medications to help manage my pain, I agree to the following conditions:

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