Prescribing Agreement Sample Contracts
Prescribing Agreement (to be used in association with the NHS Highland Personality Disorder Integrated Care Pathway)Prescribing Agreement • March 18th, 2024
Agreed target symptom: Measurement of target symptom before treatment commences (e.g. 1 to 10 scale, behavioural record): Stated goal of this treatment. If this goal is not met after the agreed trial period, the medication will be stopped: Choice of medication from the treatment options after side effects, limits of effectiveness and evidence base have been discussed. Please include dose: Length of agreed trial period, before which no other drug will be prescribed for this symptom, whether the individual continues to take the current drug or not: Arranged review date: Signed: [Patient] Signed: [Prescriber] Date: Date:
Prescribing agreement:Prescribing Agreement • September 17th, 2013