Stimulant (Adhd Medication) Agreement and Consent Form Sample Contracts

ROCKCASTLE PEDIATRICS & ADOLESCENTS STIMULANT (ADHD MEDICATION) AGREEMENT AND CONSENT FORM
Stimulant (Adhd Medication) Agreement and Consent Form • June 30th, 2023

In accordance with 902KAR55:11, it is our policy at Rockcastle Pediatrics & Adolescents that patients (or their guardians) receiving prescriptions for controlled substances be required to sign a Controlled Substance Agreement. By signing this Agreement, I agree or I agree to follow for my child:

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BAY PEDIATRIC CLINIC Stimulant (ADHD Medication) Agreement and Consent Form
Stimulant (Adhd Medication) Agreement and Consent Form • July 26th, 2020

In Accordance with 902KAR55:110, it is our policy at Bay Pediatric Clinic, that patients (or their guardians) receiving prescriptions for controlled substances be required to sign a Controlled Substance Agreement. By Signing this agreement, I agree or I agree to follow for my child:

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