Controlled Substance Patient Prescription Agreement

Form Template

This Controlled Substance Patient Prescription Agreement Mobile App allows health care professionals to document controlled substance medications agreements and inform patients of risks associated with misuse using a smartphone or tablet.

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As a prescriber, use this app to best distribute prescription pain medications, such as opioid medications used for chronic pain. Use this form template app as a physician to effectively perform opioid therapy as a controlled medication treatment, strengthening and protecting the doctor-patient relationship. As a practitioner or health care provider, use this app as part of executing any treatment plan involving controlled substances as part of informed consent.

The main treatment goal for the management of chronic pain is to improve a patient’s ability to function and/or work. The goal is to improve their functional ability for as long as possible and to relieve suffering. This usually involves many different kinds of treatments and medications that work together to decrease pain.

Access your data at the office, in the field or at home with the GoCanvas Cloud. Use this app's reporting feature to run convenient report PDFs of agreements, exportable and shareable in real time. Access your data at the office, in the field or at home with the GoCanvas Cloud.

  • Signature Capture
  • Image Capture
  • Submission Editing
  • Reference Data
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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