Long-Term Controlled Substances Therapy for Chronic Pain Agreement
This Long-Term Controlled Substances Therapy for Chronic Pain Agreement form can be accessed anywhere via smart phone or tablet.
5,000 Companies save time and money with GoCanvas
Terms include: You are expected to inform our office of any new medications or medical conditions, and of any adverse effects you experience from any of the medications that you take. The prescribing physician has permission to discuss all diagnostic and treatment details with dispensing pharmacists or other professionals who provide your health care for purposes of maintaining accountability. You may not share, sell, or otherwise permit others to have access to these medications. These drugs should not be stopped abruptly, as an abstinence syndrome will likely develop. Unannounced urine or serum toxicology screens may be requested, and your cooperation is required. Presence of unauthorized substances may prompt referral for assessment for addictive disorder.
GoCanvas accounts come
with hundreds of form templates
Don't take our word for it...
“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”