CONTROLLED SUBSTANCE AGREEMENT
Controlled substance medications can include narcotics, stimulants and sedatives. These medications can carry the risk of dependence, misuse, abuse or diversion. The goal of this medicine is to help control the effects of my or my child’s condition(s), stated below, as much as possible without causing dangerous side effects, and is not curative. To ensure client safety, strict accountability is necessary.
For this reason, you agree to the following policies as needed conditions for the medical providers of this Agency to start and continue the prescription of controlled substances in your or your child’s treatment.
Prescription requests and routine medication questions will be answered within 48 business hours. All medical emergencies must go to the local emergency department or call 911.