Agreement to Abstain from Alcohol and Substance Abuse And Consent to Random Testing
Form Template
The "Agreement to Abstain from Alcohol and Substance Abuse And Consent to Random Testing Kidney/Pancreas Transplant Program" is an app to ask the patient approval before an organ transplant.
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Alcohol and substance use or drug abuse can significantly reduce a patient’s chance of a successful organ transplant. Abstinence from substances such as drugs, alcohol and tobacco greatly increases the likelihood of a successful transplant. The Transplant Program requires that its liver transplant recipient have zero alcohol consumption. This convenient app helps filling and storing the forms efficiently , including capturing electronic signatures to ensure all patients are in agreement about the procedure.
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