Agreement For Long Term Controlled Substance Prescriptions
The Agreement For Long-Term Controlled Substance Prescriptions mobile app allows you to replace your paper agreement with an Android, iPhone, tablet or Windows desktop computer.
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The mobile form includes fields to document items such as date, patient name, pharmacy, refills and captures patient and physician signatures. Once the mobile app is filled out a secure PDF is generated. The PDF is easy to share, and a copy is stored in your account for your substance abuse assistance records. You can also use the App Builder to personalize and customize this mobile form. The app includes a patient agreement that can be used with patients who are beginning long-term treatment with controlled substances. The app makes sure that patients understand their role and responsibilities regarding their treatment (e.g., how to obtain refills, conditions of medication use), the conditions under which their treatment may be terminated, and the responsibilities of the health care provider.
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