Patient Treatment Agreement: Medical Cannabis
A patient agreement form outlining conditions for the authorized medical use of cannabis, including usage, storage, and compliance responsibilities.
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Patient-Treatment-Agreement-Sample.pdf
(58.5 KB)
Informed Consent for the Use of Opioid Medication
A consent and treatment agreement outlining the risks, responsibilities, and safe use of opioid medications for managing chronic pain.
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Opioid-Informed-Consent-And-Agreement-Sample.pdf
(330.04 KB)
Opioid Medication Treatment Agreement
A treatment agreement form outlining a patient's responsibilities and conditions for safely using prescribed opioid medications.
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Opioid-Treatment-Agreement.pdf
(259.83 KB)
NON-OPIOID Special Authorization Request Form
A medication request form for prescribers to submit detailed treatment information to Medavie Blue Cross, with specific instructions for opioid-related requests.
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