Controlled Substance Use Agreement

Controlled substances can minimize pain and other symptoms to improve quality of life. The success of treatment depends on mutual trust and honesty in the doctor-patient relationship and full consistency and understanding of the risks and benefits of the prescribed treatment. Medications can be used to improve your quality of life and reduce symptoms. Some drugs known as controlled substances are regulated by federal and/or state laws aimed at controlling the risks of addiction, abuse, physical or mental harm, trade in illicit means, and risks related to the actions of those who have used the substances. These drugs may be considered illegal to be used without a prescription, but can legally be dispensed under a valid medical prescription. The purpose of this agreement is to provide you with the requirements, risks and benefits for ongoing treatment with controlled substances. Read and complete the full Controlled Substances Agreement (PDF) University students have an increased risk of drug use and abuse. Since your treatment may lead to taking one or more of these medications for more than 30 days, your understanding of the policies, risks, and benefits of this treatment is essential. Our goal is to provide all our patients with safe and effective care.