Get Narcotic Contract

Navigating the Narcotic Contract can be straightforward with the right guidance. This document outlines the terms and expectations associated with receiving narcotic pain medication and ensures a safe approach to treatment.

Follow the steps to complete the Narcotic Contract online effectively.

1. To start, click the ‘Get Form’ button to obtain the Narcotic Contract. This will allow you to access the form in an editable format.
2. Begin by filling in your selected pharmacy details where you will obtain your narcotic prescriptions. Ensure that you provide the name and phone number of the pharmacy.
3. Next, complete the section regarding your primary physician or clinic. Fill in the required name of the doctor or clinic you are associated with.
4. Read through the terms of the contract carefully and ensure you understand each point. Initially, you will need to signify your commitment to use only the designated pharmacy for your prescriptions.
5. Continue filling in the contact details and availability for refilling medications as outlined in the contract.
6. As you proceed, acknowledge the conditions relating to follow-up appointments, medication pickups, and the consequences of failing to adhere to the prescribed protocol.
7. Indicate your agreement to periodic urine screens and to disclose any substance use, including illicit drugs or prescription medications.
8. Lastly, review the entire document to confirm accuracy before signing. Both the patient and the physician or witness should sign and date the form accurately.

Complete your Narcotic Contract online today to ensure a safe and effective pain management plan.