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Contracts with patients have become increasingly common in clinical practice and the medical literature. These include behavioral contracts for managing difficult patients 1, opioid contracts25, suicide prevention contracts6,7, and healthy living contracts8.
These documents contain statements to help ensure 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.
A physician-patient relationship exists because of a contract, express or implied, that the doctor will treat the patient with proper professional skill. A physician need not have physical contact or deal directly with a patient to create the relationship.
A standard model of the Patient Information Sheet (PIS) and Informed Consent (IC) would facilitate compliance with the guaranteed rights of the patient when their health data is used in any form for purposes other than medical assistance, like the release of case reports and case series.
Express contracts between the physician and patient are enumerated and specified by date, while implied contracts are looser in construction and often left up to the physician's discretion.