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Before Prescribing Narcotics for Pain Management, Consider a Patient-Doctor Agreement
Posted on: 4/18/2019

ISMS heard from numerous members that they were seeking a sample patient-doctor agreement that they could employ prior to prescribing controlled substances, such as opioids.  

That’s why ISMS developed the Model Pain Management Agreement, which has recently been updated!

This pact contains 22 conditions that patients must promise to meet in order to receive a prescription for a controlled substance. One of the conditions states that failure to comply may result in termination from a practice.

This model agreement can be used for both new and existing patients, and requires signatures of the patient, the physician and a witness.

Download the resource today!

If you have any questions, please contact ISMS' legal department at 800-782-4767 or by email.


This ISMS medical legal guideline is a member benefit and is password protected.

If you need to request a username and password, contact online support at 888-476-7776 or onlinehelp@isms.org between 8:30 a.m. and 4:45 p.m. After-hours requests are answered promptly the next business day. You may also register online or retrieve your username or password.

*This guideline is for educational purposes only. 



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