Treatment Agreements

Considered a standard of care in the field for patients receiving chronic opioid therapy.

Sample Treatment Agreement

E-mail PDF

Treatment agreements include in writing:

  1. Informed consent for treatment
  2. Risks/benefits of the treatment being proposed
  3. Responsibilities of provider/responsibilities of patient
  4. Expectations:
    1. Under what circumstances medications will be continued or discontinued
    2. Assistance to be given to find another provider if needed for pain or addiction treatment
    3. Informs patient that your practice cooperates with law enforcement should an investigation of opioid-related crimes occur