I will keep (and be on time) for all my scheduled appointments with the doctor and other members of the treatment team.
I will participate in all other types of treatment that I am asked to participate in.
I will keep the medications safe, secure and out of reach of children. If medicine is lost or stolen, I understand it will NOT be replaced.
I will take my medications as instructed and not change the way I take it without first talking to the doctor or other members of the treatment team.
I will not call between appointments, at night, or on weekends looking for refills.
I understand that prescriptions will be filled only during scheduled office visits with the treatment team.
I will make sure I have an appointment for refills.
I will always treat the staff at the office respectfully. I understand that if I do not, my treatment will be stopped.
I will not sell the medication or share it with others. I understand that if I do, my treatment will be stopped.
I will let the doctor speak to all other doctors or providers that I see.
I will tell the doctor all other medications that I take and let him know right away if I have a prescription for a new medication.
I will agree to do a drug screen when required.
I will use only one pharmacy to get all my medications: