Model Patient / Provider Contract for Long-Term Treatment With Opioid Medication - Minnesota

Model Patient / Provider Contract for Long-Term Treatment With Opioid Medication - Minnesota

Model Patient/Provider Contract for Long-Term Treatment With Opioid Medication is a legal document that was released by the Minnesota Department of Labor and Industry - a government authority operating within Minnesota.

FAQ

Q: What is the purpose of the patient/provider contract?
A: The purpose is to outline the expectations and responsibilities for long-term treatment with opioid medication.

Q: What is the patient’s responsibility in the contract?
A: The patient is responsible for following the prescribed treatment plan, attending regular appointments, and following the rules for medication use.

Q: What is the provider’s responsibility in the contract?
A: The provider is responsible for prescribing appropriate medication, monitoring the patient's progress, and addressing any concerns or issues that arise.

Q: Are there any consequences for violating the terms of the contract?
A: Yes, violations could result in the termination of treatment or other consequences as outlined in the agreement.

Q: Why is a contract necessary for long-term treatment?
A: A contract helps establish a clear understanding between the patient and provider, ensuring the safe and responsible use of opioid medication.

Q: Who should consider using this model contract?
A: Patients and providers who are engaged in long-term treatment with opioid medication in Minnesota.

Q: Is this contract legally binding?
A: The contract is an agreement between the patient and provider, and its legal enforceability may vary depending on state laws and regulations.

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Form Details:

  • Released on May 1, 2016;
  • The latest edition currently provided by the Minnesota Department of Labor and Industry;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Minnesota Department of Labor and Industry.

Download Model Patient / Provider Contract for Long-Term Treatment With Opioid Medication - Minnesota

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