The activities covered by a patient agreement may vary, but may include: explicit limitation of the sale of its medicines to other parties, obligation for patients to use a single pharmacy, to take medicines exactly as prescribed, to make all appointments, to provide a urine sample on request, to declare themselves ready not to drink alcohol or to take illicit drugs or medicines subject to medical prescription, that have not been prescribed to the patient, and the agreement to keep opioid medications in a safe place. Additional provisions may include necessary reporting activities in the event of loss or theft of the medicinal product subject to medical prescription. The use of these agreements is not limited to pain clinics, but extends to anyone who prescribes controlled substances. In chronic opioid treatment (TOC) for patients with pain, the tool describes potential risks (e.g. B potential for dependence if taking controlled substances) and benefits. Treatment agreements describe the framework of the doctor-patient relationship (e.g.B. appropriate behaviour and expectations of the clinician). . .

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