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A controlled substance agreement, also known as a pain management agreement, is a legal contract between a patient and their healthcare provider. This agreement outlines the terms and conditions surrounding the use of controlled substances, such as opioids, for the treatment of chronic pain.

Why is a Controlled Substance Agreement Necessary?

The misuse and abuse of controlled substances is a growing problem in the United States. According to the National Institute on Drug Abuse, over 130 people die every day from an opioid overdose. Moreover, healthcare providers face legal and moral obligations to ensure that their patients are not becoming harmed or addicted to medications.

A controlled substance agreement is essential because it aims to limit the potential for misuse or abuse of prescriptions. By outlining the terms and conditions surrounding the use of these medications, healthcare providers can help patients understand the risks and benefits associated with controlled substances.

What`s Included in a Controlled Substance Agreement?

The following is a sample of what might be included in a controlled substance agreement:

1. Agreement to adhere to the prescribed medication regimen.

2. Agreement to only obtain controlled substances from the healthcare provider.

3. Agreement to notify the healthcare provider immediately if the medication is lost or stolen.

4. Agreement to refrain from sharing or selling medication.

5. Agreement to undergo drug testing as requested by the healthcare provider.

6. Agreement to submit to random pill counts.

7. Agreement to allow the healthcare provider to communicate with other healthcare providers involved in the patient`s care regarding the use of controlled substances.

8. Acknowledgment of the potential risks and side effects of controlled substances.

9. Agreement to follow alternative pain management strategies as recommended by the healthcare provider.

10. Acknowledgment of the potential for addiction and overdose, and agreement to seek emergency medical care if necessary.


In conclusion, a controlled substance agreement is a vital tool in managing and preventing the misuse and abuse of controlled substances. It is an agreement between the healthcare provider and the patient that outlines the terms and conditions of using these medications. By signing this agreement, the patient agrees to follow the rules and recommendations set forth by the healthcare provider. This agreement ensures that the patient is fully informed about the risks and benefits of using controlled substances and that the prescription is used safely and effectively.