A customisable treatment agreement (sometimes called a pain-medication contract) for patients on long-term opioids or other drugs of dependence. Tick the clauses you want, fill in the details, then copy it into your PMS or print it for signing.
Your prescriber, practice, pharmacy & RTPM are saved on this device — fill them once.Clear saved
2 · Choose the clauses
3 · Your agreement
⚠️ This is a customisable template — not legal or clinical advice, and not a prescribing guideline. Adapt the wording to your patient, your practice and your state's legal requirements. A treatment agreement supports shared expectations and documentation; it is one part of safe prescribing alongside assessment, RTPM and regular review — not a substitute for clinical judgement. Evidence that agreements reduce misuse or overdose is limited; use them as a communication tool.