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Old 08-06-2007, 10:36 PM   #1
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DR asked me to sign contract

My doctor was out of town, I didn't know but went to have
a thryroid blood test, since there was no order on file had
to see other Dr my DR partner, first they have PA see me
she went on and on checking and asking questions that didn't relate to me visit she decided I needed a sleep clinic
evaluation, ok maybe that's a good idea. Anyway she leaves the room another nurse comes in puts a paper in front of me that is some kind of contract to only get your
meds at CVS, she asked first where I got my meds. Long
story short I hate the other Dr have seen him twice and he
was rude each time, I didn't sign and things go hairy, have
never been treated badly before, it did get ugly now I am worried about my relationship with my Dr because of his
partner.

 
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Old 08-06-2007, 11:17 PM   #2
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Re: DR asked me to sign contract

It's late going to bed, will check posts tomorrow this contract thing has made me feel bad.

 
Old 08-07-2007, 06:49 AM   #3
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Re: DR asked me to sign contract

I Don't understand why a contract would cause such a problem, they are nothing more than a complete informed consent form. This prevents patients from saying I didn't know I wasn't alllowed to do X, Y or Z and should also have provisions for what to do in each case. Using one pharamcy for example, That's not a huge request. It's in my contract too, But it also explains that we shouldn't except partial fills and the remainder won't be replaced by the doc. If CVS can't fill it, under my contract I can go to any pharrmacy and have it filled, I simply have to call the nurses line and let them know I have used a different pharmacy within 48 hours, This has happened 3 times in the last 18 months and it's a simple call to make. CVS couldn't fill the script entirely so I had it filled at AB pharmacy. What's the big deal.

Contracts spell out what a doc expects as far as compliance, which is basically absolute. If you want a doc to believe your in enough pain to use meds that were reserved only for terminal patients as little as 10 years ago, you have to agree to take the meds as prescribed. You have to agree to make an apt with your doc and not just self medicate if what he prescribes isn't working, so what if you have to use one pharamcy or call and let them know you used a different one if your primary pharmacy was out of your meds. Is it really that hard to deal with. Good luck finding a doc willing to risk 12 years of school, his livelyhood, abilty to suport his family and potential freedom if your not willing to sign a piece of paper stating you will abide by all rules.

. If you have nothing to hide, I don't get the problem with contracts, UA's, Pill counts and having to actually go in and be seen to get an increase or change in meds.

It's when patients use their pain to justify their actions that docs are at the greatest risk. Signing a contract simply says your not going to do this, if you're having a problem you will call before you sel medicate.. Having read and signed such a contracts just takes away the abilty to say I didn't know. How is it a bad thing to acknowledge you won't doc shop, use multiple pharmacies, will submit to UA's and pill counts if you truly need the meds.

It really doesn't sound like muc to ask of a patient to put their word in writing to Protect his lifestyle, his freedom and his abilty to provide for his family by complying with what the he wants and what the DEA wants him to do to prevent abuse and diversion.

If your not willing to play by the rules, why would any doc treat you. Why is signing your name to a piece of paper that says you understand all the rules and will follow them, too much to ask if your pain is so great you can't function without the most potent opiates every made.

Do you see the absurdity in the situation. You want a doc to risk his livelyhood, his home, the abilty to provide for his family, and potentially his freedom, but signing a contract is too much to ask of you?

You want absolute trust from your doc, but your not willing to sign a contract stating you're aware of the rules and will comply with them all? Why should he trust you or anyone else that's not in enough pain to except this is what it takes to get treatment and for the doc to practice without fear of prosecution. I like knowing my docs office won't be shut down because he does everything in his power to prevent abuse, misuse and diversion.
Good luck finding another doc.
Dave

Last edited by Shoreline; 08-07-2007 at 07:54 AM.

 
Old 08-07-2007, 06:52 AM   #4
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Re: DR asked me to sign contract

hi mylives. i also had to sign a contract with my pm doc. they just want to make sure i only get my meds so the pharmasist can make sure they mix well with all the meds, also, my pm wanted to make sure he was the only one perscribing them. i just got back from my sleep study this morning. went to bed at 1130pm and they woke me at 5am and asked if i had a good night sleep. i was like no, i sleep usually 8 hrs...lol, anyway, i hope my info helped you. some docs are jerks and i only see my doc, i don't schedule with anyonw but him. the recep. sometimes gives me a hard time but, i pay for it so i see who i want and too bad for them. your reg. doc i'm sure will be ok with you, good luck anyway, patti

 
Old 08-07-2007, 09:07 AM   #5
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Re: DR asked me to sign contract

ditto on everything shore just stated.this IS standard practice at any PM clinic you may have to go to.we just have a huge responsibility when our docs are Rxing us strong narcotics,to ourselves and to them,they have to cover their butts from certain types of patients,and WE as patients need to have everything spelled out in front of us so we know what our boundries and guidelines are.you will see this in any good PM clinic.a PM is very very different than just seeing your primary doc,for alot of reasons.its just the nature of what they do.you are not being asked to do anything that is not being done at any other PM clinic,believe me.good luck and i hope things work out for you.please keep us posted.Marcia
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