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Appendix G: Sample DoctorPatient Agreements for Chronic Opioid Use Department of Labor and Industries PO Box 44291 Olympia WA 985044291 OPIOID TREATMENT AGREEMENT Patient Name: Claim No. Opioid (narcotic)
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Begin by reviewing the purpose and instructions of appendix g sample doctorpatient. This will help you understand its importance and how to properly fill it out.
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Appendix g sample doctorpatient is a form that provides information about the relationship between a doctor and a patient.
Doctors and healthcare providers are required to file appendix g sample doctorpatient.
To fill out appendix g sample doctorpatient, you must provide details about the doctor-patient relationship and any relevant information.
The purpose of appendix g sample doctorpatient is to disclose any financial or referral relationships between doctors and patients.
Information such as the name of the doctor, the name of the patient, the nature of the relationship, and any financial or referral agreements must be reported on appendix g sample doctorpatient.
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