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Michigan Neurology Associates Controlled Substance Agreement Patient Name:___Date:___ I understand that my Physician of Record is prescribing a medication identified by the DEA as a controlled substance.

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Michigan Neurology Associates PC is a medical practice specializing in neurology services, focusing on the diagnosis, treatment, and management of neurological disorders.

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The report must include business structure, ownership names, medical licenses, addresses, and any other relevant information required by Michigan state law.

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