Pain & Symptom Management Agreement

The undersigned patient, agree to participate in a pain and symptom management plan provided by The Care Team Primary Care Providers.

I understand that the goal of pain and symptom management is to improve my quality of life by addressing discomfort, pain, and other symptoms associated with my medical condition. I acknowledge that:

1. I will actively participate in my pain and symptom management plan by providing accurate information about my symptoms, pain levels, and response to treatment.
2. I will adhere to the prescribed treatment plan, including medication regimens, therapy sessions, lifestyle modifications, and follow-up appointments.
3. I will promptly notify my healthcare provider of any changes in my symptoms, medication side effects, or concerns regarding my pain management plan.
4. I understand that pain management may involve a combination of pharmacological interventions, physical therapy, psychological support, and other modalities tailored to my individual needs.
5. I acknowledge that pain management may not completely eliminate discomfort or pain but aims to improve my overall function and well-being.
6. I understand the importance of medication compliance and will take prescribed medications as directed, including following dosage instructions and notifying my healthcare provider of any concerns or issues with medication adherence.
7. I will inform my healthcare provider of any alternative pain management methods I am currently using or considering, including over-the-counter medications, herbal supplements, or complementary therapies.
8. I understand that pain management may require periodic adjustments to my treatment plan based on my response to therapy, changes in my medical condition, or new developments in pain management practices.
9. I consent to the exchange of medical information between The Care Team Primary Care and other healthcare providers involved in my pain management, as necessary for coordination of care and treatment planning.