NOTICE TO ANY HEALTH CARE PROVIDER I am a participant in the 67th District Court Sobriety Treatment Program. As such, I am not permitted to use any controlled substance or alcohol, unless medically, it is absolutely necessary that I do so pursuant to the orders of a physician. Before giving or prescribing me a controlled substance, please review and consider the following: Make every effort to treat me without giving or prescribing me a controlled substance. Please note in my medical record and provide a note to the court why a controlled substance was medically necessary, if such is given or prescribed. Please provide me with a letter for the court stating that I have disclosed my addiction problem by showing you this card. NOTICE TO ANY HEALTH CARE PROVIDER I am a participant in the 67th District Court Sobriety Treatment Program. As such, I am not permitted to use any controlled substance or alcohol, unless medically, it is absolutely necessary that I do so pursuant to the orders of a physician. Before giving or prescribing me a controlled substance, please review and consider the following: Make every effort to treat me without giving or prescribing me a controlled substance. Please note in my medical record and provide a note to the court why a controlled substance was medically necessary, if such is given or prescribed. Please provide me with a letter for the court stating that I have disclosed my addiction problem by showing you this card.
NOTICE TO ANY HEALTH CARE PROVIDER I am a participant in the 67th District Court Sobriety Treatment Program. As such, I am not permitted to use any controlled substance or alcohol, unless medically, it is absolutely necessary that I do so pursuant to the orders of a physician. Before giving or prescribing me a controlled substance, please review and consider the following: Make every effort to treat me without giving or prescribing me a controlled substance. Please note in my medical record and provide a note to the court why a controlled substance was medically necessary, if such is given or prescribed. Please provide me with a letter for the court stating that I have disclosed my addiction problem by showing you this card. NOTICE TO ANY HEALTH CARE PROVIDER I am a participant in the 67th District Court Sobriety Treatment Program. As such, I am not permitted to use any controlled substance or alcohol, unless medically, it is absolutely necessary that I do so pursuant to the orders of a physician. Before giving or prescribing me a controlled substance, please review and consider the following: Make every effort to treat me without giving or prescribing me a controlled substance. Please note in my medical record and provide a note to the court why a controlled substance was medically necessary, if such is given or prescribed. Please provide me with a letter for the court stating that I have disclosed my addiction problem by showing you this card.
NOTICE%20TO%20ANY%20HEALTH%20CARE%20PROVIDER.docx