We here at Adult Care of Austin are making a commitment to work with you in your efforts to get better. To help you in this work, we agree that:

1. We will help you schedule regular appointments for medicine refills.
2. We will make sure that this treatment is as safe as possible. We will check regularly to make sure you are not having bad side effects.
3. We will keep track of your prescriptions and drug test routinely for compliance.
4. We will help connect you with other forms of treatment to help you with your condition. We will help set treatment goals and monitor your progress in achieving those goals. We will work with any other doctors or providers you are seeing so that they can treat you safely and effectively.
5. If you become addicted to these medications, we will help you get treatment and get off the medications that are causing you problems safely, without getting sick.

RULE §170.3: Minimum Requirements for the Treatment of Chronic Pain

Prior to prescribing opioids, benzodiazepines, barbiturates, or carisoprodol for the treatment of chronic pain, a physician must review prescription data and history related to the patient, if any, contained in the Prescription Drug Monitoring Program in accordance with Section 481.0764 of the Texas Health and Safety Code and §170.9 of this Chapter (relating to Prescription Monitoring Program Check). In addition, a physician must consider obtaining at a minimum a baseline toxicology drug screen to determine the presence of drugs in a patient, if any. If a physician determines that a baseline toxicology drug screen is not necessary, the physician must document in the medical record his or her rationale for not requiring the screen. (2) Treatment plan for chronic pain. The physician is responsible for a written treatment plan that is documented in the medical records. The medical record must include: (A) how the medication relates to the chief presenting complaint of chronic pain; (B) dosage and frequency of any drugs prescribed; (C) further testing and diagnostic evaluations to be ordered, if medically indicated; (D) other treatments that are planned or considered; (E) periodic reviews planned; and (F) objectives that will be used to determine treatment success, such as pain relief and improved physical and psychosocial function.