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Get Ca El Dorado Community Health Centers Alcohol Medication Assisted Treatment Agreement 2018-2024

R. I freely and voluntarily agree to accept this treatment as described below. 1. I agree to keep, and be on time to, all my scheduled appointments with the doctor, behavioral health, and the care team. 2. I agree to conduct myself in a courteous manner in the physician s or clinic s office. 3. I agree to submit Urine Drug Screens whenever required by my doctor, this includes random, scheduled and/or observed drug screens. I agree to have a negative drug screen. (A negative drug screen will.

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