Alcohol detoxification
contractI agree to abide by the following conditions which have been explained and discussed with me.
I understand that if I fail to satisfy all the conditions set out in this contract then the medical prescription will be terminated.
- I shall not drink during detoxification.
- I shall take the drugs prescribed for me.
- I will take no other drug without the doctors agreement.
- I shall take the drugs in the manner prescribed ie by mouth.
- I understand that my prescription depends upon satisfactory progress in the detoxification.
- Behaviour incompatible with this (eg alcohol consumption) will lead to termination of the prescription.
- I understand that the conditions of this contract cannot be altered once the prescribing has commenced.
Signed: