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I acknowledge that urine sample will be asked for a Urine Drug Screen, either at the office of Mid Cities Psychiatry or through an accredited laboratory within 48 hours of Mid Cities Psychiatry’s request. If the Urine Drug Screen is (1) positive for substances not prescribed or (2) negative for medications prescribed by a provider engaged in your care and treatment, Mid Cities Psychiatry has the right to decline any further prescriptions.

I acknowledge that coming to appointment does not guarantee that control-medication will be prescribed. It’s up to the Provider’s discretion when they meet the patient.