Xanax and Adderall Policy

Name
Date of Birth:
Todays Date:

I understand that Psychiatric Specialists of Texas do not routinely prescribe Benzodiazepines.

For example, but not limited to: Xanax, Kionopin, Valium, or Ativan. This office also does not routinely prescribe Adderall.

I also understand that being seen in this practice does not mean I will get any of the abovementioned medications.

It is at the prescriber's sole discretion if they are prescribed.

IF a benzodiazepine medication is prescribed and the dosage is not taken as prescribed, there will be no additional prescriptions called in early to the pharmacy.

Patient notified and/or signed:

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