Help build Iowa’s pain-management agreement record
Iowa’s current physician rule does not require every chronic-pain patient to sign a contract. It says physicians should consider pain-management agreements and that an agreement should be used after more than 90 days of opioid treatment when there is concern for abuse or diversion. Seeds of Vice is collecting actual Iowa agreements and policies so state guidance can be separated from institutional additions.
What is most useful
- A blank opioid, controlled-substance, chronic-pain, or pain-management agreement from an Iowa practice.
- The complete packet if the agreement came with drug-testing, pill-count, refill, pharmacy, cannabis/substance, taper, dismissal, conduct, financial, privacy, or appointment policies.
- The revision date, footer, clinic name, prescriber name, office location, and document number.
- Older versions of the same agreement, especially versions used before and after May 21, 2025.
- Written notices showing how an alleged agreement violation, abnormal test, taper, discontinuation, discharge, or transfer of care was handled.
- Institutional policies showing whether physicians, nurse practitioners, physician assistants, or other prescribers are placed under the same internal agreement workflow.
Why pre- and post-2025 documents matter
Iowa changed its physician rule effective May 21, 2025. The old rule used mandatory “shall utilize” language in a defined >90-day/risk circumstance; the current rule uses “should be used.” Documents written under the old rule may therefore contain language that no longer accurately states the current statewide physician standard.
Protect patient information
A blank form is best. On a completed copy, permanently redact the patient’s name, birth date, address, contact information, signatures, account or medical-record numbers, insurance information, individualized diagnoses and prescriptions, test results, barcodes or QR codes, and other personal medical information before submission.
How the form is classified
Each clause is compared with current 481—655.2, Iowa PMP requirements, and any applicable profession-specific authority. One-pharmacy rules, fixed testing schedules, pill-count deadlines, lost-medication rules, marijuana restrictions, refill procedures, annual re-signing, and automatic discharge are classified as institutional or professional additions unless another binding authority independently requires them.
Submit
Use the national Seeds of Vice submission channel and identify the document as an Iowa Contract for Care / pain-management agreement.
Open the Contract for Care submission page
Iowa evidence library
Return to the Iowa Contract-for-Care Evidence Library
A submitted document becomes an evidence lead. It is verified, dated, and classified before being promoted into the public Iowa record.