Before prescribing controlled substances, how is a legitimate patient-physician relationship established?

• A. No clinical evaluation is required.
• B. A legitimate patient-physician relationship must be established through proper evaluation, history, and, when appropriate, examination before prescribing controlled substances.
• C. Only a signed form is required.
• D. Consent from a family member suffices.

Answer: (B)

Establishing a legitimate physician-patient relationship for prescribing controlled substances rests on conducting a proper evaluation that includes taking a thorough history and, when appropriate, performing a physical examination. This process demonstrates medical judgment, identifies potential risks (such as contraindications or substance use issues), and confirms a legitimate medical purpose for the medication. A history alone without objective data, a signed form by itself, or consent from a family member cannot substitute for that assessment. By performing the evaluation and documenting findings and the treatment plan, the clinician creates accountability and ensures safe, appropriate use of controlled substances.