Sample Sober Living Med Policy Template

[Insert name of Recovery Residence]

Medication Policy Agreement 

Non-prescription (over the counter) and properly prescribed medications, including MAT prescriptions, are permitted on the premise of [Recovery Residence Name]. However, [Recovery Residence Name] is not a medical facility and will not administer any medication to its residents. All residents are responsible for the proper storage, safe-guarding, and self-administration of their own medication(s).

While residents will be responsible for self-administration of their medications, they agree to the following stipulations of [Recovery Residence Name]’s medication policy. By initialing each stipulation and signing at the bottom of the agreement the resident is acknowledging that they have read and understand the medication policy and agree to comply with all the terms in order to remain a resident of [Recovery Residence Name]: 

Resident Initials:

___ All medications (over the counter and prescribed) are to be in their original containers.

___ All prescription medications are to be in their original containers as obtained from the pharmacy with the prescribing medical professional identified on the container.

___ Dates of the medication are to be current and the prescription is not to be expired.

___ All medications are to be accurately and correctly listed on resident intake form.

___ Medication(s) are to be taken only as prescribed.

___ Residents are responsible for the proper storage of their medication and must demonstrate that medications are kept in an appropriately locked container stored out of plain view.

___ Medication is to be locked away at all times excluding when it is time for self-administration, it is expected the resident immediately return medication to locked container following self-administration.

___ Residents will maintain a medication log that will be stored with their medications (a sample medication log is provided on page 14)

___ Resident agrees to notify house management of any new or refilled prescriptions within 48 hours in order to maintain accuracy of resident records.

___ Medication is not to be shared, sold, taken other than as prescribed, or misused/abused in any way.

___ All medications are subject to random search and resident agrees to comply with any necessary searches (i.e., providing access to locked medication storage container for scheduled and non-scheduled medication counts and reviews of medication logs). Missing or unaccounted for medications are generally grounds for discharge from the residence.

 By signing below, I, [Print Name] ____________________________________ acknowledge that I have read and agree with the aforementioned terms of the [Recovery Residence Name] medication policy. I understand that any violation of the above terms is cause for my discharge  from the property.

Resident Signature: _________________________________________Date: _______________

**Disclaimer:** The following content was written by the Fletcher Group (https://www.fletchergroup.org) and is provided for example purposes only. For technical assistance and training tailored to recovery homes, we encourage you to reach out to the Fletcher Group directly. We are grateful for their expertise and appreciate the opportunity to share these valuable templates with our audience.

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