Evidence status: CURRENT / ACTIVELY DISTRIBUTED. Dayton Outpatient Center / DOC Pain Management’s live patient page currently links the Controlled Substance (Narcotic) Agreement. The PDF path dates from 2019; current linking establishes present distribution, not that its text was revised in 2026.

Quick read

The agreement contains stringent written rules on lost medication, early refills, requested pain modalities, outside prescriptions, toxicology testing, pill counts, prohibited substances, missed appointments, rapid weaning, and practice-wide discharge.

Who is on the provider side

DOC’s current pain-management team includes Priyesh Mehta, DO; Madeeha Khan, DO; Tori Berry, PA; Grace Hassan, NP-C; Jacqueline Papalios, NP-C; Linda Young, NP-C; and Sabrina Blankenship, NP-C. The agreement refers generically to the patient’s pain-management physician and/or physician assistant, so no one team member is assumed to enforce every clause.

Terms that matter most

  • Lost, misplaced, stolen, or destroyed medication will not be replaced; the form says there are no exceptions.
  • No early refills are provided, and medication changes are handled at scheduled appointments rather than by telephone.
  • Continuation of medication refills may depend on participation in physical therapy, psychological treatment, injections, or other chronic-pain modalities.
  • The practice may require unannounced urine or serum toxicology and random pill counts.
  • Testing refusal can lead to a rapid wean or termination; pill-count noncompliance can lead to medication discontinuation or termination.
  • The agreement lists specified substances, including marijuana, and states immediate medication/practice consequences for positive findings.
  • Missed and late-cancelled appointments can generate stated fees.
  • After discharge, the agreement says the patient cannot switch to another physician in the practice, and completing rehabilitation does not guarantee readmission.

Ohio law versus clinic policy

At the 80-MED threshold Ohio requires agreement terms covering screening, pill counts/compliance checks, one-prescriber opioid control, and tapering. DOC’s categorical no-replacement rule, participation conditions, exact rapid-wean consequences, fees, and practice-wide discharge policy are practice-specific terms.

Current-law caution: marijuana terminology

The agreement’s file path dates from 2019 and lists marijuana among “illegal” substances. Ohio now authorizes registered medical-marijuana use and adult-use marijuana within Chapter 3796. This page preserves the contract wording but does not present that old legality label as current Ohio law. A clinic may still make individualized safety or treatment decisions concerning concurrent substance use.

Primary sources

← Ohio Contract-for-Care Evidence Library

Reviewed: October 4, 2026.

Evidence boundary: Current linking establishes that the practice distributes this agreement today. The old file path is preserved as version provenance and is not treated as proof of a 2026 revision.