Evidence status: CURRENTLY DISTRIBUTED BY THE PRACTICE. Eastside Orthocare’s live patient-forms page currently offers both a Controlled Substance Agreement and Informed Consent Form and a Narcotic Contract and Prescription Refill Policy.

Quick read

Eastside Orthocare’s current public forms combine informed consent with practice rules governing refills, dose changes, drug screening, lost medication, appointments, outside narcotic prescribing, alcohol, driving, pharmacy use, and possible termination from the practice.

Who is on the provider side

The current practice website identifies Eastside Orthocare & Joint Replacement Center in Snellville, Georgia, and Craig M. Mines, MD, as its board-certified orthopedic surgeon. The forms are practice documents rather than a statewide Georgia template.

Terms in the Narcotic Contract and Prescription Refill Policy

  • The practice requests 48 hours for prescription refills.
  • Refills requested after 4:00 PM are deferred until the next business day.
  • A follow-up visit may be required before a refill is issued.
  • The patient agrees not to alter dose or timing without first speaking with the physician.
  • Narcotic and non-narcotic medications are not called in after hours or on weekends.
  • The practice may terminate a patient with 30 days’ notice for medication noncompliance.
  • Eastside Orthocare reserves the right to use random drug-screen monitoring for patients receiving narcotic medication over an extended period; refusal may be grounds for termination.
  • Lost or misplaced prescriptions are not refilled.
  • The patient must keep recommended appointments.
  • Obtaining narcotics from another physician while under Eastside Orthocare’s care and altering or forging a prescription are listed as grounds for immediate termination.
  • The patient agrees not to combine narcotic medication with alcohol.
  • The agreement requires use of one pharmacy for prescriptions and notice if that pharmacy changes.

Controlled Substance Agreement and informed consent

The companion informed-consent form discusses benefits, risks, alternatives, medication-history review, driving and machinery cautions, appointment compliance, and the relationship between the consent form and the practice’s Narcotic Contract and Prescription Refill Policy.

Georgia rule versus practice terms

Georgia Rule 360-3-.06 requires a written treatment agreement only in the covered chronic-pain circumstances defined by the rule. It also separately requires monitoring. The rule does not itself require every Georgia agreement to use Eastside Orthocare’s one-pharmacy rule, 48-hour refill window, no-lost-prescription rule, alcohol clause, or automatic termination provisions.

Monitoring language

The practice’s contract says random drug screening may be used for patients requiring narcotic medication over an extended period “as required by law.” The controlling Georgia rule should be read directly: its mandatory monitoring provisions apply to the defined Schedule II or III chronic-pain treatment circumstances and include random bodily-fluid analysis. The clinic’s own procedural language remains a practice-level implementation choice.

Current-source status

The practice’s current Patients page still links these forms. The informed-consent form refers to Georgia’s 2011 Patient Safety Act and earlier Board pain-management standards. This page therefore preserves both facts: the document is currently distributed, while some of its explanatory language reflects an older regulatory history.

Primary sources

← Georgia Contract-for-Care Evidence Library

Reviewed: October 4, 2026.

Evidence boundary: Current public distribution is verified. This page records practice terms and does not determine enforceability or infer how the policy was applied to any particular patient.