Evidence status: OFFICIAL STATE INSTITUTIONAL FORM. The Oklahoma Department of Corrections currently lists DOC 140701E, Consent for Pain Treatment with Controlled Substances: Inmate Agreement, among its official Health Services forms. The form is marked R 01/22.

Quick read

This is not a general outpatient clinic contract. It is an Oklahoma Department of Corrections agreement for incarcerated patients receiving controlled-substance pain treatment.

Who is on the provider side

The institutional counterparty is the Oklahoma Department of Corrections. The agreement is signed by the individual health-care provider treating the inmate; the form does not designate one named physician for all patients.

Terms that matter most

  • The patient agrees to participate in other treatment requested by the provider.
  • Selling or sharing medication can stop treatment.
  • The form prohibits listed illicit substances and says treatment may stop after use.
  • Random urine testing may be required at provider discretion.
  • Specified noncompliance may result in cessation of controlled-drug prescribing.
  • If prescribing is stopped for noncompliance, the form states that medication will be tapered over several days as necessary to avoid withdrawal.

Authority and scope

ODOC policy OP-140701 identifies DOC 140701E as an appropriate consent form to be completed and filed in the inmate’s electronic health record. That establishes an institutional correctional requirement; it does not convert every clause into a generally applicable Oklahoma outpatient requirement.

Primary sources

← Oklahoma Contract-for-Care Evidence Library

Reviewed: October 4, 2026.

Evidence boundary: This page describes correctional policy and the official form. It should not be generalized to non-incarcerated patients without separate authority.