Evidence status: CURRENT / ACTIVELY DISTRIBUTED; REVISION DATE NOT SHOWN. Oklahoma Joint Reconstruction Institute’s live patient-forms page currently lists both an opioid-therapy consent packet and a Chronic Pain Agreement, and the chronic-pain agreement remains directly retrievable from the practice website. The agreement itself does not display a revision or effective date, so current distribution is verified while version provenance remains unresolved.

Quick read

This agreement makes compliance a condition of continued chronic-pain treatment. It covers medication control, pill counts, drug testing, refill and payment rules, outside prescriptions, functional progress, taper/referral, termination, and reporting consequences.

Who is on the provider side

Paul B. Jacob, DO is named on the agreement and the practice’s current patient-forms page identifies Dr. Paul Jacob as the treating orthopaedic surgeon. This page does not attribute individual enforcement decisions to anyone beyond what the source establishes.

Terms that matter most

  • Pill counts and urine or blood testing may be required.
  • Lost, stolen, or prematurely used medication may not be replaced.
  • A rescheduled visit for nonpayment does not produce a refill under the form.
  • Outside controlled substances and unreported prescriptions can trigger consequences.
  • The form ties continuation to functional progress and allows taper/referral when the practice concludes progress is inadequate.
  • Specified conduct can result in termination from the practice and, in some circumstances, reporting to law enforcement.

Law versus clinic policy

Oklahoma law requires patient-provider agreements in specified opioid-prescribing circumstances and recognizes subjects such as refill restrictions, other prescribers, specimen testing, pill counts, and termination. The law does not make this clinic’s particular payment condition, exact testing consequences, functional-progress rule, or termination implementation universal statewide requirements.

Document discrepancy worth noting

The form states that Oklahoma defines chronic pain as lasting longer than two weeks. The current statutory definition describes pain persisting beyond the usual course of acute disease or healing and potentially continuing or recurring over months or years; it does not contain that two-week cutoff. Seeds of Vice records this as a document-versus-current-law discrepancy, not as an enforceability conclusion.

Primary sources

← Oklahoma Contract-for-Care Evidence Library

Reviewed: October 4, 2026.

Evidence boundary: This page establishes what the public agreement says and how its subjects compare with identified Oklahoma authority. It does not determine enforceability in an individual case or why a provision was adopted.