PENNSYLVANIA · CONTRACT FOR CARE · PA-CLINIC-124

Known facts and agreement status

Practice / service
Pennsylvania Pain & Spine Institute — Chalfont
Group
Pennsylvania Pain & Spine Institute
Location
1500 Horizon Drive, Suite 102B, Chalfont, PA
Public telephone
215-602-7918
Source
Practice, provider or institutional location page

Pain-management practice or pain service; current opioid prescribing policy is not inferred from its name.

Evidence note: Public FAQ says medication refills require a follow-up appointment. The practice attributes a restriction during procedure visits to insurance rules; the payer authority and patient contract have not been verified.

Agreement and patient-policy record

Opioid agreement not obtained. We have not verified the current signed opioid/pain agreement for this record. A missing copy does not establish that the practice has no agreement or has declined to provide one.

Practice or patient: please submit the agreement, any addenda and its date for the evidence record.

Help complete or correct this record

Patient or practice: submit the contract Practice: verify or correct your information

A blank agreement is best. Preserve the original; redact a copy where practical. Current revision, which offices use it, what is required before care or prescriptions, and the stated consequence of refusal or noncompliance are particularly useful.

What remains unverified

Active individual licensure/board status, current insurance participation, new-patient availability, office-specific signed version, actual enforcement, testing costs, refill accommodations and taper/transfer practices have not been independently established unless explicitly sourced above. A documented contract consequence is separate from a reported patient outcome.

Pennsylvania law and guidance · Search the clinic directory · Methodology and corrections.

Source review: October 12, 2026. Supported corrections update this record; relevant historical documents and version changes remain on record.