Evidence status: CURRENT / ACTIVELY DISTRIBUTED. The current TMJ & Facial Pain Center patient portal links a new-patient packet containing the Pain Management/Pharmacy Agreement 2023.

Quick read

The agreement governs controlled medication, testing, outside prescriptions, lost/stolen medication, refill communications, emergency-room use, disclosure to pharmacies/law enforcement, one-pharmacy use, medication brought to visits, tapering, and termination.

Who is on the provider side

The agreement and current practice site identify Wesley E. Shankland II, DDS, PhD. Because this is dental prescribing, Ohio’s qualified-dentist rule—OAC 4715-6-03—is the most relevant profession-specific authority.

Terms that matter most

  • Breaking the agreement can stop controlled-substance prescribing and may terminate all treatment by the practice.
  • The agreement describes a several-day taper when controlled substances are stopped for noncompliance.
  • Controlled medications, including opioids and anti-anxiety medication, may not be obtained from other doctors except as permitted by the agreement.
  • Lost or stolen controlled medication is not replaced.
  • The form states that calling after hours, on weekends, or holidays for refills will cause cessation of all prescriptions and termination from the practice.
  • The agreement tells the patient not to use an emergency department for the chronic condition, while allowing treatment of a new acute problem and requiring later notice.
  • The patient agrees to testing, one-pharmacy use, and bringing unused pain medication to visits.

Ohio dental rule versus clinic policy

For qualified dentists treating subacute/chronic pain, Ohio requires written informed consent before 50 MED and a written pain-treatment agreement before 80 MED. The qualifying agreement must include screening permission, pill-count/compliance provisions, one-prescriber opioid control, and taper language. The dental rule generally limits prescribing to 100 MED/day and 24 continuous weeks absent specified specialist pathways.

The practice’s after-hours-call termination rule, categorical lost-medication rule, emergency-room restriction, broad disclosure language, and practice-wide termination consequences are additional practice terms.

Legal-review items

The emergency-room restriction and broad privacy/law-enforcement authorization are preserved as written terms. Seeds of Vice does not characterize either as an Ohio legal requirement or decide their enforceability in an individual case.

Primary sources

← Ohio Contract-for-Care Evidence Library

Reviewed: October 4, 2026.

Evidence boundary: The page reports the currently linked 2023 form and compares its terms with the Ohio dental rule. It does not determine the enforceability of emergency-care, privacy, or termination clauses.