Verify or Correct Your Pennsylvania Pain Practice

PENNSYLVANIA · CONTRACT FOR CARE

Correct or verify your practice record

Practices can supply a current blank agreement, correct an address or other business fact, add a missing clinic, or explain which offices and patient groups use a policy.

Browse the Pennsylvania clinic directory · Read Pennsylvania’s legal evidence

What verification means

A practice-confirmed document requires an identifiable authorized response and version information. A public download alone does not establish current use. Submitted corrections are checked before publication; relevant historical versions and material changes remain part of the record.

Patients and members of the public can submit a contract for review here. This form below is for authorized practice information. Please provide blank or de-identified institutional documents and business facts.

Practice submission

Required fields identify the practice and authorized contact. Supply a document upload or public URL when available. Contact details stay private unless separately supplied as public business contacts.

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Thank you for your response. ✨

Practice or health-system name

SOV listing URL or record reference

Submission type: correction, missing practice, current agreement, or policy update

What should be corrected or added, and what source supports the change?

Physician name(s) covered by this response

Pennsylvania license number(s)

NPI number(s)

Practice address

Public office phone

Public practice email

Practice website

Current agreement/policy title

Current revision or effective date

Public URL for the current agreement or supporting source (if not uploading)

Which office locations and patient groups use this version? What changed from the prior version?

Upload current contract/agreement or policy (PDF preferred)

Does the practice provide chronic opioid therapy? State the practice’s current written policy or position.

Does the practice use a fixed MME ceiling? If yes, state the ceiling and source. If no fixed ceiling is used, state that.

How does the practice handle individualized exceptions, tapering, medication discontinuation, and continuity of care?

Drug testing, pill count, refill, pharmacy, benzodiazepine, cannabis, taper, and termination policies

Services a patient must complete to remain eligible for opioid therapy (visits, PT, procedures, counseling, testing, etc.)

May required services be obtained from an outside provider? Identify any exceptions or limits.

Corrections or context you want attached to the Seeds of Vice record

Authorized contact name

Authorized contact role/title

Authorized contact email

I am authorized to submit factual practice information for this organization, and I understand Seeds of Vice may verify the submission against public and primary-source records before changing a public record.

I authorize Seeds of Vice to store and review this submission and publish verified professional/business facts, institutional documents, de-identified policy excerpts, and an attributable practice response. Authorized contact details remain private unless separately provided as public business contacts.

After submission

Seeds of Vice verifies identity, source, date and document scope, reviews remaining identifiers, and links accepted evidence to the existing practice record. Submission does not automatically replace a published record or certify legal compliance. This form saves responses in the website’s Forms system and sends no inbound notification email.

Read the Pennsylvania methodology · Patient and document submissions

Correct or verify your practice record

What verification means

Practice submission

Thank you for your response. ✨

After submission

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