Treatment & compliance programs
A licensee seeking treatment for chemical dependency, either self-identified, or identified by another source, may be required to seek an evaluation and subsequent treatment with a Board-approved treatment provider. To that end, the Board reviews the treatment provider's Application for Good Standing to determine whether the provider meets the requirements set forth in section 4731-16-08, Ohio Administrative Code. A Certificate of Good Standing is subsequently reviewed every three years to determine continued compliance.
List of Approved Assessors
List of Approved Treatment Providers
Certificate of Good Standing as a Treatment Provider for Impaired Physicians
Renewal of Good Standing as a Treatment Provider for Impaired Physicians
The compliance section is responsible for monitoring board licensees who are subject to the terms and conditions set forth in Board Orders or Consent Agreements.
The various forms needed for compliance can be found in the links below.
Alcohol & Drug Rehabilitation Attendance Log
Declaration of Compliance
CME courses for licensees who have been directed by the Board to seek continuing medical education in a specific area
Instructions on How to Submit Specimens
Log of Controlled Substances Prescribed, Administered, Dispensed
Physician Assistant Prescribing Log
List of scheduled Board appearances and probationary office conferences for the current month
board staff liaisons
danielle.bickers@med.state.oh.us
ph: (614) 644-9085
fx: (614) 728-5946
jean.gillman@med.state.oh.us
ph: (614) 728-4641
fx: (614) 728-5946
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