Treatment & Compliance Programs

Board Appearances & Probationary Office Conferences


List of scheduled Board appearances for the current month

List of probationary office conferences for the current month

 

Treatment Program


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.

 

If you are interested in obtaining approval from the State Medical Board of Ohio to provide treatment for impaired practitioners in accordance with Section 4731.25, Ohio Revised Code, please complete the application. If you have questions, please contact Alexandra Murray at (614) 466-9304 or at Alexandra.Murray@med.ohio.gov.

 

List of Approved Treatment Providers

A licensee seeking treatment for chemical dependency, either self-identified or identified by another source, shall be required to seek an evaluation and subsequent treatment with a Board-approved treatment provider.

 

List of Chemical Dependency Assessors Available for Fitness to Practice Assesments

These physicians are knowledgeable in the area of addictionology and have otherwise have been approved in advance by the Board to perform chemical dependency evaluations only.

 

List of Psychiatric Assessors

These physicians are knowledgeable in the area of addictionology and have otherwise have been approved in advance by the Board to perform psychiatric return to practice evaluations only.

 

CME Courses for Licensees Who Have Been Directed by the Board to Seek Continuing Medical Education in a Specific Area

Upon identification of the desired course, the licensee must submit a written request for approval of the course, along with the course outline, for Board consideration.

 

Treatment Provider Verification Form

Pursuant to rule 4731-16-09(D), Ohio Administrative Code, a treatment provider approved by the State Medical Board of Ohio shall notify the Board of any changes to the transfer of ownership of the program, change in location or locations of the program, or change of directorship prior to the changes becoming effective. Please be advised that these changes shall result in reevaluation of any certificate of good standing held by the treatment provider. Upon receipt of the information, a determination will be made as to whether a new certificate of good standing should be issued. An on-site inspection may be conducted in the event of a change of program location.

Treatment Provider Verification Form

Compliance Program


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.

Compliance Guidelines are intended to promote consistency in Board-imposed sanctions but are not binding on the Board. The Board recognizes that individual matters present unique sets of circumstances which merit individual consideration by the Board. For the guidelines, click here.

 

Alcohol & Drug Rehabilitation Attendance Log

Licensee shall maintain a participation log in an alcohol and drug rehabilitation program, such as A.A., N.A., C.A., or Caduceus as required by order of the Board. Substitution of any other specific program must receive prior Board approval.

 

Declaration of Compliance

Upon signing the Declaration of Compliance, the licensee is attesting to full compliance with the terms of the Board Order or Consent Agreement. If the licensee is not in full compliance with the Board action, they must indicate the areas of non-compliance on the lines provided (i.e., relapse, missed or late calls to the drug testing program, failure to attend the required amount of alcohol drug rehabilitation meetings, etc.).

 

Log of Controlled Substances Prescribed, Administered, Dispensed

The Log of Controlled Substances is to be used by all licensees who are required by order of the State Medical Board to maintain and periodically submit to the Board records or logs reflecting their utilization of controlled substances. It is essential that you carefully read and comply with the following instructions, since submission of an inaccurate or incomplete log constitutes a violation of probation and may result in revocation of license.

 

Physician Assistant Prescribing Log

The Physician Assistant Prescribing Log is to be used by all Physician Assistants who are required by order of the State Medical Board to maintain and periodically submit to the Board records or logs reflecting their utilization of controlled substances. It is essential that you carefully read and comply with the following instructions, since submission of an inaccurate or incomplete log constitutes a violation of probation, and may result in revocation of license.

 

A - J Licensees


Angela Moore, Compliance Officer for Probationers
a.moore@med.state.oh.us
Phone: (614) 466-7961

 

K - Z Licensees


Annette Jones, Compliance Officer for Probationers
annette.jones@med.state.oh.us
Phone: (614) 728-4641