Medical records reviewed from this office showed that an Opioid Prescribing Agreement (OPA) and a Materials Risk Notice (MRN) were completed by the patient and Dr. Joseph Savino in 2016. It was referenced by Susan Bird, PA in 2017. Yet when those items were specifically requested as part of the patient’s medical records, that office reported that “No MRN or OPA available.” Their chart notes cited two drug tests were done. Yet when those drug test results were specifically requested as part of the patient’s medical records, none were sent. Did their office ever get, order, or review any imaging on the patient’s back disorder that they were treating with opioid medications? You would hope so as part of standard of care, yet when ALL imaging they had available was requested, none were sent. They also discriminate against patients that use medical marijuana and claim it violates their opiate contract; the contract that they can’t find in their own records!