STEPII

CONSENTAGREEMENT
BETWEEN
NEILA. SALAS,M.D.
AND
THESTATEMEDICALBOARDOFOHIO
ThisConsentAgreementis enteredintobyandbetweenNeilA. Salas, M.D., [Dr. Salas],and the
StateMedicalBoardofOhio [Board], astateagencychargedwithenforcingChapter4731., Ohio
Revised Code.
Dr. Salasentersinto this ConsentAgreementbeingfully informedofhis rightsunderChapter
119., Ohio Revised Code,includingthe rightto representationbycounseland the right to a
formal adjudicativehearingonthe issuesconsideredherein.
BASISFORACTION
ThisConsentAgreementis enteredintoon thebasisofthefollowingstipulations,admissions
andunderstandings:
A. TheBoardis empoweredby Section4731.22(B), OhioRevisedCode, to limit,
revoke, suspendacertificate,refuse to registerorreinstateanapplicant, orreprimand
orplaceonprobationtheholderofacertificateforaviolationofSection
4731.22(B)(26),OhioRevised Code, for"impairmentofabilityto practiceaccording
to acceptableand prevailingstandardsofcarebecauseofhabitual orexcessiveuseor
abuseofdrugs,alcohol,orothersubstancesthatimpairabilityto practice."
B. TheBoardentersintothisConsentAgreementin lieuofformal proceedingsbased
upon theviolationofSection4731.22(B)(26), OhioRevised Code, as setforth in
ParagraphE, below, andexpresslyreservestherightto instituteformal proceedings
baseduponany otherviolationsofChapter4731. oftheRevised Code, whether
occurringbeforeoraftertheeffectivedateofthis ConsentAgreement.
C. Dr. Salas is seekingreinstatementofhis trainingcertificate,licensenumber
57.018706,whichwas indefinitelysuspended,pursuanttotheStepIConsent
AgreementBetweenNeil A. Salas,M.D. andthe StateMedical BoardofOhio[April
2011 StepIConsentAgreement],effectiveApril 15,2011, acopyofwhichis
attachedheretoand incorporatedherein.
D. Dr. Salasstatesthathe does notholdatrainingcertificateand is notlicensedto
practiceinanyotherstateorjurisdiction.
STEPII CONSENTAGREEMENT
NEILA. SALAS, M.D.
PAGE2
E. Dr. Salasadmitsthat, followingaBoard-ordered72 hourexaminationthatresulted in
adeterminationthathe wasimpaired, Dr. Salasentered residentialtreatmentfor
chemicaldependencyatGlenbeighHospital,aBoard-approvedtreatmentprovider,on
oraboutApril 5, 2011. Hewasdischarged,treatmentcomplete,onoraboutMay 3,
2011.
Dr. Salasstates,andtheBoardacknowledgesreceiptofinformationto support,that
he is incompliancewiththeaftercarecontractthathe enteredintowithGlenbeigh
Hospital,aBoard-approvedtreatmentprovider,onoraboutMay2, 2011. Dr. Salas
admitsthatsuchaftercarecontractremains in effectto date.
Dr. Salasstates,andtheBoardacknowledgesreceiptofinformationto support,that
ChristopherAdelman,M.D., aphysicianandaddictionologistatGlenbeighHospital,
providedawrittenreportindicatingthatDr. Salas'sabilitytopracticehas been
assessedandthathe hasbeenfound capableofpracticingmedicineaccordingto
acceptableandprevailingstandardsofcare. Dr. Salasstates, andtheBoard
acknowledgesreceiptofinformationto support,thatGregoryCollins,M.D., a
physiciancertifiedin addictionmedicinewhohasbeenapprovedbytheBoardto
provideanassessmentofDr. Salas,providedawrittenreportindicatingthatDr.
Salas'sabilityto practicehas beenassessedandthathe has beenfound capableof
practicingmedicineaccordingto acceptableandprevailingstandardsofcare, so long
ashe follows all ofhisconsentagreementsandhis continuingcarecontracts.
Dr. Salasstates,andthe Boardacknowledgesreceiptofinformationto support,that
Dr. Salashassubstantiallyfulfilled theconditionsfor reinstatementofhis certificate
to practicemedicineandsurgeryinthe StateofOhio,asestablishedin theabove-
referencedApril2011 StepIConsentAgreementbetweenDr. SalasandtheBoard.
AGREED CONDITIONS
Wherefore, inconsiderationoftheforegoing andmutualpromiseshereinaftersetforth, and in
lieuofanyformal proceedingsatthistime, the trainingcertificateofDr. Salasin the Stateof
Ohioshall beREINSTATED,andDr. Salasknowinglyand voluntarilyagreeswiththeBoardto
thefollowing PROBATIONARYterms,conditionsandlimitations:
1. Dr. Salasshall obeyall federal, state, andlocal laws, andall rules governingthe
practiceofmedicineinOhio.
2. Dr. SalasshallsubmitquarterlydeclarationsunderpenaltyofBoarddisciplinary
actionand/orcriminalprosecution,statingwhethertherehasbeencompliancewithall
theconditionsofthisConsentAgreement. Thefirstquarterlydeclarationmustbe
receivedintheBoard'sofficesonthedatehis quarterlydeclarationwouldhavebeen
due pursuantto his April2011 ConsentAgreementwiththe Board,orasotherwise
STEP II CONSENTAGREEMENT
NEILA. SALAS, M.D.
PAGE3
requestedbytheBoard. Subsequentquarterlydeclarationsmustbereceivedinthe
Board'sofficesonorbeforethefirstdayofeverythirdmonth.
3. Dr. Salasshallappearinpersonfor aninterviewbeforethefull Boardorits
designatedrepresentative. Thefirstsuchappearanceshalltakeplaceonthedatehis
appearancewouldhavebeenscheduledpursuantto hisApril2011 StepIConsent
AgreementwiththeBoard. Subsequentpersonalappearancesmustoccureverythree
monthsthereafter,and/oras otherwiserequestedbytheBoard. Ifanappearanceis
missedoris rescheduledforany reason,ensuingappearancesshall bescheduled
based ontheappearancedateasoriginallyscheduled.
4. Dr. SalasshallobtainpermissionfromtheBoardfordeparturesorabsencesfrom
Ohio. Suchperiodsofabsenceshallnotreducetheprobationaryterm, unless
otherwisedeterminedbymotionoftheBoardforabsencesofthreemonthsorlonger,
orby the Secretaryorthe SupervisingMemberoftheBoardfor absencesoflessthan
threemonths, ininstanceswheretheBoardcanbe assuredthatprobationary
monitoringis otherwisebeingperformed. Further,the Secretaryand Supervising
MemberoftheBoardshallhavethediscretionto grantawaiverofpartorall ofthe
probationarytermssetforth inthisConsentAgreementfor occasionalperiodsof
absenceoffourteendaysorless. In theeventthatDr. Salasresidesand/oris
employedatalocationthatis withinfifty milesofthe geographicborderofOhioand
anyofitscontiguousstates,Dr. SalasmaytravelbetweenOhio andthatcontiguous
statewithoutseekingpriorapprovalofthe SecretaryorSupervisingMemberprovided
thatDr. Salasis ableto otherwisemaintainfull compliancewithall otherterms,
conditionsand limitationssetforth inthisConsentAgreement.
5. IntheeventDr. Salasisfound bythe SecretaryoftheBoardto havefailed to comply
withanyprovisionofthisConsentAgreement, and is so notifiedofthatdeficiencyin
writing, suchperiod(s)ofnoncompliancewillnotapplyto thereductionofthe
probationaryperiodunderthisConsentAgreement.
MONITORINGOFREHABILITATIONAND TREATMENT
DrugAssociatedRestrictions
6. Dr. Salasshallkeepalogofallcontrolledsubstancesprescribed. Suchlogshall be
submitted,intheformatapproved bytheBoard,onthedateuponwhichDr. Salas's
quarterlydeclarationisdue, oras otherwisedirectedbytheBoard. Further,Dr. Salas
shallmakehispatientrecordswithregard to suchprescribingavailablefor reviewby
anagentoftheBoardimmediatelyuponrequest.
7. Dr. Salasshall not, withoutpriorBoardapproval,administer,personallyfurnish, or
possess(exceptas allowedunderParagraph8below) anycontrolledsubstancesas
definedbystateorfederal law. IntheeventthattheBoardagreesatafuture dateto
STEPII CONSENTAGREEMENT
NEILA. SALAS,M.D.
PAGE4
modifythisConsentAgreementto allowDr. Salasto administerorpersonallyfurnish
controlledsubstances,Dr. Salasshallkeepalogofallcontrolledsubstances
prescribed,administeredorpersonallyfurnished. Suchlogshallbe submittedinthe
formatapprovedby theBoardand shallbesubmittedto theBoardnolaterthanthe
dateuponwhichDr. Salas'squarterlydeclarationis due,oras otherwisedirectedby
theBoard. Further,Dr. Salasshallmakehispatientrecordswithregard to such
prescribing,administering,orpersonallyfurnishingavailablefor reviewby anagent
oftheBoardimmediatelyuponrequest.
Sobriety
8. Dr. Salasshallabstaincompletelyfromthepersonaluseorpersonalpossessionof
drugs,exceptthoseprescribed,dispensedoradministeredtohimby anotherso
authorized by lawwhohasfull knowledgeofDr. Salas'shistoryofchemical
dependency. Further,intheeventthatDr. Salasis soprescribed,dispensedor
administeredanycontrolledsubstance,carisoprodol,ortramadol,Dr. Salasshall
notifytheBoardinwritingwithinsevendays,providingtheBoardwiththeidentityof
theprescriber;thenameofthedrugDr. Salasreceived;themedicalpurposefor which
he receivedsaiddrug; thedatesuchdrugwasinitiallyreceived; andthedosage,
amount,numberofrefills,and directionsfor use. Further,withinthirtydaysofthe
date saiddrugis soprescribed,dispensed,oradministeredto him,Dr. Salasshall
providetheBoardwitheitheracopyofthewrittenprescriptionorotherwritten
verificationfromtheprescriber,includingthedosage, amount,numberofrefills,and
directionsfor use.
9. Dr. Salasshall abstaincompletelyfrom the useofalcohol.
Drug and Alcohol ScreenslDrug Testing Facility and Collection Site
10. Dr. Salasshallsubmittorandomurine screeningsfor drugsand alcoholatleasttwo
timespermonth,orasotherwisedirected by theBoard. Dr. Salasshallensurethatall
screeningreportsare forwarded directlyto theBoardonaquarterlybasis. Thedrug
testingpanelutilized mustbe acceptabletotheSecretaryoftheBoard,and shall
includeDr. Salas'sdrug(s)ofchoice.
Dr. Salasshall abstainfrom the useofanysubstanceand theconsumptionofpoppy
seedsoranyotherfood orliquidthatmayproducealowlevelpositiveresultina
toxicologyscreen. Dr. Salasacknowledgesthathe understandsthatthe consumption
oruseofsuchsubstances, includingbutnotlimitedtosubstancessuchas mouthwash
orhandcleaninggel, maycauseapositivedrugscreenthatmaynotbe able to be
differentiatedfrom intentionalingestion,and thereforesuchconsumptionoruse is
prohibitedunderthisConsentAgreement.
STEP II CONSENT AGREEMENT
NEIL A. SALAS, M.D.
PAGE 5
All such urine screenings for drugs and alcohol shall be conducted through a Board-
approved drug testing facility and collection site pursuant to the global contract
between said facility and the Board, that provides for the Board to maintain ultimate
control over the urine screening process and to preserve the confidentiality of all
positive screening results in accordance with Section 4731.22(F)(5), Ohio Revised
Code, and the screening process shall require a daily call-in procedure. Further, in the
event that the Board exercises its discretion, as provided in Paragraph 11 below, to
approve urine screenings to be conducted at an alternative drug testing facility and/or
collection site or a supervising physician, such approval shall be expressly contingent
upon the Board retaining ultimate control over the urine screening process in a
manner that preserves the aforementioned confidentiality of all positive screening
results.
Dr. Salas shall submit, at his expense and on the day selected, urine specimens for
drug and/or alcohol analysis. All specimens submitted by Dr. Salas shall be negative,
except for those substances prescribed, administered, or dispensed to him in
conformance with the terms, conditions and limitations set forth in this Consent
Agreement. Refusal to submit such specimen, or failure to submit such specimen on
the day he is selected or in such manner as the Board may request, shall constitute a
violation of this Consent Agreement.
Further, within thirty days of the effective date of this Consent Agreement, Dr. Salas
shall enter into the necessary financial and/or contractual arrangements with the
Board-approved drug testing facility and/or collection site in order to facilitate the
urine screening process in the manner required by this Consent Agreement. Further,
Dr. Salas shall promptly provide to the Board written documentation of completion of
such arrangements, including a copy of any contract entered into between Dr. Salas
and the Board-approved drug testing facility and/or collection site. Dr. Salas's failure
to timely complete such arrangements, or failure to timely provide written
documentation to the Board of completion of such arrangements, shall constitute a
violation of this Consent Agreement. However, Dr. Salas and the Board further agree
that in the event Dr. Salas previously entered into the aforementioned financial and
contractual agreements pursuant to the requirements of a prior consent agreement
with the Board under which Dr. Salas is currently participating in an ongoing urine
screening process, then this requirement shall be waived under the instant consent
agreement.
Dr. Salas shall ensure that the urine screening process performed through the Board-
approved drug testing facility and/or collection site requires a daily call-in procedure;
that the urine specimens are obtained on a random basis; and that the giving of the
specimen is witnessed by a reliable person. In addition, Dr. Salas and the Board-
approved drug testing facility and collection site shall assure that appropriate control
over the specimen is maintained and shall immediately inform the Board of any
positive screening results.
STEPII CONSENTAGREEMENT
NEILA. SALAS, M.D.
PAGE6
Dr. Salasshall ensurethattheBoard-approveddrugtestingfacility and/orcollection
siteprovidesquarterlyreportsto theBoard,in aformatacceptableto theBoard,
verifYingwhetherall urinescreenshavebeenconductedincompliancewiththis
ConsentAgreement,andwhetherall urinescreenshavebeennegative.
In theeventthattheBoard-approveddrug testingfacility and/orcollectionsite
becomesunableorunwillingto serveas requiredby thisConsentAgreement,Dr.
SalasmustimmediatelynotifYtheBoardin writing,and makearrangements
acceptableto theBoardpursuantto Paragraph 11 below,as soonaspracticable. Dr.
SalasshallfurtherensurethattheBoard-approveddrugtestingfacility and/or
collectionsitealso notifiestheBoarddirectlyofitsinabilityto continueto serveand
thereasonstherefore.
Dr. SalasacknowledgesthattheBoardexpresslyreservestherightto withdrawits
approval ofanydrugtestingfacility and/orcollectionsiteintheeventthatthe
Secretaryand SupervisingMemberoftheBoarddeterminethatthedrugtesting
facilityand/orcollectionsitehas demonstratedalackofcooperationinproviding
informationto theBoardorfor anyotherreason.
11. Dr. Salasand the Boardagreethatitis the intentofthis ConsentAgreementthatDr.
Salasshall submithis urinespecimensto the Board-approveddrugtestingfacility and
collectionsitechosenby theBoard. However, in theeventthatutilizingsaid Board-
approveddrugtestingfacility and/orcollectionsitecreatesanextraordinaryhardship
uponDr. Salas,asdetermined in thesolediscretionoftheBoard,thensubjectto the
following requirements,theBoardmayapprovean alternatedrugtestingfacility
and/orcollectionsite,orasupervisingphysician,to facilitate the urinescreening
processfor Dr. Salas:
a. Withinthirtydays ofthedateuponwhichDr. SalasisnotifiedoftheBoard's
determinationthatutilizingtheBoard-approveddrugtestingfacilityand/or
collectionsiteconstitutesanextraordinaryhardshipuponDr. Salas,heshall
submitto the Boardinwritingforitspriorapproval the identityofeitheran
alternatedrugtestingfacility and collectionsite,orthe nameofaproposed
supervisingphysician, to whomDr. Salasshall submittherequired urine
specimens. Inapprovingafacility, entity,oran individualto servein this
capacity,theBoardwillgivepreferenceto afacilitylocated nearDr. Salas's
residenceoremploymentlocation, orto aphysicianwhopracticesin thesame
localeasDr. Salas. Dr. Salasshall ensurethatthe urinescreeningprocess
performedthroughthealternatedrugtestingfacilityand/orcollectionsite, or
throughthesupervisingphysician,requiresadailycall-inprocedure;thatthe
urinespecimensareobtainedonarandombasis; and thatthegivingofthe
specimenis witnessedbyareliableperson. In addition, Dr. Salasacknowledges
thatthe alternatedrugtestingfacility andcollectionsite, orthesupervising
STEPII CONSENTAGREEMENT
NEILA. SALAS, M.D.
PAGE7
physician,shallassurethatappropriatecontroloverthespecimenis maintained
and shall immediatelyinformtheBoardofanypositivescreeningresults.
b. Dr. Salasshall ensurethatthe alternatedrugtestingfacilityand/orcollection
site, orthesupervisingphysician, providesquarterlyreportsto theBoard,ina
formatacceptableto theBoard,verifyingwhetherall urinescreenshavebeen
conductedin compliancewiththisConsentAgreement, and whetherallurine
screenshavebeennegative.
c. In theeventthatthedesignatedalternatedrugtestingfacilityand/orcollection
site, orthesupervisingphysician,becomesunableorunwillingto so serve, Dr.
SalasmustimmediatelynotifytheBoardinwriting. Dr. Salasshall further
ensurethatthe previouslydesignatedalternatedrugtestingfacilityand
collectionsite,orthesupervisingphysician,alsonotifiestheBoarddirectlyof
theinabilityto continueto serveand thereasonstherefore. Further,in orderto
ensurethattherewill be no interruptionin his urinescreeningprocess, uponthe
previouslyapprovedalternatedrugtestingfacility, collectionsite, orsupervising
physicianbecomingunableto serve, Dr. Salasshall immediatelycommence
urinescreeningattheBoard-approveddrugtestingfacility and collectionsite
chosenbytheBoard, until suchtime, ifany,that theBoardapprovesa
subsequentalternatedrugtestingfacility, collectionsite,orsupervising
physician,ifrequestedby Dr. Salas.
d. TheBoardexpresslyreservestherightto disapproveanyentityorfacility
proposedto serveas Dr. Salas'sdesignatedalternatedrugtestingfacilityand/or
collectionsite,oranypersonproposedto serveas hissupervisingphysician,or
to withdrawapproval ofanyentity, facility orpersonpreviouslyapprovedto so
serveintheeventthattheSecretaryand SupervisingMemberoftheBoard
determinethatanysuchentity, facility orpersonhas demonstratedalackof
cooperationinprovidinginformationto theBoardorforanyotherreason.
e. IntheeventthattheBoardapprovedan alternatedrugtestingfacilityand/or
collectionsite,orasupervisingphysician,pursuantto theApril 2011 StepI
ConsentAgreementbetweenDr. Salasandthe Board, Dr. SalasandtheBoard
agreethattheentity,facility orpersonpreviouslyapprovedbythe Boardto so
servepursuantto theApril2011 StepIConsentAgreementis herebyapproved
to continueas Dr. Salas'sdesignatedalternatedrugtestingfacilityand
collectionsiteorashissupervisingphysicianunderthisConsentAgreement.
12. All screeningreportsrequiredunderthisConsentAgreementfrom theBoard-
approveddrugtestingfacilityand/orcollectionsite, orfrom thealternatedrugtesting
facilityand/orcollectionsiteorsupervisingphysician,mustbereceived in the
Board'sofficesno laterthanthe duedatefor Dr. Salas'squarterlydeclaration. It is
Dr. Salas'sresponsibilityto ensurethatreportsaretimelysubmitted.
STEP II CONSENTAGREEMENT
NEILA. SALAS,M.D.
PAGE8
13. TheBoardretainstherightto require, and Dr. Salasagreesto submit, blood, urine,
breath,salivaand/orhairspecimensfor screeningfordrugsandalcohol, for analysis
oftherapeuticlevelsofmedicationsthatmaybeprescribedfor Dr. Salas,orfor any
otherpurpose,atDr. Salas'sexpenseupontheBoard'srequestandwithoutprior
notice. Dr. Salas'srefusalto submitaspecimenuponrequestoftheBoardshall result
in aminimumofoneyearofactual licensesuspension. Further,thecollectionofsuch
specimensshallbewitnessedbyarepresentativeoftheBoard,oranotherperson
acceptableto the SecretaryorSupervisingMemberoftheBoard.
Monitoring Physician
14. Beforeengaginginanymedicalpractice,Dr. Salasshall submittotheBoardin
writingthenameandcurriculumvitaeofamonitoringphysicianforpriorwritten
approval by theSecretaryorSupervisingMemberoftheBoard. Inapprovingan
individualto serveinthiscapacity,the Secretaryand SupervisingMemberwill give
preferenceto aphysicianwhopracticesinthesamelocaleas Dr. Salasand who is
engagedinthesameorsimilarpracticespecialty.
ThemonitoringphysicianshallmonitorDr. Salasandhismedicalpractice,and shall
reviewDr. Salas'spatientcharts. Thechartreviewmaybedoneonarandombasis,
withthefrequencyandnumberofchartsreviewedto bedeterminedby theBoard.
Further,themonitoringphysicianshallprovidetheBoardwithreportsonthe
monitoringofDr. Salasand his medicalpractice,andonthe reviewofDr. Salas's
patientcharts. Dr. Salasshall ensurethatthe reportsareforwarded to theBoardona
quarterlybasisand arereceived in theBoard'sofficesno laterthantheduedatefor
Dr. Salas'squarterlydeclaration.
Intheeventthatthedesignatedmonitoringphysicianbecomesunableorunwillingto
serveinthiscapacity, Dr. Salasmustimmediatelyso notifytheBoardinwriting. In
addition, Dr. Salasshall makearrangementsacceptableto theBoardforanother
monitoringphysicianwithinthirtydaysafterthepreviouslydesignatedmonitoring
physicianbecomesunableorunwillingtoserve, unlessotherwisedetermined by the
Board. Furthermore,Dr. Salasshall ensurethat thepreviouslydesignatedmonitoring
physicianalso notifiestheBoarddirectlyofhis orherinabilityto continueto serve
and the reasons therefore.
While Dr. Salasparticipates inaresidencyprogramaccreditedby theACGMEor
AOA, the Boardshall acceptaquarterlystatementfrom thedirectorofDr. Salas's
residencyprogram,oralternatively,from theattendingphysicianspecifically
designated bytheresidencydirectoras thepersonhavingresponsibilityto directly
overseeDr. Salas'sclinical rotations,addressingDr. Salas'sperformance(clinicaland
otherwise)intheresidencyprogram,aswell as hisprogressandstatus,iftimely
submitted,as satisfactionoftherequirementsofthisparagraph. ShouldDr. Salas
STEP II CONSENTAGREEMENT
NEILA. SALAS, M.D.
PAGE9
desireto utilizethisoptionin lieuofhavingamonitoringphysicianwhilehe
participatesinaresidencyprogram,Dr. Salasshallso notifytheBoardbyprovidinga
writing, signedby bothhimselfand hisresidencydirector,and, ifapplicable,bythe
attendingphysicianspecificallydesignatedby theresidencydirectoras theperson
havingresponsibilityto directlyoverseeDr. Salas'sclinicalrotations,to theBoard
beforeparticipatingin theresidencyprogram. Further,shouldDr. Salascease
participationinanaccredited residencyorshouldheobtainfull medical licensurein
Ohioanddesireto practiceoutsidehisresidency, orshouldhisresidencydirectoror
thedesignatedattendingphysicianbecomeunableorunwillingto serve, Dr. Salas
mustimmediatelyso notifytheBoardinwritingand withinthirtydays make
arrangementsforamonitoringphysician,asdiscussedabove.
Allresidencydirectorreportsrequired underthisparagraphmustbereceived inthe
Board'sofficesno laterthantheduedatefor Dr. Salas'squarterlydeclaration. It is
Dr. Salas'sresponsibilityto ensurethatreportsare timelysubmitted.
TheBoardexpresslyreservestherightto disapproveany personproposedto
serveas Dr. Salas'sdesignated monitoringphysician,orto withdrawapproval
ofanypersonpreviouslyapprovedto serveas Dr. Salas'sdesignatedmonitoring
physician, in theeventthattheSecretaryand SupervisingMemberofthe Board
determinethatanysuchmonitoringphysicianhasdemonstratedalackof
cooperationinprovidinginformationto theBoardorforanyotherreason.
Rehabilitation Program
15. Dr. Salasshall maintainparticipationinanalcoholanddrugrehabilitationprogram,
suchas A.A.,N.A.,C.A.,orCaduceus, no lessthanthreetimesperweek.
SubstitutionofanyotherspecificprogrammustreceivepriorBoardapproval.
Dr. Salasshallsubmitacceptabledocumentaryevidenceofcontinuingcompliance
withthis program, includingsubmissionto theBoardofmeetingattendancelogs,
whichmustbereceived inthe Board'sofficesno laterthantheduedatefor Dr.
Salas'squarterlydeclarations.
Aftercare
16. Dr. Salasshallcontactanappropriateimpairedphysicianscommittee,approved by
theBoard,to arrangeforassistanceinrecoveryoraftercare.
17. Dr. Salasshallmaintaincontinuedcompliancewiththetermsoftheaftercarecontract
enteredintowithaBoard-approvedtreatmentprovider,providedthat, wheretermsof
the aftercarecontractconflictwithtermsofthisConsentAgreement, thetermsofthis
ConsentAgreementshallcontrol.
STEPII CONSENTAGREEMENT
NEILA. SALAS, M.D.
PAGE 10
Releases
18. Dr. Salasshallprovideauthorization,throughappropriatewrittenconsentforms, for
disclosureofevaluativereports, summaries,and records, ofwhatevernature,byany
and all partiesthatprovidetreatmentorevaluationforDr. Salas'schemical
dependencyorrelatedconditions,orforpurposesofcomplyingwiththis Consent
Agreement,whethersuchtreatmentorevaluationoccurredbeforeorafterthe
effectivedateofthis ConsentAgreement. Totheextentpermittedby law,theabove-
mentionedevaluativereports, summaries,andrecordsareconsideredmedical records
for purposesofSection 149.43 oftheOhioRevisedCodeandareconfidential
pursuantto statute. Dr. Salasfurtheragreesto providethe Boardwrittenconsent
permittinganytreatmentproviderfrom whomheobtainstreatmentto notifythe
Board in theeventhe fails to agreeto orcomplywithanytreatmentcontractor
aftercarecontract. Failureto providesuchconsent,orrevocationofsuch consent,
shallconstituteaviolationofthis ConsentAgreement.
RequiredReportingbyLicensee
19. Withinthirtydaysoftheeffectivedateofthis ConsentAgreement, Dr. Salasshall
provideacopyofthisConsentAgreementto allemployersorentitieswithwhichhe
is undercontractto providehealthcareservices(includingbutnotlimitedto third
partypayors)oris receivingtraining, and theChiefofStaffateachhospital wherehe
has privilegesorappointments. Further,Dr. Salasshallpromptlyprovideacopyof
this ConsentAgreementto all employersorentitieswithwhichhe contractsto
providehealthcareservices,orapplies for orreceivestraining,andtheChiefofStaff
ateachhospitalwhereheappliesfororobtainsprivilegesorappointments. Inthe
eventthatDr. Salasprovidesanyhealthcareservicesorhealthcaredirectionor
medicaloversightto anyemergencymedicalservicesorganizationoremergency
medical servicesprovider,withinthirtydays oftheeffectivedateofthis Consent
AgreementDr. Salasshallprovideacopyofthis ConsentAgreementto theOhio
DepartmentofPublicSafety, Divisionof EmergencyMedicalServices. Further,Dr.
SalasshallprovidetheBoardwithoneofthefollowingdocumentsas proofofeach
requirednotificationwithinthirtydaysofthedateofeachsuchnotification: (l)the
returnreceiptofcertifiedmailwithinthirtydays ofreceivingthatreturnreceipt, (2)an
acknowledgementofdeliverybearingtheoriginalink signatureofthepersonto
whomacopyoftheConsentAgreementwashanddelivered,(3) theoriginal
facsimile-generatedreportconfirmingsuccessfultransmissionofacopyofthe
ConsentAgreementto thepersonorentityto whomacopyoftheConsentAgreement
wasfaxed, or(4) anoriginalcomputer-generatedprintoutof electronicmail
communicationdocumentingthe emailtransmissionofacopyoftheConsent
Agreementto thepersonorentityto whomacopyoftheConsentAgreementwas
emailed.
STEPII CONSENTAGREEMENT
NEILA. SALAS, M.D.
PAGE 11
20. Withinthirtydays oftheeffectivedateofthisConsentAgreement, Dr. Salasshall
provideacopyofthisConsentAgreementto theproperlicensingauthorityofany
stateorjurisdictionin whichhecurrentlyholdsanyprofessionallicense,as well as
anyfederal agencyorentity, includingbutnotlimitedto theDrugEnforcement
Agency,throughwhichhe currentlyholdsanylicenseorcertificate. Dr. Salasfurther
agreesto provideacopyofthisConsentAgreementattimeofapplicationto the
properlicensingauthorityofanystateinwhichheappliesforanyprofessionallicense
orfor reinstatementofanyprofessionallicense. Further,Dr. Salasshallprovidethe
Boardwithoneofthefollowing documentsasproofofeachrequirednotification
withinthirtydays ofthedateofeachsuchnotification: (l)thereturnreceiptof
certifiedmailwithinthirtydays ofreceivingthatreturnreceipt, (2) an
acknowledgementofdeliverybearingthe originalinksignatureofthepersonto
whomacopyofthe ConsentAgreementwas handdelivered, (3)theoriginal
facsimile-generatedreportconfirmingsuccessfultransmissionofacopyofthe
ConsentAgreementto thepersonorentitytowhomacopyoftheConsentAgreement
was faxed, or(4) anoriginalcomputer-generatedprintoutofelectronicmail
communicationdocumentingtheemailtransmissionofacopyoftheConsent
Agreementto thepersonorentitytowhomacopyoftheConsentAgreementwas
emailed.
21. Dr. SalasshallpromptlyprovideacopyofthisConsentAgreementto allpersonsand
entitiesthatprovideDr. Salaschemicaldependencytreatmentormonitoring. Further,
Dr. SalasshallprovidetheBoardwithoneofthefollowing documentsasproofof
eachrequirednotificationwithinthirtydays ofthe dateofeachsuchnotification: (l)
thereturnreceiptofcertifiedmailwithinthirtydays ofreceivingthatreturnreceipt,
(2)anacknowledgementofdeliverybearingthe original inksignatureofthepersonto
whomacopyoftheConsentAgreementwashanddelivered, (3)theoriginal
facsimile-generated reportconfirmingsuccessfultransmissionofacopyofthe
ConsentAgreementto thepersonorentityto whomacopyoftheConsentAgreement
was faxed, or(4)anoriginalcomputer-generatedprintoutofelectronicmail
communicationdocumentingtheemailtransmissionofacopyoftheConsent
Agreementto thepersonorentityto whomacopyoftheConsentAgreementwas
emailed.
22. Dr. SalasshallnotifytheBoardinwritingofanychangeofprincipalpracticeaddress
orresidenceaddresswithinthirtydays ofsuchchange.
FAILURE TO COMPLY
If, inthediscretionofthe Secretaryand SupervisingMemberoftheBoard,Dr. Salasappearsto
haveviolatedorbreachedanytermorconditionofthisConsentAgreement,theBoardreserves
therightto instituteformal disciplinaryproceedingsfor anyand allpossibleviolationsor
breaches, including, butnotlimitedto, allegedviolationsofthe lawsofOhiooccurringbefore
theeffectivedate ofthis ConsentAgreement.
STEPIICONSENTAGREEMENT
NEILA. SALAS,M.D.
PAGE 12
Ifthe Secretaryand SupervisingMemberoftheBoarddeterminethat there isclearand
convincingevidencethatDr. Salashasviolatedany term,conditionorlimitationofthisConsent
Agreement, Dr. Salasagreesthattheviolation,as alleged, alsoconstitutesclearandconvincing
evidencethathiscontinuedpracticepresentsadangerofimmediateandseriousharmto the
publicfor purposesofinitiatingasummarysuspensionpursuantto Section4731.22(0),Ohio
RevisedCode.
DURATIONIMODIFICATION OF TERMS
Dr. Salasshall notrequestterminationofthisConsentAgreementfor aminimumoffive years.
Inaddition, Dr. Salasshall notrequestmodificationto theprobationaryterms, limitations,and
conditionscontainedhereinfor at leastoneyear, exceptthatDr. Salasmay makesuchrequest
withthe mutual approvalandjointrecommendationofthe SecretaryandSupervisingMember.
Otherwise,theabove-described terms, limitationsandconditionsmay be amendedorterminated
inwritingatany timeupontheagreementofbothparties.
Further,allsubsequenttrainingcertificatesand/oranyothercertificatethatmaybegrantedby the
Boardto Dr. Salasshallbesubjectto the sameprobationaryterms, limitationsandconditions,
unlessotherwisedeterminedbytheBoard, untilDr. Salashascompletedatleastafive year
probationaryperiodwiththeBoard.
IntheeventthattheBoardinitiatesfuture formal proceedingsagainstDr. Salas,includingbutnot
limitedto issuanceofaNoticeofOpportunityfor Hearing,thisConsentAgreementshall
continueinfull force andeffectuntilsuchtimethatit is supersededby ratificationbytheBoard
ofasubsequentConsentAgreementorissuancebytheBoardofafinal BoardOrder.
Intheeventthatanyterm, limitation,orconditioncontainedin thisConsentAgreementis
determinedto be invalidbyacourtofcompetentjurisdiction,Dr. SalasandtheBoardagreethat
all otherterms, limitations,andconditionscontainedinthisConsentAgreementshall be
unaffected.
ACKNOWLEDGMENTSILIABILITY RELEASE
Dr. Salasacknowledgesthathehashadanopportunityto askquestionsconcerningthetermsof
thisConsentAgreementandthatall questionsasked havebeenansweredinasatisfactory
manner.
AnyactioninitiatedbytheBoardbasedon allegedviolationsofthisConsentAgreementshall
complywith the AdministrativeProcedureAct, Chapter 119.,OhioRevisedCode.
Dr. SalasherebyreleasestheBoard,itsmembers,employees,agents, officersand representatives
jointlyandseverallyfrom anyandall liabilityarisingfrom thewithinmatter.
STEP II CONSENT AGREEMENT
NEIL A. SALAS, M.D.
PAGE I3
This Consent Agreement shall be considered a public record as that term is used in Section
149.43, Ohio Revised Code. Further, this information may be reported to appropriate
organizations, data banks and governmental bodies. Dr. Salas acknowledges that his social
security number will be used if this information is so reported and agrees to provide his social
security number to the Board for such purposes.
EFFECTIVE DATE
It is expressly understood that this Consent Agreement is subject to ratification by the Board
prior to signature by the Secretary and Supervising Member and shall become effective upon the
/1c::......>., _
Latl2 r"
LANCE A. TALMAGE, M.D.

Secretary
r I
DATE DATE

b'1 c..e.c..cht--i 1.ct; UY\ C. AMATO
g Supervising MembO
q; .2011
DATE

POKORNY
Enforcement Attorney
614 728 5946 P.02
OHIO MEDICAL BOARD
APR-12-2011 14:17
',", '
. ,
STEPI
CONSENTAGREEMENT
BETWEEN
NEILA. SALAS,M.D.,
AND
THESTATEMEDICALBOARDOFOHIO
ThisConsentAgreementisenteredinto byandbetweenNeilA. Salas,M,D., [Dr. Salas],andthe
StateMedicalBoardofOhio [Board], astateagencychargedwithenforcingChapter4731.,Ohio
RevisedCode.
Dr. Salasentersinto this ConsentAgreementbeingfully infonnedofhisrightsunderChapter119.,
OhioRevisedCode,includingtherightto representationbycounselandthe to afonnal
adjudicativehearingontheissuesconsideredherein. .
BASISFORACTION
ThisConsentAgreementis enteredintoonthebasisofthefollowing stipulati()ns, admissionsand
understandings:
A. TheBoardis empoweredbySection4731.22(B),OhioRevisedCode,tolimit,revoke,
suspendacertificate,refuseto registerorreinstateanapplicant, orreprimandorplaceon
probationtheholderofacertificatefor violationofSection4731.22(B)(26),Ohio
RevisedCode,for "impairmentofabilitytopracticeaccordingto acceptableand
prevailingstandardsofcarebecauseofhabitual orexcessiveuseorabuseofdrugs,
alcohol, orothersubstancesthatimpairabilitytopractice."
B. TheBoardentersintothisConsentAgreementinlieuofformal basedupon
theviolationofSection4731.22(B)(26),OhioRevisedCode,asset:forthinParagraphE
below, andexpresslyreservestherighttoinstituteformal proceedingsbaseduponany
otherviolationsofChapter4731. oftheRevisedCode,whetheroccurringbeforeor after
theeffectivedateof thisAgreement.
C. Dr. SalasholdsatrainingcertificateintheStateofOhio,Licensenumber57.018706.
D. Dr. Salasstatesthathe is notlicensedtotrainorto practicemedicineinanyotherstate
orjurisdiction.
E. Dr. Salasstatesthat, inoraroWld April2010,hesubmittedtotheBoardanApplication
forTrainingCertificate[Application]. Dr. Salasfurtherstatesthat, inhisapplicationand
infurtherdocumentationsubsequentlysubmittedtotheBoard,headmittedthathe had
beenconvictedofatleastthreealcohol-relatedoffenses.
514 728 5945 P.03
APR-12-2011 14:17
OHIO MEDICAL BOARD
STEP ICONSENTAGREEMENT
NEILA. SALAS) M.D.
PAGE2
Basedupontheseadmissionsandtheadditionaldocumentationobtained,inaletter
datedMarch3,2011) theBoardorderedDr. Salastobeexaminedbyhealthcare
personnelatGlenbeighHospital,aBoardapprovedtreatmentprovider. Dr. Salas'
examinationwasscheduledtobeginonApril5, 2011. Dr, Salasstates,andtheBoard .' .
, J.
acknowledgesreceiptofinformationtosupport,thatheappearedfortheexaminationon
April5, 2011,andwasexaminedbypersonnelatGlenbeighHospital.
Dr. Salasadmitsthatheisimpairedinhisabilitytotrain/practiceaccordingtoacceptable
andprevailingstandardsofcarebecauseofthehabitualorexcessiveuseorabuseof
alcohoL Dr. Salasspecificallyatteststhathenevertreatedpatientswhileunderthe
..'
influenceofalcohol, andexpresslydeniesthathischemicalabuse;involvedany
substancesotherthanalcohol. Dr. Salasfurther admitsthathehasoptedto remainat
, , ,
Glenbeightocompleteinpatienttreatmentforhisalcoholabuse, andthathistreatment
,I, "c.:
remainsongoingatthis time.
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AGREEDCONDITIONS

Wherefore,inconsiderationoftheforegoingandmutualpromiseshereinafter:setforth, andinlieu
ofanyformal proceedingsatthistime,Dr. SalasknowinglyandvoluntarilyagreeswiththeBoardto
thefollowingterms,conditionsandlimitations:
SUSPENSIONOFCERTIFICATE

".1 .,
.<).' ';"
: <:.:'(
I, ThetrainingcertificateofDr. SalasintheStateofOhioshallbeSUSPENDEDforan
indefiniteperiodoftime. .:.
;" ,\' .
. .
Obeyall Laws
2, Dr. Salasshallobeyallfederal, state, andlocallaws.
Sobriety
3. Dr. Salasshallabstaincompletelyfromthepersonaluse orpersonalpossessionof drugs,
, "e 'I,;
exceptthoseprescribed,dispensedoradministeredtohimbyanothersoauthorizedby

lawwhohasfull 'knowledgeofDr.Salas' historyofchemicalabuseordependency.
,I" .
, .'
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Further, intheeventthatDr. Salasis soprescribed,dispensedoradministeredany
. ,,'
controlledsubstance,carisoprodol,ortramadol,Dr, SalasshallnotifytheBoardin
.':..
I
'
l , .
writingwithinsevendays,providingtheBoardwiththeidentityoitheprescriber;the
nameof thedrugDr. Salasreceived; themedicalpurposeforwhichhereceivedsaid
drug; thedatesuchdrugwasinitiallyreceived; andthedosage,amount, numberof
refills,anddirectionsforuse. Further,withinthirtydays oflliedatesaiddrugis so
prescribed,dispensed,oradministeredto him,Dr.SalasshallprovidetheBoardwith
614 728 5946 P.04
OHIO MEDICAL BOARD
APR-12-2011 14:17
STEPICONSENT
NEILA. SALAS, M.D.
PAGE3
eitheracopyof thewrittenprescriptionorotherwritten fromtheprescriber,
includingthedosage, amount, numberofrefills,anddirectionsforuse.
4. Dr. Salasshallabstaincompletelyfromtheuseofalcohol.
AbsencesfromOhio
5. Dr. SalasshallqbtainpennissionfromtheBoardfordeparturesor:absencesfromOhio.
Suchperiodsofabsenceshallnotreducetheprobationarytenn,wilessotherwise
detenninedbymotionoftheBoardforabsencesof threemonthsorlonger,orbythe
SecretaryortheSupervisingMemberoftheBoard.forabsences oflessthanthree
months,in instanceswheretheBoardcanbeassuredthatprobationarymonitoringis
otherwisebeingperfonned. Further,theSecretaryand SupervisingMemberoftheBoard
shallhavethediscretionto grantawaiverofpartorallofthemonitoringtermssetforth
I'
I ',\,'
inthis ConsentAgreementfor occasionalperiodsof absenceoffourteendaysorless. In
"
theeventthatDr. Salasresidesand/orisemployedatalocationthatiswithinfiftymiles
of thegeographicborderofOhioandanyofitscontiguousstates,Dr. Salasmaytravel ,.
"
\ betweenOhio andthatcontiguousstatewithoutseekingpriorapproval of theSecretary .
,,; ,.,,',
( \. '
orSupervisingMemberprovidedthatDr. Salasisableto otherwisemaintainfull
I
compliance.....ithall othertenus,conditionsandlimitationssetforthinthisConsent ': i' :,' .:
Agreement.

..
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,....
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Releases;QuarterlyDeclarationsandAppearances
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"
6. Dr. Salasshallprovideauthorization,throughappropriatewrittenconsentfonns, for \ ,:\
..
disclosureofevaluativereports, summaries,andrecords,ofwhatevernature,byany and
I.
.
allpartiesthatprovidetreatmentorevaluationforDr. Salas' chemicalabuseor

dependencyorrelatedconditions,orforpurposesofcomplyingwiththis Consent
Ir, ( .
Agreement,whethersuchtreatmentorevaluationoccurredbeforeQf aftertheeffective
,'"
, ' , .
dateofthis ConsentAgreement. Totheextentpermittedby law,theabove-mentioned
," ,
,II"; I,
evaluativereports,summaries,andrecordsareconsideredmedicalrecordsforpurposes
" '
ofSection149.43 oftheOhioRevisedCodeandareconfidentialpursuantto statute. Dr.
.J:' '.:
Salasfurther agreestoprovidetheBoardwrittenconsentpermittinganytreatment
providerfromwhomhe0btainstreatmenttonotifytheBoardintheeventhefailsto
agreeto orcomply\\11th anytreatmentcontractoraftercarecontract. Failuretoprovide
suchconsent,orrevocationofsuchconsent,shallconstituteaviolationofthisConsent
Agreement.
7. Dr. Salasshallsubmitquarterlydeclarationsunderpenaltyof Boarddisciplinaryaction
and/orcriminalprosecution,statingwhethertherehasbeen withallthe
conditionsofthisConsentAgreement. Thefirstquarterlydeclarationmustbereceived
intheBoard'sofficesonthefirstdayof thethirdmonthfollowingtihe monthinwhich
thisConsentAgreementbecomeseffective,oras otherwiserequested bytheBoard.
614 728 5946 P.05
OHIO MEDICAL BOARD
APR-12-2011 14:17
STEP ICONSENTAGREEMENT
.,'
NEll.- A. SALAS, M.D.
PAGE4
SubsequentquarterlydeclarationsmustbereceivedintheBoard'sofficesonorbefore
thefirstdayofeverythirdmonth.
8. Dr. Salasshallappearinpersonfor aninterviewbeforethe full Bdardoritsdesignated
representativeduringthethirdmonthfollowingtheeffectivedateofthis Consent
Agreement. Subsequentpersonalappearancesmustoccureverythreemonthsthereafter,
and/orasotherwiserequestedbytheBoard. Ifanappearanceismissedorisrescheduled
foranyreason,ensuingappearancesshallbescheduledbasedontheappearancedateas
originallyscheduled.
Drug& Alcohol Screens;DrugTestingFacilityandCollectionSite
9. Dr.Salasshallsubmittorandomurinescreeningsfordrugs and atleastfour
timespermonth,orasotherwisedirectedbythe Board. Dr. Salasshallensurethatall
screeningreportsareforwardeddirectlytotheBoardonaquarterlybasis. Thedrug
testingpanelutilizedmustbeacceptableto the Secretaryof theBoard, andshallinclude
Dr. Salas' drug(s)ofchoice.
Dr.Salasshallabstainfromtheuseofanysubstanceandtheconsumptionofpoppy
seedsoranyotherfoodorliquidthatmayproducealowlevel resultina
toxicologyscreen. Dr. Salasacknowledgesthatheunderstands theconswnptionor
useofsuchsubstances,includingbutnotlimitedto substancessuchas mouthwashor
handcleaninggel, maycauseapositivedrugscreenthatmaynotbeableto be
differentiatedfrom intentionalingestion,andtherefore suchconswnptionoruseis
prohibitedunderthis ConsentAgreement.
All suchurinescreeningsfor drugsandalcoholshallbeconductedthroughaBoard-
approveddrugtestingfacilityandcollectionsitepursuantto theglqbalcontractbetween
saidfacilityandtheBoard,thatprovidesfortheBoardto maintainultimatecontrolover
theurinescreeningprocessandto preservetheconfidentialityof aU positivescreening
results inaccordancewithSection4731.22(F)(S),OhioRevisedCode,andthescreening
processshallrequireadailycall-inprocedure. Further,intheeventthattheBoard
exercisesitsdiscretion, as providedinParagraph 10below,to approveurinescreenings
tobeconductedatanalternativedrugtestingfacilityand/orcollecttonsiteora
supervisingphysician,suchapprovalshallbeexpresslycontingentupontheBoard
retainingultimatecontrolovertheurinescreeningprocessinamannerthatpreservesthe
aforementionedconfidentialityofallpositivescreeningresults.
Dr. Salasshall submit,athisexpenseandonthedayselected,urine:specimensfordrug
and/oralcoholanalysis. AllspecimenssubmittedbyDr. Salasshallbenegative, except
forthosesubstancesprescribed,administered, ordispensedtohimipconformancewith
theterms,conditionsandlimitationssetforthinthis Consent Refusalto
submitsuchspecimen,orfailure to submitsuchspecimenonthedayheisselectedorin
,,'

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APR-12-2011 14:18
OHIO MEDICAL BOARD
614 728 5946 P.06
STEP ICONSENTAGREEMENT
NEILA. SALAS, M.D.
PAGE5
suchmanneras theBoardmayrequest,shallconstituteaviolation:ofthisConsent
Agreement.
Further,withinthirtydaysoftheeffectivedateofthis ConsentAgreement,Dr. Salas
shallenterintothenecessaryfinancialand/orcontractual withtheBoard-
approveddrugtestingfacilityand/orcollectionsiteinordertofacilitatetheurine
screeningprocessinthemannerrequiredbythisConsentAgreement. Further,Dr. Salas
shallpromptlyprovideto theBoardwrittendocumentationofcompletionofsuch
: : :'
arrangements,includingacopyofanycontractenteredintobetweenDr. Salasandthe
Board-approveddrugtestingfacilityand/orcollectionsite. Dr, Salas'failuretotimely
completesucharrangements,orfailuretotimelyprovidewrittendocumentationtothe
. ""';,':
.' ,I"
i .',
Boardofcompletionofsucharrangements,shallconstituteaviolationof thisConsent
Agreement.
Dr. Salasshallensurethattheurinescreeningprocessperformed theBoard-
approveddrugtestingfacilityand/orcollectionsiterequiresadailXcall-inprocedure;
thattheurinespecimensareobtainedonarandombasis; andthatthegivingofthe
specimeniswitnessedbyareliableperSOll. Inaddition,Dr. SalasandtheBoard-
approveddrugtestingfacilityandcollectionsiteshallassurethatappropriatecontrol
overthespecimenismaintainedandshallimmediatelyinformtheBoardofanypositive
screeningresults.
Dr. SalasshallensurethattheBoard-approveddrugtestingfacility:and/orcollectionsite
providesquarterlyreportstotheBoard,inaformatacceptabletotheBoard,verifying
whetherallurinescreenshavebeenconductedincompliancewithtilisConsent
Agreement,andwhetherallurine screenshavebeennegative.
IntheeventthattheBoard-approveddrugtestingfacilityand/orcollectionsitebecomes
unableorunwillingtoserveasrequiredbythis ConsentAgreement,Dr. Salasmust
immediatelynotifytheBoardinwriting,andmakearrangementsacceptabletothe
Board,pursuanttoParagraph10below, as soonaspracticable. Dr. Salasshallfurther
ensurethattheBoard-approveddrugtestingfacilityand/orcollecti<jlnsitealsonotifies
theBoarddirectlyofitsinabilitytocontinueto serveandthereasonstherefore.
Dr. SalasacknowledgesthattheBoardexpresslyreservestheright withdrawits
approvalofanydrugtestingfacilityandlorcollectionsiteinthe thattheSecretary
andSupervisingMemberof theBoarddetenninethatthedrugtestingfacilityand/or
collectionsitehasdemonstratedalackofcooperationinprovidinginfonnationto the
Boardorforanyotherreason.
10. Dr. SalasandtheBoardagreethatitistheintentofthisConsentAgreementthatDr.
Salasshallsubmithis urinespecimenstotheBoard-approveddrugtestingfacilityand
collectionsitechosenbytheBoard. However, intheeventthatutilizingsaidBoard-
approveddrugtestingfacilityand/orcollectionsitecreatesanextraordinaryhardship
' A '

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, ..
APR-12-2011 14:18
OHIO MEDICAL BOARD
614 728 5946 P.07
I
I
STEP ICONSENTAGREEMENT
I
NEILA. SALAS,M,D,
PAGE6
uponDr, Salas,as determinedinthe solediscretionoftheBoard,thensubjecttothe
followingrequirements,theBoardmayapproveanalternatedrugtestingfacilityand/or
collectionsite, orasupervisingphysician,tofacilitatetheurinescteeningprocessforDr.
Salas:
a. WithinthirtydaysofthedateuponwhichDr. Salasisnoti.fidoftheBoard's
"
determinationthatutilizingtheBoard-approveddrugtesting;facilityand/or
collectionsiteconstitutesanextraordinaryhardshipuponDr: Salas,heshallsubmit
totheBoardinwritingforitspriorapprovaltheidentityof eitheranalternatedrug
testingfacilityandcollectionsite,orthenameofaproposedsupervisingphysician,
to whomDr.Salasshallsubmittherequiredurinespecimens. Inapprovinga
facility, entity, oranindividualto serveinthiscapacity,theBoardwillgive
preferenceto afacility locatednearDr, Salas' residenceoremploymentlocation,or
to aphysicianwhopracticesinthesamelocaleas Dr.Salas. Dr. Salasshallensure
thattheurinescreeningprocessperformedthroughthealternatedrugtesting
facilityand/orcollectionsite,orthroughthesupervisingphysician,requiresadaily
procedure;thattheurinespecimensare obtainedonarandombasis;andthat
the givingofthespecimeniswitnessedbyareliableperson. Inaddition,Dr. Salas
acknowledgesthatthealternatedrugtestingfacilityandcollectionsite, orthe
supervisingphysician,shallassurethatappropriatecontroloverthespecimenis
maintainedandshallimmediatelyinformtheBoardofanypositivescreening
results.
b. Dr. Salasshallensurethatthealternatedrugtestingfacility collectionsite,
orthesupervisingphysician,providesquarterlyreportstotheBoard,inaformat
acceptabletotheBoard,verifyingwhetherallurinescreensMvebeenconductedin
compliancewiththisConsentAgreement,andwhetherallurinescreenshavebeen
negative.
c. Intheeventthatthedesignatedalternatedrugtestingfacilityand/orcollectionsite,
orthe supervisingphysician,becomesunableorunwillingto:So serve,Dr. Salas
mustimmediatelynotifytheBoardinwriting. Dr. Salasshallfurtherensurethat
thepreviouslydesignatedalternatedrugtestingfacilityandcollectionsite, orthe
supervisingphysician,alsonotifiestheBoarddirectlyoftheinabilityto continueto
serveandthereasonstherefore. Further,inordertoensurethattherewillbeno
intenuptioninhisurinescreeningprocess,uponthepreviouslyapprovedalternate
drugtestingfacility,collectionsite,orsupervisingphysicianbecomingunableto
serve,Dr. Salasshallimmediatelycommenceurinescreening'attheBoard-
', ..
approveddrugtestingfacilityandcollectionsitechosenbytheBoard,untilsuch
, '
time, ifany,thattheBoardapprovesasubsequentalternatedrugtestingfacility,
collectionsite, orsupervisingphysician,ifrequestedbyDr. Salas.
d. TheBoardexpresslyreservestherightto disapproveanyentitrorfacilityproposed
toserveasDr. Salas'designatedalternatedrugtestingfacility:and/orcollection
APR-12-2011 14:18
OHIO MEDICAL BOARD
614 728 5946 P.08
STEP ICONSENTAGREEMENT
NEILA. SALAS,M.D.
PAGE7
site, Or any personproposedtoserveashis supervisingphys.cian,ortowithdraw
approvalofanyentity,fadlityorpersonpreviouslyapprovedtososerveinthe
eventthattheSecretaryandSupervisingMemberoftheBoarddetenninethatany
suchentity,facilityorpersonhasdemonstratedalackof cooperationinproviding
," I'
,. ",
infonnationtotheBoardorforanyotherreason.
"

11. AllscreeningreportsrequiredWlderthisConsentAgreement theBoard-approved
\ ...
drugtestingfacilityand/orcoUectionsite,orfromthealternatedrug testingfacility , .
.. ,W I-
and/orcollectionsiteorsupervisingphysician,mustbereceivediritheBoard'soffices ',:;". \
" .,:
nolaterthantheduedatefor Dr. Salas' quarterlydeclaration. Itis;Dr. Salas'
responsibilityto ensurethatreportsaretimelysubmitted.
12. TheBoardretainstherighttorequire, andDr. Salasagreesto submit,blood,urine,
breath, salivaand/orhairspecimensfor screeningfordrugsandalcohol,foranalysisof
therapeuticlevelsof medicationsthatmaybeprescribedforDr. Salas,orforanyother
purpose,atDr. Salas'expenseupontheBoard'srequestandwithoutpriornotice,Dr,
:',' "
Salas'refusaltosubmitaspecimenuponrequestof theBoard resultinaminimum
, ,',
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ofoneyearofactual licensesuspension. Further,thecollectiono:tsuchspecimensshall
, ,
bewitnessedbyarepresentativeof theBoard,oranotherpersonacceptabletothe
,.
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SecretaryorSupervisingMemberoftheBoard.
. ".
RehabilitationProgram
13. Withinthirtydays oftheeffectivedateof thisConsentAgreement;Dr. Salasshall
undertakeandmaintainparticipationinan alcoholanddrug program,such
as A.A.,N.A., C.A.,or Caduceus,nolessthanthreetimesperweek. Substitutionofany
otherspecificprogrammustreceivepriorBoardapproval.
Dr. Salasshallsubmitacceptabledocumentaryevidenceof compliancewith
thisprogram, includingsubmissiontotheBoardofmeetingattendancelogs,whichmust
be receivedinthe Board'sofficesno laterthantheduedatefor Dr, Salas' quarterly
declarations.
14. Immediatelyuponcompletionofanyrequiredtreatmentfor chemicalabuseor
dependency,Dr. Salasshallenterintoanaftercarecontractwitha!\oard-approved
treatmentproviderandshallmaintaincontinuedcompliancewiththetennsofsaid
aftercarecontract,providedthat, wherethetennsof theaftercarecontractconflictwith
thetermsof thisConsentAgreement,thetenusof thisConsentAgreementshallcontrol.
!
"I '.
CONDITIONS FOR REINSTATEMENT
,
15. TheBoardshallnotconsiderreinstatementorrestorationof Dr. Salas'training
certificate, or issuanceof any other certificate to Dr. Salas, untilall! of the following
conditionsaremet:
APR-12-2011 14:18
OHIO MEDICAL BOARD
614 728 5946 P.09
STEPICONSENTAGREEMENT
NEILA. SALAS, M.D.
PAGB&
a.
b.
Dr. Salasshallsubmitanapplicationforreinstatementor of histraining
certificateoranapplicationfor anyothercertificate,asappropriate, accompanied
byappropriatefees, ifany.
Dr.Salasshalldemonstratetothesatisfactionof theBoardiliathecanresume
practiceincompliancewithacceptableandprevailingstanda;rdsof careunderthe
provisionsofhistrainingcertificate. Suchdemonstrationshallincludebutshall
notbelimitedtothefollowing:
1. Certificationfrom atreatmentproviderapprovedunder;Section4731.25of
theRevisedCodethatDr, Salashassuccessfully anyrequired
inpatienttreatment,includingatleasttwenty-eightdaysof inpatientor
residentialtreatmentfor chemicalabuseordependence;assetforthinRules
4731-16-02and4731-16-08, OhioAdministrativeCode,completed
consecutively.
ll, Evidenceofcontinuingfull compliancewith,orsuccessfulcompletionof, a
post-dischargeaftercarecontractwithatreatmentprovip.erapprovedunder
Section4731.25oftheRevisedCode. Suchevidenceshallinclude,butnot
belimitedto,acopyofthesignedaftercarecontract. Theaftercarecontract
mustcomplywithrule4731-16-10ofthe Code.
111. Evidenceofcontinuingfull compliancewiththisConseptAgreement.
IV. TwowrittenreportsindicatingthatDr. Salas' abilitytopracticehasbeen
assessedandthathehasbeenfoundcapableof practicingaccordingto
acceptableandprevailingstandardsof care. ThereportS shallbemadeby
physiciansknowledgeableintheareaof addictionology;andwhoareeither
affiliatedwithacurrent treatmentproviderorotherwisehave
beenapprovedinadvancebytheBoardto provideanaSsessmentofDr. Salas.
Further,thetwoaforementionedphysiciansshallnotbe;affiliatedwiththe
sametreatmentproviderormedicalgrouppractice. Priortotheassessments,
Dr.Salasshallprovidetheevaluatorswithcopiesof patientrecordsfrom any
evaluationsandlortreatmentthathehasreceived, andacopyofthisConsent
Agreement. Thereportsfromtheevaluatorsshallincludeany
recommendationsfor treatment,monitoring,orsupervisjonofDr. Salas,and
anyconditions,restrictions,orlimitationsthatshouldbeimposedonDr.
Salas'.practice. Thereportsshallalsodescribethebasis;fortheevaluator's
determinations,
Allreportsrequiredpursuanttothisparagraphshallbebasedupon
I
examinationsoccurringwithinthethreemonths precedingany
applicationforreinstatement. Further,atthediscretion<DftheSecretaryand
APR-12-2011 14:19
OHIO MEDICAL BOARD
614 728 5946 P.10
STEPICONSENTAGREEMENT
NEIL A. SALAS, M.D.
PAGE 9
SupervisingMemberof theBoard,theBoardmayrequestanupdated
assessmentandreportifthe SecretaryandSupervising!Memberdetermine
thatsuchupdatedassessmentandreportiswarrantedforanyreason.
v. IntheeventthattheBoardinitiatesfuture formal againstDr.
Salas,includingbutnotlimitedto issuanceofaNotice,ofOpportunityfor
Hearing,Dr. Salasshallbeineligibleforreinstatementuntilsuchproceedings
arefullyresolvedbyratificationbytheBoardofasubsquentConsent
AgreementorissuancebytheBoardofafinal BoardOrder.
c. Dr. Salasshallenterintoawrittenconsentagreementincludipgprobationarytenns,
conditionsandlimitationsas determinedbytheBoardwithin180days ofthedate
uponwhichalltheabove-specifiedconditionsforreinstatementorrestorationof
his trainingcertificateoranapplicationforothercertificate,asappropriate,have
beencompletedor, iftheBoardandDr. Salasareunableto agreeonthe termsofa , ..
I':.
writtenConsentAgreement,thenDr.Salasfurtheragreesto abidebyanyterms,
."w
conditions'andlimitationsimposedbyBoardOrderafterahearingconducted
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pursuantto Chapter119.oftheOhioRevisedCode. TheB<>:ard shallprovide
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noticetoDr. Salasthatsaidhearinghasbeenscheduled, Dr, Salasof his

hearingrights,andstatingthedate,time,andlocationofthebearingatwhichthe
Boardwillpresentitsevidence,afterwhichtheBoardwillmakeadeterminationof
thematterbyBoardOrder.
Further,uponreinstatementofDr. Salas' trainingcertificateorissuanceofany
othercertificatetoDr. Salasinthisstate,theBoardshallreql.#recontinued
monitoringwhichshallinclude,butnotbelimitedto, compliancewiththewritten
consentagreemententeredintobeforereinstatementorwithconditionsimposedby
BoardOrderafterahearingconductedpursuantto Chapter119.oftheRevised
Code. Moreover,uponterminationoftheconsentagreement,or BoardOrder,Dr.
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underpenaltyof Boarddisciplinaryactionorcriminalprosecutionstatingwhether
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Dr. Salashasmaintainedsobriety.
16. IntheeventthatDr.Salashasnotbeenengagedintheactivetraini*gand/orpracticeof
medicineandsurgeryforaperiodinexcessoftwoyearspriortoapplicationfor
reinstatement or restorationof his training certificateor application' for any other
certificate,theBoardmayexerciseits discretionunderSection473i.222,OhioRevised
Code,to requireadditional evidenceofDr. Salas'fitnessto reswne,practice.
REQUIREDREPORTINGBYLICENSEE
17. Within thirty days ofthe effective dateof this Consent Agreement, Dr. Salas shall
provideacopyofthis ConsentAgreementto all employersorentitieswithwhichheis
undercontracttoprovidehealthcareservices(inclUdingbutnotlimitedtothirdparty
614 728 5946 P.l1
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STEP1CONSENTAGREEMENT
NEILA. SALAS, M.D,
PAGE 10
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payors)orisreceivingtraining; andthe ChiefofStaffateachhospitalwherehehas
privilegesorappointments.Further,Dr. Salasshallpromptly acopyof this
ConsentAgreementto allemployersorentitieswith whichhecontractstoprovidehealth
careservices,orappliesfor orreceivestraining, andtheChiefofStaff ateachhospital
whereheappliesfororobtainsprivilegesorappointments. In theeventthatDr. Salas
providesanyhealthcareservicesorhealthcaredirectionormedicaloversightto any
emergencymedicalservicesorganizationoremergencymedicalservicesprovider,within
thirtydaysoftheeffectivedateofthisConsentAgreementDr. Salasshallprovideacopy
ofthis ConsentAgreementto theOhioDepartmentofPublicSafety,Divisionof
EmergencyMedicalServices. Further,Dr. SalasshallprovidetheBoardwithoneofthe
following documentsasproofofeachrequirednotificationwithinthirtydaysofthedate
of eachsuchnotification: (1)thereturnreceiptofcertifiedmailwithinthirtydaysof
receivingthatreturnreceipt, (2) anacknowledgementofdeliverybearingtheoriginalink
signatureofthepersonto whomacopyof theConsentAgreementwashanddelivered,
(3) theoriginalfacsimile-generatedreportconfirmingsuccessfultriUlsmissionofacopy
oftheConsentAgreementtothepersonorentitytowhomacopyof theConsent
Agreementwasfaxed, or(4)anoriginalcomputer-generatedprintoutofelectronicmail
communicationdocumentingtheemailtransmissionofacopyoftheConsentAgreement
to thepersonorentityto whomacopyoftheConsentAgreementwasemailed.
18. Withinthirtydays of theeffectivedateof thisConsentAgreement,;Dr. Salasshall
provideacopyof thisConsentAgreementto theproperlicensing ofanystate
orjurisdictionin whichhecurrentlyholdsanyprofessionalliceIl5e,:aswellas anyfederal
agencyorentity, includingbutnotlimitedtotheDrugEnforcementAgency,through
whichhecurrentlyholdsanylicenseorcertificate. Dr. SalasfurtheragreestoprOVide a
copyof this ConsentAgreementattime ofapplicationto theproperlicensingauthority
ofanystateinwhichheappliesforanyprofessionallicenseorreinstatementofany
professionallicense. Further,Dr. SalasshallprovidetheBoardwithoneof the
followingdocumentsas proof of each required notification within thirty days ofthe date
ofeachsuchnotification: (1)thereturnreceiptofcertifiedmailwithinthirtydaysof
receivingthatreturnreceipt,(2)anacknowledgementofdelivery theoriginalink
signatureofthepersonto whomacopyoftheConsentAgreementwashanddelivered,
(3)theoriginalfacsimile-generatedreportconfirmingsuccessfultransmissionofacopy
oftheConsentAgreementtothepersonorentityto whomacopyof theConsent
Agreementwasfaxed, Or(4)anoriginalcomputer-generatedprintoutof electronicmail
communicationdocumentingtheemailtransmissionofacopyoftheConsentAgreement
to thepersonorentityto whomacopyoftheConsentAgreementwasemailed.
19. Dr. SalasshallpromptlyprovideacopyofthisConsentAgreement all personsand
entitiesthatprOvideDr, Salaschemicalabuseordependency ormonitoring.
Further,Dr. SalasshallprovidetheBoardwithoneofthefollowing:documentsasproof
of eachrequirednotificationwiiliinthirtydaysofthedateofeachsuchnotification: (l)
thereturnreceiptofcertifiedmailwithinthirtydays of receivingthatreturnreceipt,(2)
anacknowledgementof deliverybearingtheoriginalinksignatureofthepersonto
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614 728 5946 P.12
OHIO MEDICAL BOARD
APR-12-2011 14:19
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STEPICONSENTAGREEMENT
NEILA- SALAS,M.D.
PAGE 11
whomacopyof theConsentAgreementwashanddelivered,(3)theoriginalfacsimile-
generatedreportconfirmingsuccessfultransmissionof acopyoftheConsentAgreement
to thepersonorentitytowhomacopyof theConsentAgreementwasfaxed, or(4)an
originalcomputer-generatedprintoutofelectronicmailcommunicationdocumentingthe
emailtransmissionof acopyof theConsentAgreementtothepers,onorentityto whoma
copyoftheConsentAgreementwasemailed.
20. Dr. SalasshallnotifytheBoard1nwritingofanychangeof principalpracticeaddressor
residenceaddresswithinthirtydaysofsuchchange.
DURATIONIMODIFICATION OF TERMS
Theabove-describedterms, conditionsandlimitationsmaybeamendedortenninatedinwritingat
anytimeupontheagreementof bothparties. IntheeventthattheBoard futureformal
proceedingsagainstDr. Salas,includingbutnotlimitedtoissuanceofaNoticeofOpportunityfor
Hearing,thisConsentAgreementshallcontinuein full force andeffectuntil timethatitis
supersededbyratificationbytheBoardof asubsequentConsentAgreementorissuancebythe
Boardofa final BoardOrder.
Intheeventthatanytenn,limitation,orconditioncontainedinthisConsentAgreementis
determinedtobeinvalidbyacourtofcompetentjurisdiction,Dr. SalasandtheBoardagreethatall
otherterms, limitations,andconditionscontainedinthis ConsentAgreementshallbeunaffected.
FAILURE TO COMPLY
If, inthe discretionof theSecretaryandSupervisingMemberoftheBoard,Dr.:Salasappearsto
haveviolatedorbreachedanytermorconditionof thisConsentAgreement,theBoardreservesthe
rightto institutefonnaldisciplinaryproceedingsforanyandallpossibleviolationsorbreaches,
includingbutnotlimitedto, allegedviolationsofthelawsofOhiooccurringbeforetheeffective
dateof thisConsentAgreement.
ACKNOWLEDGMENTSILIABILITY RELEASE
Dr. Salasacknowledgesthathehashadanopportunitytoaskquestionsconcefl?ingthetennsof this
ConsentAgreementandthatall questionsaskedhavebeenansweredinasatisfactorymanner.
Any actioninitiatedbytheBoardbasedonallegedviolationsof thisConsentAgreementshall
complywiththeAdministrativeProcedureAct, Chapter 119., OhioRevisedCode.
Dr, SalasherebyreleasestheBoard,itsmembers,employees,agents,officersaI).drepresentatives
jointlyandseverallyfromanyandallliabilityarisingfromthewithinmatter.
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614 728 5946 P.13
APR-12-2011 14:19 OHIO MEDICAL BOARD

I
STEP1CONSENTAGREEMENT
,
I
NEILA. SALAS,M.D.
PAGE 12

ThisConsentAgreementshallbeconsideredapublicrecordasthattermisusedinSection 149.43,
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OhioRevisedCode. Further,thisinformationmaybereportedtoappropriate'organizations,data

banksand govenunentalbodies. Dr, Salasacknowledgesthathissocialsecuritynumberwillbe .:' ..
usedifthisinformationissoreported and agreestoprovidehissocialsecuritYnumbertotheBoard
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forsuchpurposes.
EFFECTIVE DATE
NWA. SALAS',M.D.
DATE
LANCEA. rALMAGE,M.D.
Secretary
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DATE
t1-lq-
DATE
TOTAL P.13