Isenberg, Joel Harold

             As from March 20, 2019, the following are imposed as terms, conditions and
            limitations on the certificate of registration held by Dr. Joel Harold
            Isenberg, in accordance with an undertaking and consent given by Dr. Isenberg
            to the College of Physicians and Surgeons of Ontario:

                        UNDERTAKING, ACKNOWLEDGEMENT AND CONSENT 
                                          ("Undertaking")
                  
                                                of

                                    DR. JOEL HAROLD ISENBERG
                                          ("Dr. Isenberg")
                  
                                                to
                  
                        COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO
                                          (the "College")
            ________________________________________________________________________

            A.    PREAMBLE

            (1)   In this Undertaking:

                  "Code" means the Health Professions Procedural Code, which is Schedule 2
                  to the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, as
                  amended; 
                  
                  "Discipline Committee" means Discipline Committee of the College;
                  
                   "OHIP" means the Ontario Health Insurance Plan;
                  
                  "Public Register" means the College's register that is available to the
                  public; 
                  
                  "QAC" means the Quality Assurance Committee of the College.
                  
            (2)   I, Dr. Isenberg, certificate of registration number 60031, am a member of
                  the College.  

            B.    UNDERTAKING

            (3)   I, Dr. Isenberg, undertake to abide by the provisions of this
                  Undertaking, effective immediately. 

            Practice Restriction

            (4)   I, Dr. Isenberg, undertake that I will cease to prescribe methadone,
                  effective May 15, 2019, in any jurisdiction. 

            (1)   I, Dr. Isenberg, undertake to inform the College of each and every
                  location that I practise or have privileges, including, but not limited
                  to, any hospitals, clinics, offices, and any Independent Health
                  Facilities with which I am affiliated, in any jurisdiction (collectively
                  my "Practice Location" or "Practice Locations"), within five (5) days of
                  executing this Undertaking.  Going forward, I further undertake to inform
                  the College of any and all new Practice Locations within five (5) days of
                  commencing practice at that location.

            (5)   I, Dr. Isenberg, undertake that I will submit to, and not interfere with,
                  unannounced inspections of my Practice Locations and patient charts by a
                  College representative for the purposes of monitoring my compliance with
                  the provisions of this Undertaking.

            C.    ACKNOWLEDGEMENTS

            (6)   I, Dr. Isenberg, acknowledge that all appendices attached to or referred
                  to in this Undertaking form part of this Undertaking.

            (7)   I, Dr. Isenberg, acknowledge and undertake that I shall be solely
                  responsible for payment of all fees, costs, charges, expenses, etc.
                  arising from the implementation of any of the provisions of this
                  Undertaking.

            (8)   I, Dr. Isenberg, acknowledge that I have read and understand the
                  provisions of this Undertaking and that I have obtained independent legal
                  counsel in reviewing and executing this Undertaking, or have waived my
                  right to do so.

            (9)   I, Dr. Isenberg, acknowledge that the College will provide this
                  Undertaking to any Chief of Staff, or a colleague with similar
                  responsibilities, at any Practice Location ("Chief of Staff" or "Chiefs
                  of Staff").

            (10)  I, Dr. Isenberg, acknowledge that a breach by me of any provision of this
                  Undertaking may constitute an act of professional misconduct and/or
                  incompetence, and may result in any one or more of the following:
                  consideration by the QAC, an investigation by the College, or further
                  action by the College, including a referral of specified allegations to
                  the Discipline Committee.

            (11)  I, Dr. Isenberg, acknowledge that this Undertaking constitutes terms,
                  conditions, and limitations on my certificate of registration for the
                  purposes of section 23 of the Code. 

            (12)  Public Register

                  (a)   I, Dr. Isenberg, acknowledge that, during the time period that this
                        Undertaking remains in effect, this Undertaking shall be posted on
                        the Public Register.
                  
                  (b)   I, Dr. Isenberg, acknowledge that, in addition to this Undertaking
                        being posted in accordance with section (12)(a) above, the
                        following summary shall be posted on the Public Register during the
                        time period that this Undertaking remains in effect:
                  
                              Dr. Isenberg has ceased to prescribe methadone, effective May
                              15, 2019, in any jurisdiction.

            D.    CONSENT

            (13)  I, Dr. Isenberg, give my irrevocable consent to the College to make
                  appropriate enquiries of OHIP and/or any person who or institution that
                  may have relevant information, in order for the College to monitor my
                  compliance with the provisions of this Undertaking. 

            (14)  I, Dr. Isenberg, acknowledge that I have executed the OHIP consent form,
                  attached hereto as Appendix "A" and that the consent forms part of this
                  Undertaking.

            (15)  I, Dr. Isenberg, give my irrevocable consent to the College to provide
                  all Chiefs of Staff with any information arising from the monitoring of
                  my compliance with this Undertaking.

            (16)  I, Dr. Isenberg, give my irrevocable consent to any Chief of Staff to
                  disclose to the College, and to one another, all information relevant to
                  this Undertaking and/or relevant for the purposes of monitoring my
                  compliance with this Undertaking.