Thx so much for your response! Doyouhave to sign a controlled substance agreement with your clinic to get a prescription for tramadol? I was told I had to do this now that I have a new provider. I have not signed it as other people I know have had trouble if needing emergency care as the hospital thinks you are a drug seeker instead of being there for a real emergency. Has anyone else had to sign something like this or run into this type of problem?