The board also agreed to modify the terms of discipline for two physicians including a Fairfield County doctor who had done federal prison time as part of a compound medication cream scheme.

The Department of Public Health (DPH) began looking into the practice of Dr. Ronald Buckman, of Bolton, in 2018 after receiving a complaint from an employee, according to a consent order. While the agency didn’t substantiate any issues with the way Buckman’s family-based practice was being managed, investigators did find that he had “deviated from the standard of care” for at least two patients for whom he had prescribed opioids, DPH papers said.

Buckman failed to adequately document and examine one patient to whom he had prescribed painkillers while the patient was also taking muscle relaxers, an anti-seizure drug and possibly an antidepressant, prescribed by other physicians, the DPH said. Buckman also failed to discuss with the patient drug interactions and alternate treatments, investigators said.

In a second case, Buckman prescribed opioids to a patient who was taking anti-anxiety medication prescribed by a second physician, documents said. In both cases Buckman also failed to document urinalysis findings for both patients, officials said.

As part of the agreement with the DPH to keep practicing, Buckman is required to pay a $4,000 fine, and attend coursework in chronic pain management for primary care physicians and documentation practices when prescribing controlled substances, which he has already completed, officials said.

His license is reprimanded and he will have to hire the services of a licensed physician to conduct quarterly reviews of his records for patients who he has prescribed controlled substances during a one-year probation period.

The board also agreed to issue a reprimand to a second physician who had administered an epidural injection on the wrong side of a patient in August 2019, DPH papers said.

Dr. Kenneth Kramer was placed on probationary status for six months by his employer, Connecticut Orthopaedics in Hamden, and has taken coursework in patient safety and medical errors, according to the DPH.

Kramer recognized the error immediately and corrected himself, investigators said. The patient was doing well during a follow up visit, DPH papers said. Kramer had no other history with the DPH, officials said.

The board also agreed to modify two prior disciplines based on new information. Dr. Kakra Gyambibi, who formerly practiced in Stamford, was placed on two years of probation by the board in April after a hearing in December reviewing her fitness for practice.

Gyambibi was sentenced to three months in federal prison after pleading guilty to a health care scheme where she wrote more than 100 prescriptions for a keloid cream whose manufacturer claimed removed stretch marks, DPH papers said.

Gyambibi is still on federal probation but members of the board agreed that she was capable of ethically practicing medicine during their April monthly meeting. The board placed her on a two-year probation with stipulations for the review of her work.

The board agreed Tuesday to modify her discipline by not starting the probationary period until Gyambibi was working as a physician.

The board also agreed to modify the discipline issued to a Dayville doctor who had prescribed anxiety medication and a cannabis spray to an acquaintance without properly documenting the treatment. Dr. Gayle Klein was required as part of her discipline to submit quarterly reports from her supervisor to the DPH during her one-year probationary period, officials said.

Due to no fault of her own, she was not able to submit the third and fourth reports, DPH papers said. The board agreed to extend her probation to no later than December 31, 2020 to allow for time to get the fourth report submitted.

The board also reprimanded the medical license of the psychiatrist, Dr. Dale Wallington, for performing an inadequate diagnosis of the patient and for failing to implement strategies between 2008 and 2017 to prevent the patient’s abuse of Xanax and Vyvanse, a consent order Wallington agreed to said. Vyvanse is used to treat attention deficit disorder.

The board also placed Wallington’s license on probation for 18 months, during which he must take a course in prescribing practices and hire a physician to review a portion of his medical records, the order said.

In a letter to the state Department of Public Health, the patient’s parents complained about Wallington’s care of their son and objected to the consent order. They asked that Wallington be barred from practicing medicine for an unspecified amount of time. They did not attend Tuesday’s meeting.

“Dr. Wallington’s reprehensible conduct caused immeasurable suffering for our son and family,’’ the couple wrote. “We remain hopeful that one day our son may be able to live a normal life free from the consequences of nine years of Dr. Wallington’s reckless, harmful medical practice.”

Since the DPH investigation started, Wallington has received extensive re-training in addiction diagnosis and treatment and obtained a specialty in addiction medicine with the American Board of Psychiatry and Neurology, the consent order said. By signing the order, he chose not to contest the allegations against him.

The board also imposed a $7,500 fine on and reprimanded the license of Dr. Andrew Swan, the Hamden ophthalmologist. State records show that in 2011 and 2012, he violated ethical boundaries by having a consensual relationship with a patient. Records show he has completed a course in medical ethics and boundaries. Swan chose not to contest the allegation and agreed to a consent order with the board.

Board member Jean Rexford said while the relationship could be considered consensual, “there is a disparity in power.”

“We have to be really sensitive in these cases,’’ she said.

The board also fined Dr. Mark Scanlan, an orthopedic surgeon from Hamden, $5,000 for performing an incision on the wrong site during surgery in 2017, a consent order he agreed to said. He was supposed to be operating on a patient’s left ring finger and instead made an incision on the patient’s left thumb, the order said. Scanlan chose not to contest the allegation.

Board member Michele Jacklin voted against the consent order, saying that the $5,000 fine was insufficient.

The board also reprimanded the medical license of Dr. Gayle Klein, a psychiatrist from Mansfield, and placed her license on probation for a year. A consent order she agreed to said that in 2017, Klein prescribed Xanax to an acquaintance of hers without maintaining sufficient medical records. Klein also inappropriately prescribed the same patient a cannabidiol, or marijuana, spray, the order said.

Klein, who chose not to contest the allegations, was also ordered to take courses in ethics, medical documentation and controlled substance prescribing practices within six months. During the year on probation, she must also hire a physician to provide quarterly reviews of a portion of her prescriptions for controlled substances or medical marijuana.

The board also reprimanded the medical license of Dr. Thomas Knox, a West Hartford cardiologist after finding that he violated the standard of care in 2015 when he failed to maintain appropriate treatment records for a patient. A consent order he agree to said he also improperly delegated the assessment of the patient and administration of medication to an unlicensed person.

Knox admitted no wrongdoing but chose not to contest the allegations. State records say that the patient’s daughter-in-law complained that the patient had been seen by unlicensed staff and prescribed pine bark powder without being examined by Knox. Knox maintained that pine bark powder is a non-prescription treatment option, and a DPH consultant found that Knox’s general care of the patient was appropriate, records show.

The board also issued a cease and desist order to the owner of Danielle Marie Day Spa in Stratford to have her stop practicing medicine and surgery without a license. The owner, Danielle Donfrancesco of Stratford, practiced medicine without a license in 2017 and 2018 when she medically assessed clients and performed laser hair removal, a consent order said.

While not admitting wrongdoing, Donfrancesco agreed to stop practicing medicine, the order said.

Dr. Robert Green, a board member, voted against the order, saying the penalty was too lenient and that a fine or criminal action should be considered against the spa owner.