California Code of Regulations › Title 16 - Professional and Vocational Regulations › Division 40 - Naturopathic Medicine Committee › Article 2 - Applications › Section 4212 - License Application; Process

Current through Register 2024 Notice Reg. No. 28, July 12, 2024
(a) A person who desires a license as a
				naturopathic doctor shall submit an application to the Committee on a form
				prescribed by the Committee that includes all of the following:
(1) The applicant's name, mailing and street
				addresses, telephone numbers, social security number, date and place of birth
				and the institutions attended that provided naturopathic medical
				education.
(2) As to any other
				health care license or certificate currently or previously held by the
				applicant:
(A) The date that a license or
				certificate was first issued to the applicant, the name of the body that issued
				the license or certificate, and the status of the license or
				certificate.
(B) A statement as to
				whether or not the applicant has ever been denied a health care license or
				certificate.
(C) A statement as to
				whether or not any type of disciplinary action has ever been taken against a
				health care license or certificate.
(D) A statement as to whether the applicant
				ever voluntarily surrendered a health care license or
				certificate.
(3) The
				date, jurisdiction and official results of any naturopathic licensing
				examinations taken by the applicant, including the Naturopathic Physicians
				Licensing Examination (NPLEX).
(4)
				A statement as to whether or not the applicant has any condition which in any
				way impairs their ability to practice naturopathic medicine with reasonable
				skill and safety, including but not limited to a condition that required
				admission to an inpatient psychiatric treatment facility, an alcohol or
				chemical substance dependency or addiction, an emotional, mental or behavioral
				disorder(s) or other condition.
(5)
				Official transcripts embossed with the registrar's seal from an approved
				naturopathic medical school indicating that the applicant received a degree or
				diploma from the school.
(6) A
				statement as to whether the applicant ever been convicted of any crime other
				than a minor traffic violation.
(7)
				A statement as to whether the applicant intends to furnish or order drugs
				pursuant to Sections
				3640.5 or
				3640.7 of the Code and Section
				4236. An applicant who intends to
				furnish or order drugs shall submit written evidence to the Bureau that the
				licensee has completed at least forty-eight (48) hours of instruction in
				pharmacology that included the pharmacokinetic and pharmacodynamic principles
				and properties of the drugs to be ordered or furnished under the provisions of
				the Act. To comply with this requirement, the instruction must have been
				offered by one of the following:
(A) An
				approved naturopathic medical school;
(B) An institution of higher learning that
				offers a baccalaureate or higher degree in medicine, nursing, pharmacy, or
				public health; or
(C) An
				educational institution or provider with standards and course content that are
				equivalent to the instruction provided by subparagraph (A) or (B), as
				determined by the Committee.
(8) Proof of completion of Live Scan
				fingerprinting or for out-of-state applicants a set of original certified
				fingerprints and fee specified in Section
				4240.
(9) A passport-size photograph of the
				applicant taken within six months immediately preceding filing the
				application.
(10) A certification
				under the penalty of perjury as to the contents of the application and any
				attachments thereto, signed and dated by the applicant.
(11) A statement authorizing release to the
				Committee of the information enumerated in the application and any attachments
				thereto.
(12) The application fee
				as specified in Section
				4240. The application fee is not
				refundable.