Alabama Administrative Code › Title 610 - ALABAMA BOARD OF NURSING › Chapter 610-X-8 - DISCIPLINARY ACTION › Section 610-X-8-.11 - Reinstatement of a Revoked License, Multistate Licensure Privilege, or Certificate of Qualification to Engage in Advanced Practice Nursing

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Application for
			 reinstatement of a revoked license or certificate of qualification to engage in
			 advanced practice nursing may be made twelve months after the effective date of
			 revocation unless otherwise specified in Order or Agreement.
(2) Applications for reinstatement of a
			 revoked license shall include:
(a) The
			 non-refundable application fee.
(b)
			 Detailed letter of explanation regarding the circumstances that resulted in the
			 revocation of the license and actions the applicant has taken to address the
			 issue.
(c) Documented evidence of
			 continuing education requirements for reinstatement of a lapsed
			 license.
(d) Verification of the
			 status of all heath-care related licenses, certifications, and registrations
			 from each jurisdiction/entity where a license, certification, or registration
			 has ever been issued and certified copies of any disciplinary order(s) issued
			 by any jurisdiction/entity where a license, certification, or registration has
			 ever been issued.
(e) Five (5)
			 affidavits from persons who are not related to the applicant and who have
			 direct knowledge of the circumstances surrounding the revocation of the license
			 and the actions the applicant has taken to address the issue.
(f) If the applicant's license was revoked
			 while the applicant's license was on probation or was suspended, the applicant
			 shall provide documented evidence regarding efforts to comply with any
			 previously stipulated terms of a Board Order or agreement.
(g) If the circumstances that resulted in the
			 revocation of the license involved allegations of substance abuse substance
			 dependence, or drug diversion, or if the license was revoked while encumbered
			 by an order requiring a program of random drug screening, the applicant shall
			 provide:
1. Documented evidence of a
			 comprehensive substance use disorder evaluation and fitness to return to the
			 practice of nursing conducted by a Board-recognized treatment provider whose
			 program includes a health care professionals tract and completed no more than
			 twelve (12) months prior to the date of the application.
2. Evidence of compliance with all treatment
			 provider recommendations.
3.
			 Complete results of drug screens obtained from participation in a
			 Board-recognized program of random drug testing for a minimum of twelve (12)
			 months immediately prior to the date of the application.
(h) If the circumstances that resulted in the
			 revocation of the license involved allegations of physical or mental
			 impairment, the applicant shall provide:
1.
			 Documented evidence of current neuropsychological and physiological
			 evaluations.
2. Compliance with all
			 treatment provider recommendations.
3. A statement from the evaluators that the
			 individual is fit to return to the practice of nursing.
(i) Executed releases authorizing the sharing
			 of information between and communication with all necessary healthcare
			 providers and Board staff.
(j)
			 Submission of results of all required evaluations conducted by a Board
			 acceptable licensed healthcare provider in consultation with Board
			 staff.
(k) If the applicant has any
			 arrest(s) that resulted in pending misdemeanor or felony charges, the applicant
			 shall provide:
1. A detailed letter of
			 explanation regarding the circumstances surrounding the charges.
2. The nature of the charges.
3. The case number.
4. The jurisdiction in which the charges are
			 pending.
(l) If the
			 applicant has any misdemeanor or felony conviction(s) or has (regardless of
			 court disposition) entered a plea of guilt, nolo contendere, no contest, not
			 guilty by reason of insanity, or other similar plea, the applicant shall
			 provide:
1. Certified copies of court records
			 including the Case Action Summary showing the final disposition of the
			 charges.
2. Any written Plea
			 Agreement or Deferred Prosecution Agreement.
3. Documentation of compliance with
			 conditions imposed by the Court.
(m) If the applicant has been
			 administratively discharged from any branch of the armed services with any
			 characterization besides "Honorable" or has been court-martialed, the applicant
			 shall provide a detailed letter of explanation and official documentation of
			 discharge (typically, a DD214 Members 4 copy).
(n) For every period of employment since
			 revocation of the applicant's Alabama nursing license, the applicant shall
			 provide:
1. The name, address, and telephone
			 number of any employer.
2. The name
			 of any supervisor.
3. The dates of
			 employment.
4. Job title.
5. Description of job duties.
6. Reason for leaving said
			 employment.