Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 08 - ACUPUNCTURE BOARD OF EXAMINERS › Article 3 - AURICULAR ACUPUNCTURE CERTIFICATION › Section R4-8-303 - Renewal of an Auricular Acupuncture Certificate

Current through Register Vol. 30, No. 28, July 12, 2024
A. An auricular acupuncture certificate
				expires 12 months after the date issued.
B. The Board shall provide a certificate
				holder with 60-days notice of the need to renew. It is the responsibility of
				the certificate holder to renew timely. Failure to receive notice of the need
				to renew does not excuse failure to renew timely.
C. If a certificate holder fails to submit a
				renewal application packet as described in subsection (D) on or before the
				expiration date, the certificate holder shall cease the practice of auricular
				acupuncture.
D. To renew an
				auricular acupuncture certificate, a certificate holder shall submit to the
				Board:
1. A renewal application that provides
				the following information listed about the certificate holder:
a. Name;
b. Certificate number;
c. Renewal date;
d. The name, address, and telephone number of
				the alcoholism, substance abuse, or chemical dependency facility at which the
				certificate holder works;
e.
				Residential and e-mail addresses;
f. Residential and mobile telephone
				numbers;
g. A statement of whether
				during the last 12 months a licensing authority of another state, district, or
				territory of the United States or another country or subdivision of another
				country denied the certificate holder a license or certificate to practice
				auricular acupuncture and if so, the name of the jurisdiction denying a license
				or certificate, date of the denial, and an explanation of the
				circumstances;
h. A statement of
				whether during the last 12 months a licensing authority of another state,
				district, or territory of the United States or another country or subdivision
				of another country revoked, suspended, limited, restricted, or took other
				action regarding the license or certificate of the certificate holder and if
				so, the name of the jurisdiction taking action, the action taken, date of the
				action, and an explanation of the circumstances;
i. A statement of whether during the last 12
				months the certificate holder has been convicted of a crime, including driving
				under the influence of drugs or alcohol, other than a minor traffic offense,
				and if so, the name of the jurisdiction in which convicted, the nature of the
				crime, date of the conviction, and current status;
j. A statement of whether during the last 12
				months a claim for malpractice or a lawsuit was filed against the certificate
				holder alleging professional malpractice or negligence in the practice of
				auricular acupuncture, and if so, the claim or case number, date of the claim
				or lawsuit, the matters alleged, and whether the claim or lawsuit is still
				pending or the manner in which it was resolved;
k. A statement of whether during the last 12
				months the certificate holder has any condition that may impair the certificate
				holder's ability to practice auricular acupuncture safely and skillfully, and
				if so, the nature of the condition and any accommodations necessary;
l. A statement of whether during the last 12
				months the certificate holder resigned, voluntarily or involuntarily, from a
				health-care facility while under investigation, and if so, the name of the
				health-care facility, the date of the resignation, and an explanation of the
				circumstances;
m. A statement of
				whether during the last 12 months the certificate holder had a health-care
				facility terminate, restrict, or take any other action regarding the
				certificate holder's employment, professional training, or privileges, and if
				so, the name of the health-care facility, the date of the action, and an
				explanation of the circumstances; and
n. The name, license number, and telephone
				number of the licensed acupuncturist who supervises the certificate
				holder;