Alaska Administrative Code › Title 12 - Professional Regulations › Part 1 - Boards and Commissions Subject to Centralized Licensing › Chapter 40 - State Medical Board › Article 1 - Rules of Professional Conduct › 12 AAC 40.058 - Review of applications

Current through May 31, 2024
(a) An applicant who meets the requirements
				  on the appropriate checklist established in this section has demonstrated the
				  necessary qualifications for the temporary permit, residency permit, courtesy
				  license, or physician license applied for and will be approved by the board,
				  executive secretary, or the board's designee for issuance of that license or
				  permit. An applicant who does not meet the requirements on the appropriate
				  checklist in this section for that permit or license will not be issued a
				  permit or license unless the board further reviews the application and
				  determines that the applicant meets the qualifications in AS 08.64 and this
				  chapter for the permit or license applied for.
(b) The form titled
Alaska State
				  Medical Board Checklist - Physician,
dated April 2019, is adopted by
				  reference. This form is established by the board for the use by the executive
				  secretary or a person designated by the board n completing the application
				  processing for a temporary permit under AS 08.64.270 or a podiatrist license
				  under AS 08.64.209; tliis form is also used by a board member or the executive
				  secretary in completing the application processing for a physician or osteopath
				  license under AS 08.64.230, or a podiatrist license under AS
				  08.64.209-
(c) The form titled
Alaska State Medical Board Checklist - Resident Permit,
dated
				  February 2018, is adopted by reference. This form is established by the board
				  for the use by the executive secretary in completing the application processing
				  for a residency permit under
				  AS
				  08.64.272.
(d) The form titled
Alaska State
				  Medical Board Courtesy License Checklist,
dated February 2018, is
				  adopted by reference. This form is established by the board for the use by the
				  executive secretary in completing the application processing for a courtesy
				  license under
				  AS
				  08.01.062 and
				  12 AAC 40.045.
(e) The form titled Alaska State Medical
				  Board Checklist - Locum Teitens Permit, dated April 2019, is adopted by
				  reference. This form is established by the board for the use by a board member,
				  the executive secretary, or a person designated by the board in completing the
				  application processing for a temporary permit for lociun tenens practice under
				  AS 08.64.275.
The application checklist forms listed in 12 AAC 40.058
						are available at the Department of Commerce, Community, and Economic
						Development, Division of Corporations, Business and Professional Licensing
						offices in Anchorage and Juneau.
As of Register 171 (October 2004), the regulations
						attorney made technical revisions under
						AS
						44.62.125(b)(6) to reflect
						the name change of the Department of Community and Economic Development to the
						Department of Commerce, Community, and Economic Development made by ch. 47, SLA
						2004 and the corresponding title change of the commissioner of community and
						economic development.
Authority:
AS
						08.01.062
AS
						08.64.075
AS
						08.64.100
AS
						08.64.200
AS
						08.64.205
AS
						08.64.209
AS
						08.64.255
AS
						08.64.270
AS
						08.64.272
AS
						08.64.279