New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 2 - ACUPUNCTURE AND ORIENTAL MEDICINE PRACTITIONERS › Part 5 - TEMPORARY LICENSING › Section 16.2.5.10 - TEMPORARY LICENSE APPLICATION

Current through Register Vol. 35, No. 13, July 16, 2024
Upon approval of an application for a temporary license that
				  fulfills the requirements listed below, the board shall issue a temporary
				  license that will be valid for the dates specified on the license but shall not
				  exceed six months. The temporary license shall include the name of the
				  temporary licensee, the effective dates of the license, the name of the
				  sponsoring New Mexico doctor of oriental medicine or New Mexico educational
				  program, and a statement that the license shall be for the exclusive purpose of
				  one or more of the following: teaching acupuncture and oriental medicine;
				  consulting, in association with the sponsoring doctor of oriental medicine,
				  regarding the sponsoring doctor's patients; performing specialized diagnostic
				  or treatment techniques in association with the sponsoring doctor of oriental
				  medicine regarding the sponsoring doctor's patients; assisting in the
				  conducting of research in acupuncture and oriental medicine; or assisting in
				  the implementation of new techniques and technology related to acupuncture and
				  oriental medicine. The application requirements for a limited temporary license
				  shall be receipt of the following by the board.
A. The fee for application for temporary
				license specified in 16.2.10 NMAC.
B. An application for temporary license that
				is complete and in English on a form provided by the board that shall include
				the applicant's name, address, date of birth, social security number, if
				available, and the name of the sponsoring and associating New Mexico doctor of
				oriental medicine or New Mexico educational program.
C. One passport-type photograph of the
				applicant taken not more than six months prior to the submission of the
				application.
D. An affidavit as
				provided on the 'temporary license application" from the sponsoring and
				associating New Mexico doctor of oriental medicine or New Mexico educational
				program attesting to the qualifications of the applicant and the activities the
				applicant will perform.
E. An
				affidavit as provided on the "temporary license application" as to whether the
				applicant:
(1) has been subject to any
				disciplinary action in any jurisdiction related to the practice of acupuncture
				and oriental medicine, or related to any other profession including other
				health care professions for which the applicant is licensed, certified,
				registered or legally recognized to practice including resignation from
				practice, withdrawal or surrender of applicants license, certificate or
				registration during the pendency of disciplinary proceedings or investigation
				for potential disciplinary proceedings; or
(2) has been a party to litigation in any
				jurisdiction related to the applicants practice of acupuncture and oriental
				medicine, or related to any other profession including other health care
				professions for which the applicant is licensed, certified, registered or
				legally recognized to practice; or
(3) is in arrears on a court-ordered child
				support payment.