reglab/statecodes huggingface dataset:
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 1 - GENERAL PROVISIONS › Section 16.26.1.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These rules are promulgated pursuant to the Speech-Language
				  Pathology and Audiology and Hearing Aid Dispensing Practices Act, [ Sections
				  61-14B-1
				  to
				  61-14B-25
				  NMSA 1978] and the Uniform Licensing Act NMSA 1978 [Sections
				  61-1-1 to
				  61-1-33
				  ]
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 1 - GENERAL PROVISIONS › Section 16.26.1.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
November 9, 1996, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 1 - GENERAL PROVISIONS › Section 16.26.1.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
Pursuant to the Speech-Language Pathology, Audiology and
				  Hearing Aid Dispensing Practices Act, Part 1 establishes definitions and
				  defines the duties and makeup of the board.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 1 - GENERAL PROVISIONS › Section 16.26.1.8 - BOARD CREATED

Current through Register Vol. 35, No. 13, July 16, 2024
A. In
				order to insure the safety and welfare of the public served, the
				speech-language pathology, audiology and hearing aid dispensing practices board
				is appointed by the governor, and is to consist of eleven members who have been
				New Mexico residents of at least five years:
(1) three licensed speech-language
				pathologists;
(2) two licensed
				audiologists;
(3) two licensed
				hearing aid dispensers;
(4) one
				licensed otolaryngologist; and
(5)
				three public members.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 1 - GENERAL PROVISIONS › Section 16.26.1.9 - PARENTAL RESPONSIBILITY ACT COMPLIANCE

Current through Register Vol. 35, No. 13, July 16, 2024
The Parental Responsibility Compliance Act (Sections
				  40-5A-1 to
				  40-5A-13
				  NMSA 1978) is incorporated in full into these rules.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 1 - GENERAL PROVISIONS › Section 16.26.1.10 - ELECTRONIC SIGNATURE

Current through Register Vol. 35, No. 13, July 16, 2024
The board will accept electronic signatures from all
				  applicants and licensees who submit applications for professional licensure or
				  renewal under the Speech-Language Pathology, Audiology, and Hearing Aid
				  Dispensing Practices Act, Sections
				  61-14B-1
				  through -25 NMSA 1978 and the board's rules and regulations.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Speech-Language Pathology, Audiology and Hearing
				  Aid Dispensing Practices Board.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
The provisions of Part 2 of Chapter 26 apply to all
				  individuals seeking licensure under the Speech-Language Pathology, Audiology,
				  and Hearing Aid Dispensing Practices Act.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These rules are promulgated pursuant to the Speech-Language
				  Pathology, Audiology and Hearing Aid Dispensing Practices Act, Sections
				  61-14B-1
				  to
				  61-14B-25
				  NMSA 1978.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
February 3, 2006, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of Part 2 is to state and establish that
				  licensure is mandated by statute to practice as a speech-language pathologist,
				  audiologist, clinical fellow and hearing aid dispenser and to outline
				  requirements. Persons and practices not affected are defined.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.8 - LICENSING REQUIRED TO PRACTICE

Current through Register Vol. 35, No. 13, July 16, 2024
A. Section
				61-14B-7
				NMSA 1978 of the act provides that no person shall practice or hold him or
				herself out as being able to practice speech-language pathology, audiology,
				hearing aid dispensing in the state of New Mexico unless he or she is licensed
				in accordance with the provisions of this act.
B. All individuals licensed under this act
				must display their license in their primary location at their place of
				employment.
C. Separate licenses
				shall be granted in speech-language pathology, audiology, and hearing aid
				dispensing. An applicant may be granted a dual license for speech-language
				pathology and audiology upon successful completion of requirements for both of
				these licenses. A hearing aid dispensing license does not indicate that the
				person holding the license is an audiologist.
D. The board shall have 30 days from the
				receipt of a complete application to process and approve an
				application.
E. The board shall
				issue a license by reciprocity to an applicant from another state who holds a
				current license in good standing with no pending disciplinary action, provided
				the requirements for the current license held meet or exceed requirements for
				licensure for speech language pathology, audiology, or hearing aid dispensing
				in the state of New Mexico.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.9 - PERSONS AND PRACTICES NOT AFFECTED

Current through Register Vol. 35, No. 13, July 16, 2024
A. Recognized professional groups: The act
				does not prohibit members of recognized professional groups, other than
				speech-language pathologists, audiologists and hearing aid dispensers, from
				doing appropriate work in the area of communication disorders consistent with
				their professional qualifications and with the standards and ethics of their
				respective professions. Such professional groups include, but are not limited
				to the following:
(1) physicians licensed to
				practice medicine in New Mexico;
(2) orthodontists;
(3) certified teachers of the
				deaf.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.10 - REQUIREMENTS FOR ALL APPLICANTS

Current through Register Vol. 35, No. 13, July 16, 2024
An applicant for a license to practice under the
				  Speech-Language Pathology, Audiology, and Hearing Aid Dispensing Practices Act
				  must submit the following:
A. a
				complete and signed application on a form prescribed by the board;
B. a check or money order payable to the
				board for the applicable fee(s) outlined in
				16.26.6.8 NMAC;
C. documentation relevant to the license
				sought under 16.26.2 NMAC;
D.
				certification that the applicant is not guilty of any activities listed in
				Section 61-14B-21 NMSA 1978; and
E. The certification that the applicant has
				not been covicted of felonies listed in Subsection E of 16.26.8 NMAC.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.11 - QUALIFICATIONS AND APPLICATION FOR LICENSURE AS A SPEECH-LANGUAGE PATHOLOGIST

Current through Register Vol. 35, No. 13, July 16, 2024
An application for licensure as a speech-language
				  pathologist must be accompanied by the following documents:
A. official transcripts verifying at least a
				master's degree in speech-language pathology, speech-language and hearing
				science, communication disorders or equivalent degree regardless of degree
				name; or
B. a certification bearing
				an official seal and attesting to completion of degree requirements from the
				registrar, mailed directly to the board from the conferring institution;
				and
C. proof of having earned a
				certificate in speech-language pathology from a board recognized national
				speech-language association or proof of completion of the clinical fellowship
				year or equivalent; and
D. proof of
				having passed a nationally recognized standard examination in speech-language
				pathology;
E. proof of having
				passed the jurisprudence examination with a grade of no less than seventy
				percent; and
F. if currently or
				previously licensed in another state a verification of licensure must be sent
				directly to the board by the issuing jurisdiction.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.12 - QUALIFICATIONS AND APPLICATION FOR LICENSURE AS AN AUDIOLOGIST

Current through Register Vol. 35, No. 13, July 16, 2024
Application for licensure as a audiologist must be
				  accompanied by the following documents:
A. official transcripts or certification from
				the registrar verifying the following:
(1) a
				master's degree in audiology, communication disorders or equivalent degree in
				audiology or communication disorders awarded prior to January 1, 2007;
				or
(2) a doctoral degree in
				audiology or equivalent degree regardless of degree name.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.13 - QUALIFICATIONS AND APPLICATION FOR ENDORSEMENT TO DISPENSE HEARING AIDS AS AN OTOLARYNGOLOGIST

Current through Register Vol. 35, No. 13, July 16, 2024
The board shall grant an endorsement to dispense hearing aids
				  to a physician certified, or eligible for certification, by the American board
				  of otolaryngology, upon submission of the following:
A. verification that the applicant maintains
				or occupies a business location, hospital, clinical medical practice or other
				facility in New Mexico where hearing aids are regularly dispensed;
B. a license verification from the New Mexico
				medical board;
C. proof of six
				months' experience in the dispensing of hearing aids as evidenced by a
				notarized letter from an employer, a graduate training program supervisor or a
				clinical fellow supervisor, the 320 hours of which must be under the direct
				supervision of a person licensed to dispense hearing aids; and
D. proof of having passed the jurisprudence
				examination, with a grade of no less than seventy percent.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.14 - QUALIFICATIONS AND APPLICATION FOR LICENSURE FOR A HEARING AID DISPENSER

Current through Register Vol. 35, No. 13, July 16, 2024
A. Application for
				licensure as a hearing aid dispenser must be accompanied by documentation of
				the following:
(1) proof that the applicant
				is 18 years of age or older;
(2)
				proof that the applicant has a high school education or the
				equivalent;
(3) proof that the
				applicant has a business location in New Mexico
(4) A notarized letter from the qualified
				sponsor verifying completion of all training requirements as outlined for the
				temporary hearing aid dispensing trainee permit;
(5) proof of having passed the current IHS
				administered ILE within the previous 24 months;
(6) Passing the board administered practical
				exam with a score of no less than seventy percent;
(7) proof of having passed the jurisprudence
				examination with an overall score of no less than seventy percent;
				and
(8)have no disciplinary actions
				taken against any professional license they hold in any state or
				jurisdiction.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.15 - APPLICATION AND REQUIREMENTS FOR TEMPORARY HEARING AID DISPENSING TRAINEE PERMIT

Current through Register Vol. 35, No. 13, July 16, 2024
Individuals who meet all requirements for a hearing aid
				  dispenser's license but do not have the required practical experience in
				  dispensing of hearing aids shall apply for a temporary hearing aid dispensing
				  permit.
A. A trainee permit may be
				issued at any time and will be valid for one year.
B. The trainee must identify a qualified
				sponsor who has held a license under this act as an audiologist or hearing aid
				dispenser or a New Mexico licensed otolaryngologist for no fewer than three of
				the previous five calendar years.
(1) The
				qualified sponsor must have no disciplinary actions against them at the time of
				issuance of the training permit.
(2) The qualified sponsor must have no more
				than two temporary training permits associated with them at any single
				time.
(3) Trainee must receive a
				minimum of 320 logged and certified hours of direct supervision in hearing
				science and hearing aid fitting within three consecutive months.
(4) Upon completion of the 320 hours of
				direct supervision, the log of training must be submitted to the board for
				review.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.16 - HEARING AID DISPENSER TRAINEE EXAMINATION FOR COMPETENCE

Current through Register Vol. 35, No. 13, July 16, 2024
Following the board's acceptance of the 320 hours of
				  certified direct supervision in three months, persons with a temporary training
				  permit are eligible to:
A. Take the
				IHS administered ILE.
B. Take the
				board-administered practical exam which evaluates proficiency in the following
				areas:
(1) Puretone audiometry including air
				conduction and bone conduction;
(2)
				recorded voice speech audiometry;
(3) masking when indicated;
(4) recording and evaluation of audiograms
				and speech audiometry;
(5)
				determining proper selection and adjustment of hearing aids;
(6) verification of efficacy of hearing aids;
				and
(7) taking earmold
				impressions.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.17 - QUALIFICATION FOR LICENSURE FOR CLINICAL FELLOWS

Current through Register Vol. 35, No. 13, July 16, 2024
A. A clinical fellow (CF) must meet all
				academic course work and practicum requirements for a master's degree in
				speech-language pathology, speech pathology, communication disorders or
				audiology or both or equivalent degree(s) regardless of degree name that would
				enable the individual to successfully be granted certification from a
				nationally recognized speech-language and or hearing association after
				completion of the clinical fellowship if the individual chooses to apply
				national certification.
B.
				Procedure for applying for licensure as a clinical fellow.
(1) An individual will complete application
				including appropriate fee and clinical fellow plan and submit to the board
				office at the initiation of the clinical fellow period. The individual shall
				also submit:
(a) official transcripts
				verifying at least a master's degree in speech-language pathology, audiology,
				speech-language and hearing science, communication disorders or equivalent
				degree regardless of degree name; or
(b) a certification bearing an official seal
				and attesting to completion of degree requirements from the registrar, mailed
				directly to the board from the conferring institution; and
(c) certify that the individual has received
				no reprimands of unprofessional conduct or incompetency; and
(d) file a CFY plan that meets with board
				approval that designates a clinical fellow supervisor who is licensed in
				accordance of this act and is practicing in the same field as the clinical
				fellow.
(e) CFY means no less than
				nine months full time employment defined as a minimum of 32 clock hours of work
				per week. This requirement also may be fulfilled by part time employment as
				follows:
(i) work of 15 - 19 hours per week
				over 18 months;
(ii) work of 20 -
				24 hours per week over 15 months; or
(iii) work of 25 - 31 hours per week over 12
				months.
(iv) In the event that part
				time employment is used to fulfill a part of the CFY, one-hundred percent of
				the minimum hours of part time work per week requirements must be spent in
				direct professional experience as defined above. Professional employment of
				less than 15 hours per week will not fulfill any part of this
				requirement.
(f) a
				clinical fellow in audiology is not required to have a temporary hearing aid
				training permit.
(g) the clinical
				fellow must understand and abide by the code of ethics adopted by the
				board.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.18 - TEMPORARY PARAPROFESSIONAL LICENSURE AS AN APPRENTICE IN SPEECH-LANGUAGE (ASL)

Current through Register Vol. 35, No. 13, July 16, 2024
A. Prerequisite
				requirements:
(1) Acceptance of a temporary
				paraprofessional licensee as an apprentice in speech-language is subject to
				board approval. Such licensees shall:
(a) be
				working towards a license pursuant to the provisions of the Speech-Language
				Pathology, Audiology and Hearing Aid Dispensing Practices Act;
(b) certify that they are not guilty of any
				activities listed in Section
				61-14B-21 of the Speech-Language
				Pathology, Audiology and Hearing Aid Dispensing Practices Act; and
(c) provide proof of having met educational,
				supervision, and employment requirements.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.19 - BILINGUAL MULTICULTURAL ENDORSEMENT

Current through Register Vol. 35, No. 13, July 16, 2024
A. Prerequisites for an endorsment: Any
				person applying for bilingual-multicultural endoresment shall:
(1) file a completed application;
(2) pay the fees required under 16.26.6
				NMAC;
(3) submit required
				documentation as outlined in Subsections B through D below; and
(4) certify that the applicant is not guilty
				of any of the any of the activities listed in Section
				61-14B-21 NMSA
				1978.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 2 - LICEN SURE REQUIREMENTS › Section 16.26.2.20 - REQUIREMENTS FOR ALL APPLICANTS WHO PRACTICE TELEHEALTH

Current through Register Vol. 35, No. 13, July 16, 2024
A. An audiologist, speech-language
				pathologist or hearing aid dispenser licensed in New Mexico may use
				telecommunication technology to deliver services to a person residing in New
				Mexico who is physically present at a different location from the provider at
				the time services are received, so long as the services delivered through use
				of telecommunication technology meet or exceed the quality of services
				delivered face-to-face.
B. An
				audiologist, speech-language pathologist or hearing aid dispenser who resides
				outside the boundaries of the state of New Mexico and delivers services or
				products to residents of New Mexico shall be licensed by the board.
C. An audiologist, speech-language
				pathologist or hearing aid dispenser using telecommunication technology to
				deliver services shall have necessary knowledge and skills, obtained through
				education, training and experience to use such technology
				competently.
D. Telecommunication
				technology used to deliver services must be equivalent to that provided in
				person.
E. A licensed audiologist,
				speech-language pathologist or hearing aid dispenser must be physically present
				at all times at the hub site while interactive telecommunication technology is
				used to deliver services to a client physically present at a remote
				site.
F. A licensed audiologist,
				speech-language pathologist or hearing aid dispenser using telecommunication
				technology to deliver services to a client shall
(1) assess the client's ability to
				participate meaningfully in the services delivered through telecommunications,
				including but not limited to the client's physical, cognitive and behavioral
				abilities;
(2) calibrate properly
				the clinical instruments used for delivery of services in accordance with
				standard operating procedures and manufacturer specifications;
(3) train properly the facilitator at the
				client-patient site if used;
(4)
				comply with all laws and rules governing maintenance of client records,
				including but not limited to client confidentiality requirements; and
(5) comply with all professional standards
				governing delivery of services including the applicable code of
				ethics.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 4 - ANNUAL RENEWAL OF LICENSES › Section 16.26.4.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Speech-Language Pathology, Audiology and Hearing
				  Aid Dispensing Practices Board.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 4 - ANNUAL RENEWAL OF LICENSES › Section 16.26.4.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
All licensees complying with the renewal of licenses to
				  practice speech-language pathology, audiology or hearing aid
				  dispensing.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 4 - ANNUAL RENEWAL OF LICENSES › Section 16.26.4.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These rules are promulgated pursuant to the Speech-Language
				  Pathology, Audiology and Hearing Aid Dispensing Practices Act NMSA 1978,
				  Sections
				  61-14B-1
				  to -25 and the Uniform Licensing Act NMSA 1978, Sections
				  61-1-1 to
				  -33.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 4 - ANNUAL RENEWAL OF LICENSES › Section 16.26.4.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
November 9, 1996, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 4 - ANNUAL RENEWAL OF LICENSES › Section 16.26.4.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of Part 4 is to outline requirements,
				  procedures, and criteria for renewal of licenses.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 4 - ANNUAL RENEWAL OF LICENSES › Section 16.26.4.8 - RENEWAL OF LICENSES

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				licensees except clinical fellows and apprentices shall apply for license
				renewal biennially on or before January 30 of the renewal year, on the renewal
				forms supplied by the board office. The renewal requirements for clinical
				fellows and apprentices are set forth in Sections 9 and 10 of Part 4.
B. Licensees shall assume the total
				responsibility for:
(1) filing a current
				mailing address and electronic mail (email) with the board office;
(2) completing the renewal form and ensuring
				its delivery to the board office on or before January 30 of the renewal
				year;
(3) enclosing the appropriate
				fee; and
(a) initial licenses issued prior to
				the month of renewal will be granted a license term of the balance of the
				remainder of the current license year, plus one license year;
(b) no license shall be issued for longer
				than 24 months;
(4)
				enclosing documentation of meeting continuing education requirements.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 4 - ANNUAL RENEWAL OF LICENSES › Section 16.26.4.9 - RENEWAL OF CLINICAL FELLOW LICENSE

Current through Register Vol. 35, No. 13, July 16, 2024
The CFY must be completed within a maximum period of 36
				  consecutive months. Prior to or during the first 12 months of clinical fellow
				  licensure, the clinical fellow must take and pass a nationally recognized
				  examination in the clinical fellow's field. Proof of passing this exam is
				  required for renewing the CFY license.
A. The clinical fellowship license shall be
				renewed annually on a form supplied by the board office and shall expire
				annually one year after the date of initial licensure. The renewal must be
				postmarked no later than the expiration date.
B. A late penalty fee will be assessed if the
				license is not renewed by the expiration date.
C. If a licensee fails to renew within 60
				days of expiration of the license, the licensee must reapply, meet all
				applicable requirements, meet CEU requirements and pay the application
				fee.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 4 - ANNUAL RENEWAL OF LICENSES › Section 16.26.4.10 - RENEWAL OF TEMPORARY PARAPROFESSIONAL LICENSE (APPRENTICE IN SPEECH-LANGUAGE PATHOLOGY)

Current through Register Vol. 35, No. 13, July 16, 2024
A. All
				temporary paraprofessional licensees shall apply for license renewal annually
				on or before August 30th and are required to provide the following
				documentation to the board each year:
(1) a
				completed renewal form;
(2) the
				required license renewal fee; and
(3) a completed board approved verification
				of employment form verifying:
(a) licensee's
				employment;
(b) performance
				responsibilities of the apprentice in speech-language;
(c) imitations on employment practices of the
				apprentice in speech-language license holder (apprentice in
				speech-language);
(d) provision for
				supervision by an SLP licensed according to this act;
(4) a completed board approved verification
				of education form verifying:
(a) course work
				completed in communication disorders or other courses as outlined in the degree
				plan with a minimum GPA of 3.0;
(b)
				current degree plan once the licensee is admitted to a master's degree program;
				and
(c) copy of transcripts from
				college or university.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 5 - CONTINUING EDUCATION › Section 16.26.5.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Speech-Language Pathology, Audiology and Hearing
				  Aid Dispensing Practices Board.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 5 - CONTINUING EDUCATION › Section 16.26.5.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
All licensed individuals wishing to renew their license must
				  comply with the continuing education prerequisite of continuing education in
				  order to retain and annually renew their speech-language pathology, audiology
				  or hearing aid dispensing license.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 5 - CONTINUING EDUCATION › Section 16.26.5.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These rules are promulgated pursuant to the Speech-Language
				  Pathology, Audiology and Hearing Aid Dispensing Practices Act, Sections
				  61-14B-1
				  to
				  61-14B-25
				  NMSA 1978 and Uniform Licensing Act, Sections
				  61-1-1 to
				  61-1-33 NMSA
				  1978.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 5 - CONTINUING EDUCATION › Section 16.26.5.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
November 9, 1996, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 5 - CONTINUING EDUCATION › Section 16.26.5.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of Part 5 is to outline continuing education
				  requirements, criteria and procedures.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 5 - CONTINUING EDUCATION › Section 16.26.5.8 - CONTINUING EDUCATION PHILOSOPHY

Current through Register Vol. 35, No. 13, July 16, 2024
Continuing education is one of the most important
				  responsibilities of the speech-language pathologist, audiologist, and hearing
				  aid dispenser. It is also a life-long process. A diversity of information
				  related to speech-language pathology, audiology, and hearing aid dispensing
				  regarding changing requirements, laws, and trends in the field is recommended
				  to enhance the professional skills and development the speech-language
				  pathologist, audiologist, and hearing aid dispenser. The responsibility of
				  continuing education rests solely with the speech-language pathologist,
				  audiologist, or hearing aid dispenser.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 5 - CONTINUING EDUCATION › Section 16.26.5.9 - CONTINUING EDUCATION REQUIREMENTS OF LICENSEES

Current through Register Vol. 35, No. 13, July 16, 2024
A. The board requires 20 hours of continuing
				education every two years. These may be distributed over the two year period,
				or they may all be obtained in one year. These continuing education hours must
				be in the field of licensure, or in a related field if justified to the board
				office. The board office will consult with the board to resolve questions as to
				appropriate continuing education hours. Renewal of a license shall be
				contingent upon the fulfillment of the continuing education standards and the
				supplying of evidence thereof by the licensee. The board shall be the final
				authority on acceptance of any educational activity submitted by a licensee to
				meet the continuing education requirement.
B. The number of continuing education hours
				required for renewal of a license may be prorated by the board office.
(1) A licensed individual whose next renewal
				date occurs less than 12 months after the license is issued will be required to
				earn continuing education hours equivalent to one hour per month each month the
				license is issued or reinstated to the last day of the renewal month up to a
				maximum of 10 clock hours.
(2) Any
				approved continuing education hours accrued prior to receiving a license during
				the year the license is issued can be applied toward the continuing education
				requirements.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 5 - CONTINUING EDUCATION › Section 16.26.5.10 - CRITERIA APPLYING TO OFFER CONTINUING EDUCATION OPPORTUNITY

Current through Register Vol. 35, No. 13, July 16, 2024
A. The board or
				board office will approve professional education activities sponsored or
				approved by a national or state professional association of speech-language
				pathologists, audiologists and hearing aid dispensers.
B. All other proposed educational programs or
				seminars must be submitted to the board office prior to approval.
C. Requests must be submitted in writing with
				appropriate fees to the board office at least 60 days prior to the program. The
				board office shall give written notice of the approval or disapproval of the
				educational program or seminar within 30 days of receiving the
				application.
D. The
				individual/organization requesting approval of an educational seminar or course
				must provide the board office with the following material:
(1) name of the seminar or course;
(2) sponsor;
(3) objective of the seminar or
				course;
(4) format and subjects of
				seminar or course;
(5) number of
				clock hours of study or continuing education units;
(6) method of verification of attendance or
				completion of self study program; and
(7) name and qualifications of faculty or
				institution material.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 5 - CONTINUING EDUCATION › Section 16.26.5.11 - CONTINUING EDUCATION VERIFICATION

Current through Register Vol. 35, No. 13, July 16, 2024
The board shall audit a percentage of renewal applications
				  each year to verify the continuing education requirement. The licensee should
				  maintain a file that includes the continuing education course documentation up
				  to two (2) years.
A. If a NOTICE OF
				AUDIT letter is received with the annual renewal form, evidence of continuing
				education hours earned during the last two years must be submitted to the board
				as requested by this rule.
B. If
				the licensee is NOT AUDITED, the licensee will have to sign an affidavit
				attesting to the completion of the required hours of continuing education and
				all documentation of attendance and agendas should be retained by the licensee
				for a minimum of two (2) years immediately preceding the current
				renewal.
C. The board reserves the
				right to audit continuing education attendance certificates whenever there is
				reasonable doubt the courses submitted, dates, or hours may be
				incorrect.
D. Beginning January 30,
				2009 the board will no longer allow carry over hours.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 6 - FEES › Section 16.26.6.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Speech-Language Pathology, Audiology and Hearing
				  Aid Dispensing Practices Board.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 6 - FEES › Section 16.26.6.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
All those individuals who wish to make application and
				  practice speech-language pathology, audiology or hearing aid dispensing or
				  individuals working towards their clinical fellowship, paraprofessionals as
				  defined in these regulations, and hearing aid dispensing trainees who will be
				  offering services in the speech-language pathology, audiology or hearing aid
				  dispensing field in the state of New Mexico. All individuals or groups wishing
				  to offer continuing education courses.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 6 - FEES › Section 16.26.6.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These rules are promulgated pursuant to the Speech-Language
				  Pathology, Audiology and Hearing Aid Dispensing Practices Act, Sections 61-14B
				  to
				  61-14B-25
				  NMSA 1978 and Uniform Licensing Act, Sections
				  61-1-1 to
				  61-1-33 NMSA
				  1978.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 6 - FEES › Section 16.26.6.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
November 9, 1996, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 6 - FEES › Section 16.26.6.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
Part 6 establishes fees for applications, licenses, license
				  renewals, exams, penalties, and administrative fees, issued pursuant to the
				  Speech-Language Pathology, Audiology and Hearing Aid Dispensing Practices
				  Act.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 6 - FEES › Section 16.26.6.8 - FEES

Current through Register Vol. 35, No. 13, July 16, 2024
All fees are payable to the board and are non-refundable.
				  Fees are as follows:
Initial fee
Renewal fee
A.
Hearing aid dispenser trainee
								temporary permits
$175.00
B.
Temporary paraprofessional license
								(apprentice)
$50.00
$50.00
C.
Clinical fellow license
$50.00
$50.00
D.
Speech-language pathologist or
								audiologist license
$100.00
$200.00
E.
Hearing aid dispensers
$175.00
$360.00
F.
Hearing aid practical exam
$200.00
G.
Endorsement to dispense hearing
								aids
$100.00
$190.00
H.
Processing continuing education
								offerings per offering
$50.00
I.
Bilingual-Multicultural Endorsement
$50.00
J.
Late renewal fee
$75.00
K.
All application packet fees
$10.00
L.
Verification of licensure
$15.00
M.
Paper list
$125.00
N.
Mailing labels
$150.00
O.
Electronic list
$175.00
P.
Duplicate license
$10.00
Q.
Insufficient funds
$25.00
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 7 - GROUNDS FOR DISCIPLINARY ACTION › Section 16.26.7.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Speech-Language Pathology, Audiology and Hearing
				  Aid Dispensing Practices Board.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 7 - GROUNDS FOR DISCIPLINARY ACTION › Section 16.26.7.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
The provisions of Part 7 apply to applicants or licensees
				  under the Speech-Language Pathology, Audiology and Hearing Aid Dispensing
				  Practices Act.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 7 - GROUNDS FOR DISCIPLINARY ACTION › Section 16.26.7.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These rules are promulgated pursuant to the Speech-Language
				  Pathology, Audiology and Hearing Aid Dispensing Practices Act , Sections
				  61-14B-1
				  to
				  61-14B-25
				  NMSA 1978 and the Uniform Licensing Act, Sections
				  61-1-1 to
				  61-1-33 NMSA
				  1978.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 7 - GROUNDS FOR DISCIPLINARY ACTION › Section 16.26.7.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
November 7, 1998, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 7 - GROUNDS FOR DISCIPLINARY ACTION › Section 16.26.7.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of Part 7 is to set forth the grounds for
				  disciplinary action which may subject an applicant or licensee to disciplinary
				  action by the board.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 7 - GROUNDS FOR DISCIPLINARY ACTION › Section 16.26.7.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
disqualifying criminal conviction" has the same meaning as
				  defined in Subsection E of Section 61-1-36 NMSA 1978.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 7 - GROUNDS FOR DISCIPLINARY ACTION › Section 16.26.7.8 - DISCIPLINARY GROUNDS AND DENIAL OF LICENSURE

Current through Register Vol. 35, No. 13, July 16, 2024
In accordance with the provisions of the Uniform Licensing
				  Act, the board may take disciplinary action if the board determines that the
				  applicant or licensee has violated the Speech-Language Pathology, Audiology and
				  Hearing Aid Dispensing Practices Act or the board's rules. The following may
				  subject the applicant or licensee to disciplinary action by the board.
A. Engaging in unprofessional conduct:
				Unprofessional conduct includes, but is not limited to, the following:
(1) violations of the principles of ethics or
				the ethical proscriptions as set forth in board regulations concerning its Code
				of Ethics (16.26.9 NMAC);
(2) for
				an audiologist or dispensing otorhinolaryngologist to accept a case referred
				from a hearing aid dispenser and not return the case to the referring
				professional unless the person seeking the hearing aid refuses to return to the
				referring professional or if the professional determines, using his best
				professional judgement, the return of the case would not be in the person's
				best medical or audiological interest.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 8 - PROCEDURES FOR DISCIPLINARY ACTION › Section 16.26.8.1 - ISSUING AGENCY

Current through Register Vol. 35, No. 13, July 16, 2024
New Mexico Speech-Language Pathology, Audiology and Hearing
				  Aid Dispensing Practices Board.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 8 - PROCEDURES FOR DISCIPLINARY ACTION › Section 16.26.8.2 - SCOPE

Current through Register Vol. 35, No. 13, July 16, 2024
The provisions in Part 8 may be of interest to anyone who may
				  wish to file a complaint against a person licensed by the board. Disciplinary
				  proceedings may be initiated against licensees or applicants.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 8 - PROCEDURES FOR DISCIPLINARY ACTION › Section 16.26.8.3 - STATUTORY AUTHORITY

Current through Register Vol. 35, No. 13, July 16, 2024
These rules are promulgated pursuant to the Speech-Language
				  Pathology, Audiology and Hearing Aid Dispensing Practices Act, Sections
				  61-14B-1
				  to 61- 14B-25 NMSA 1978 and the Uniform Licensing Act, Sections
				  61-1-1 to
				  61-1-33 NMSA
				  1978.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 8 - PROCEDURES FOR DISCIPLINARY ACTION › Section 16.26.8.5 - EFFECTIVE DATE

Current through Register Vol. 35, No. 13, July 16, 2024
November 7, 1998, unless a later date is cited at the end of
				  a section.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 8 - PROCEDURES FOR DISCIPLINARY ACTION › Section 16.26.8.6 - OBJECTIVE

Current through Register Vol. 35, No. 13, July 16, 2024
The objective of Part 8 is to set forth procedures for filing
				  complaints against applicants and licensees and the procedures for the board to
				  follow in processing complaints.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 8 - PROCEDURES FOR DISCIPLINARY ACTION › Section 16.26.8.7 - DEFINITIONS

Current through Register Vol. 35, No. 13, July 16, 2024
A.
"Complaint"
means a complaint filed with the board against an
				applicant for licensure or against a licensee.
B.
"Complainant"
means the party
				who files a complaint against a licensee or an applicant for
				licensure.
C.
"Respondent"
means the applicant for licensure or the licensee who
				is the subject of the complaint filed with the board.
D.
"Hearing"
means the formal
				process whereby the respondent is afforded the opportunity to be heard by the
				board, or its designated hearing officer, before the board takes action which
				might result in the disciplinary action against the respondent's application
				for licensure or license to practice speech-language pathology, audiology or
				hearing aid dispensing.
E.
"Violation"
means a violation of the Speech-Language Pathology,
				Audiology and Hearing Aid Dispensing Practices Act or the rules and regulations
				duly adopted by the board.
F.
"Notice of contemplated action"
or
"NCA"
means the
				administrative process provided for by the Uniform Licensing Act whereby the
				respondent is notified of the boards intent to take action based upon the
				alleged violations of practice and whereby the respondent is afforded the
				opportunity for a hearing before the board.
G.
"License revocation"
means to
				prohibit the conduct authorized by the license.
H.
"License suspension"
means to
				prohibit, for a stated period of time, the conduct authorized by the
				license.
I.
"License
				restricted subject to conditions"
means to allow the conduct authorized
				by the license for a stated period of time, subject to conditions that are
				reasonably related to the grounds for disciplinary action.
New Mexico Administrative Code › Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING › Chapter 26 - HEARING, SPEECH AND AUDIOLOGY PRACTITIONERS › Part 8 - PROCEDURES FOR DISCIPLINARY ACTION › Section 16.26.8.8 - COMPLAINTS

Current through Register Vol. 35, No. 13, July 16, 2024
The disciplinary process may be instituted by a complaint on
				  a board approved form by any person, including board members and board
				  staff.