the purposes of the rules in this Chapter, a remote practice site is a practice
site at which a Level 1 Delegate may, if authorized by a written job
description or collaborative protocol, use lasers/pulsed light devices for
non-ablative procedures without the delegating/supervising physician being
on-site and immediately available.
(2) A Level 2 Delegate shall not use
lasers/pulsed light devices or any energy source, chemical or other modality
that affects living tissue at a remote practice site.
(3) The delegating/supervising physician
shall examine the patient, establish a treatment plan, and sign the patient
chart prior to a Level 1 Delegate performing the first non-ablative treatment
of a patient for a particular disease or condition at a remote practice site.
Subsequent non-ablative treatments which are a continuation of a treatment plan
documented in the patient's chart may be performed by the Level 1 Delegate at a
remote practice site without examination of the patient by the physician before
Ala. Admin. Code r.
New Rule: Filed August 16,
2007; effective September 20, 2007.
Authors: Alabama Board of Medical Examiners ad
hoc Committee: Jorge A. Alsip, M.D.; Kenneth W. Aldridge, M.D.; Michael S.
Clinton, M.D., Deason C. Dunagan, M.D.; Edward C. Facundus, M.D.; Steven P.
Furr, M.D.; K. Michael Hites, P.A.; Wonsuck Kim, M.D.; Elizabeth S. Martin,
M.D.; Diantha Miller, CRNP; Gary D. Monheit, M.D.; Arthur F. Toole, III, M.D.;
and the Alabama Board of Medical Examiners
Code of Ala.