Ariz. Admin. Code § R4-38-306 - Application to Register a Medical Assistant
A. If a homeopathic physician intends that an
individual who meets one of the minimum requirements listed in
R4-38-305(A) work as a medical assistant, the homeopathic
physician shall submit to the Board an application to register the individual
within two weeks after employing the individual.
B. To register an individual who meets one of
the standards at
R4-38-305(A)
as a medical assistant, a homeopathic physician shall submit to the Board the
following information on a form obtained from the Board:
1. About the individual being registered:
a. Name;
b. Residential address;
c. Residential and mobile telephone
numbers;
d. E-mail
address;
e. Social Security
number;
f. Address of the practice
location at which the individual will perform delegated procedures;
g. Telephone and fax numbers of the clinic at
which the individual will perform delegated procedures;
h. Statement of whether the individual
completed a formal education program that meets the standards at
R4-38-303 or a practical education program approved by the Board under
R4-38-304;
i. Statement of whether the individual is or
ever has been licensed as a health care practitioner in a U.S. jurisdiction in
a profession subject to regulation by licensure in Arizona and if so:
i. A list of all jurisdictions in which the
individual is or ever has been licensed as a health care professional,
and
ii. A list of the health care
professions in which the individual is or ever has been licensed; and
iii. A statement whether the individual has
ever been subject to a disciplinary proceeding by a health care regulatory
board in any jurisdiction and if so, the jurisdiction, health care profession,
date, and cause and result of the disciplinary proceeding:
j. Statement of whether the individual has
ever been charged with or convicted of any criminal act and if so, the nature
of the criminal act, date, jurisdiction, and current status;
k. Statement of whether the individual is a
U.S. citizen and if not, whether the individual is an alien qualified to work
in the U.S.; and
l. Dated signature
of the individual being registered affirming that the information provided
under subsections (B)(1)(a) through (k) is true, correct, and
complete;
2. Description
of the homeopathic procedures and other duties that will be delegated to the
individual being registered, and
3.
About the homeopathic physician:
a.
Name,
b. License number,
and
c. Dated signature of the
homeopathic physician affirming that:
i. All
information provided, including the materials listed in subsection (C), is
true, correct, and complete; and
ii. The homeopathic physician has reviewed
the standards for supervision listed at
R4-38-302 and agrees to comply with the standards.
C. In addition to the form
required under subsection (B), a licensed homeopathic physician applying to
register an individual as a medical assistant shall attach the following
materials to the form:
1. A curriculum vitae
or resume of the individual being registered;
2. If the individual being registered
completed a formal education program that meets the standards at
R4-38-303,
an official transcript from the school, college, or technical institution that
provided the program;
3. If the
individual being registered completed a practical education program approved by
the Board under
R4-38-304,
a copy of the certificate or other evidence of completion required under
R4-38-304;
4. If the individual
being registered has ever been charged with or convicted of any criminal act, a
certified copy of the original charging document and a copy of all court
documents relating to the individual's current status;
5. If the individual being registered is not
a U.S. citizen, a copy of the document that shows the individual is qualified
to work in the U.S.;
6. The
evidence required under
R4-38-302(C)
showing that the homeopathic physician is qualified in the homeopathic modality
to be delegated; and
7. The fee
required under R4-38-105.
D. Multiple homeopathic physicians who work
in the same medical practice may apply jointly to register one individual as a
medical assistant. If multiple homeopathic physicians apply jointly to register
one individual as a medical assistant, each shall:
1. Provide the information and affirmation
required under subsection (B)(3), and
2. Provide the evidence required under
subsection (C)(6).
E. A
homeopathic physician who has registered a medical assistant may amend the
medical assistant's job description provided under subsection (B)(2). To amend
the job description of a registered medical assistant, the homeopathic
physician shall submit to the Board:
1. A new
job description that identifies the homeopathic procedures and other duties
that will be delegated to the registered medical assistant,
2. The documentation required under
subsection (C)(2) or (3) showing that the registered medical assistant is
qualified to perform the procedures and other duties to be delegated,
and
3. The evidence required under
subsection (C)(6) showing that the homeopathic physician is qualified in the
homeopathic modality to be delegated.
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