Ariz. Admin. Code § R9-16-703 - Application for Initial Certification as a Laser Technician

A. Except as provided in subsection (B), an applicant for certification as a laser technician shall submit to the Department an application packet that includes:

1. The following information in a Department-provided format:

a. The applicant's name;

b. The applicant's residential address and, if different, mailing address;

c. The applicant's telephone number;

d. The applicant's email address;

e. The applicant's Social Security number, as required under A.R.S. §§ 25-320 and 25-502;

f. The applicant's date of birth;

g. The applicant's current employment as a laser technician, if applicable, including:

i. The employer's name,

ii. The applicant's position,

iii. Dates of employment,

iv. The address of the employer,

v. The supervisor's name,

vi. The supervisor's email address, and

vii. The supervisor's telephone number;

h. Each type of cosmetic procedure, from the list of Department-approved cosmetic procedures on the Department's website at https://www.azdhs.gov/licensing/special/index.php#laser-technicians-provider-application, for which the applicant is requesting certification;

i. Whether the applicant holds other professional licenses or certifications and, if so:

i. The professional license or certification, and

ii. The state in which the professional license or certification was issued;

j. Whether the applicant has had a professional license or certificate suspended, revoked, or had disciplinary action taken against the professional license or certificate;

k. Whether the applicant agrees to allow the Department to submit supplemental requests for information under R9-16-706 ;

l. An attestation that the information and documentation submitted as part of an application packet is true and accurate; and

m. The applicant's signature and date of signing;

2. If the applicant has had a professional license or certificate suspended, revoked, or had disciplinary action taken against the professional license or certificate within the previous five years, documentation that includes:

a. The date of the disciplinary action, revocation, or suspension;

b. The state or nationally accredited certifying body that issued the disciplinary action, revocation, or suspension; and

c. An explanation of the disciplinary action, revocation, or suspension;

3. If the applicant is currently ineligible for licensing or certification in any state because of a professional license revocation or suspension, documentation that includes:

a. The date of the ineligibility for licensing or certification,

b. The state or jurisdiction of the ineligibility for licensing or certification, and

c. An explanation of the ineligibility for licensing or certification;

4. A copy of the provisional certificate for course completion issued to the applicant consistent with requirements in 9 A.A.C. 7, Article 14;

5. Either:

a. Documentation from a Department-certified training program certifying that the applicant completed 10 procedures and 24 hours of hands-on training for each type of cosmetic procedure specified according to subsection (A)(1)(h); or

b. Both:

i. A copy of the document, in a Department-provided format, issued to the applicant by the supervising health professional or laser technician, consistent with requirements in 9 A.A.C. 7, Article 14, verifying and attesting to the successful completion of the applicant's 24 hours of hands-on training; and

ii. A log, in a Department-provided format, documenting 10 procedures and 24 hours of hands-on training for each type of cosmetic procedure specified according to subsection (A)(1)(h);

6. Documentation for the applicant that complies with A.R.S. § 41-1080; and

7. The applicable fee in R9-16-707.

B. If an applicant for initial certification as a laser technician may be eligible for certification under A.R.S. § 32-4302(A), the applicant shall submit an application packet to the Department that includes:

1. The information and documentation required in subsection (A)(1) and, if applicable, (A)(2) or (3);

2. Documentation of the professional license or certification issued to the applicant by each state in which the applicant holds a professional license or certification;

3. Documentation showing the types of cosmetic procedures for which the applicant has a professional license or certification;

4. A statement, signed and dated by the applicant, attesting that the applicant:

a. Has been licensed or certified in another state for at least one year, with a scope of practice consistent with the scope of practice for which certification is being requested;

b. Has met minimum education requirements and, if applicable, work experience and clinical supervision requirements, according to A.R.S. § 32-4302(A)(3);

c. Has not voluntarily surrendered a professional license or certification in any other state or country while under investigation for unprofessional conduct; and

d. Does not have a complaint, an allegation, or an investigation pending before another regulatory entity in another state or country related to unprofessional conduct; and

5. The applicable fee in R9-16-707.

C. The Department shall approve or deny an application for initial certification according to R9-16-706.

D. Initial certification as a laser technician is valid for one year after issuance, unless revoked, and must be renewed annually.

Notes

Ariz. Admin. Code § R9-16-703

New Section made by final expedited exempt rulemaking at 30 A.A.R. 173, effective 1/4/2024.