Section 4212 - License Application; Process(a) A person who desires a license as a naturopathic doctor shall submit an application to the Committee on a form prescribed by the Committee that includes all of the following: (1) The applicant's name, mailing and street addresses, telephone numbers, social security number, date and place of birth and the institutions attended that provided naturopathic medical education.(2) As to any other health care license or certificate currently or previously held by the applicant: (A) The date that a license or certificate was first issued to the applicant, the name of the body that issued the license or certificate, and the status of the license or certificate.(B) A statement as to whether or not the applicant has ever been denied a health care license or certificate.(C) A statement as to whether or not any type of disciplinary action has ever been taken against a health care license or certificate.(D) A statement as to whether the applicant ever voluntarily surrendered a health care license or certificate.(3) The date, jurisdiction and official results of any naturopathic licensing examinations taken by the applicant, including the Naturopathic Physicians Licensing Examination (NPLEX).(4) A statement as to whether or not the applicant has any condition which in any way impairs their ability to practice naturopathic medicine with reasonable skill and safety, including but not limited to a condition that required admission to an inpatient psychiatric treatment facility, an alcohol or chemical substance dependency or addiction, an emotional, mental or behavioral disorder(s) or other condition.(5) Official transcripts embossed with the registrar's seal from an approved naturopathic medical school indicating that the applicant received a degree or diploma from the school.(6) A statement as to whether the applicant ever been convicted of any crime other than a minor traffic violation.(7) A statement as to whether the applicant intends to furnish or order drugs pursuant to Sections 3640.5 or 3640.7 of the Code and Section 4236. An applicant who intends to furnish or order drugs shall submit written evidence to the Bureau that the licensee has completed at least forty-eight (48) hours of instruction in pharmacology that included the pharmacokinetic and pharmacodynamic principles and properties of the drugs to be ordered or furnished under the provisions of the Act. To comply with this requirement, the instruction must have been offered by one of the following: (A) An approved naturopathic medical school;(B) An institution of higher learning that offers a baccalaureate or higher degree in medicine, nursing, pharmacy, or public health; or(C) An educational institution or provider with standards and course content that are equivalent to the instruction provided by subparagraph (A) or (B), as determined by the Committee.(8) Proof of completion of Live Scan fingerprinting or for out-of-state applicants a set of original certified fingerprints and fee specified in Section 4240.(9) A passport-size photograph of the applicant taken within six months immediately preceding filing the application.(10) A certification under the penalty of perjury as to the contents of the application and any attachments thereto, signed and dated by the applicant.(11) A statement authorizing release to the Committee of the information enumerated in the application and any attachments thereto.(12) The application fee as specified in Section 4240. The application fee is not refundable.Cal. Code Regs. Tit. 16, § 4212
1. New section filed 11-8-2004 as an emergency; operative 11-8-2004 (Register 2004, No. 46). A Certificate of Compliance must be transmitted to OAL by 3-8-2005 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 3-8-2005 as an emergency; operative 3-8-2005 (Register 2005, No. 10). A Certificate of Compliance must be transmitted to OAL by 7-6-2005 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 3-8-2005 order, including amendment of subsections (a)(7) and (a)(7)(B), repealer and new subsection (a)(8) and amendment of subsections (a)(9) and (a)(12), transmitted to OAL 7-5-2005 and filed 8-16-2005 (Register 2005, No. 33).
4. Change without regulatory effect amending subsections (a), (a)(7)(C) and (a)(11) filed 9-30-2010 pursuant to section 100, title 1, California Code of Regulations (Register 2010, No. 40). Note: Authority cited: Sections 3620, 3622 and 3680, Business and Professions Code. Reference: Sections 30, 144, 480, 3620, 3630, 3631, 3633, 3680 and 3681, Business and Professions Code.
1. New section filed 11-8-2004 as an emergency; operative 11-8-2004 (Register 2004, No. 46). A Certificate of Compliance must be transmitted to OAL by 3-8-2005 or emergency language will be repealed by operation of law on the following day.
2. New section refiled 3-8-2005 as an emergency; operative 3-8-2005 (Register 2005, No. 10). A Certificate of Compliance must be transmitted to OAL by 7-6-2005 or emergency language will be repealed by operation of law on the following day.
3. Certificate of Compliance as to 3-8-2005 order, including amendment of subsections (a)(7) and (a)(7)(B), repealer and new subsection (a)(8) and amendment of subsections (a)(9) and (a)(12), transmitted to OAL 7-5-2005 and filed 8-16-2005 (Register 2005, No. 33).
4. Change without regulatory effect amending subsections (a), (a)(7)(C) and (a)(11) filed 9-30-2010 pursuant to section 100, title 1, California Code of Regulations (Register 2010, No. 40).