Section R4-7-1001. Eligibility; Application

A.      Both extern and preceptor shall submit a written application to the Board for approval of participation in a preceptor training program. The Board shall process the application within the time-frames provided in R4-7-502(J).

1.        The application shall be submitted on a form that con- tains:

a.         The extern’s photo;

b.        The extern’s and preceptor’s names, addresses, tele- phone numbers, and any other names of the extern or preceptor;

c.         The preceptor’s license number, number of years in practice, and disciplinary history;

d.        A waiver of confidentiality under subsection (B)(2) and notarized signature from both the extern and preceptor;

e.         The beginning and ending date of the program;

f.         Location, days, and hours of the program;

g.        The name and contact number for the college spon- soring the preceptorship program under subsection (B)(1);

h.        The date of extern graduation from a chiropractic college and identification of the proposed scope of the program for which the application is being sub- mitted and the eligibility of the applicants for approval.

2.        The application shall require the extern and the preceptor to disclose any convictions or sanctions and whether the extern or preceptor is currently under investigation for a violation of criminal or administrative law.

B.       Except as provided in subsection (D), the Board shall approve participation by an extern who does not come under subsection

(C) and who:

1.        Concurrently participates in an undergraduate or post- graduate preceptorship program offered by an accredited chiropractic college and provides verifiable proof of enrollment;

2.        Submits a written waiver of confidentiality that permits the Board access to any information, records, or docu- mentation collected or used by the college to evaluate the extern’s eligibility for or performance in the program;

3.        Provides a certificate of attainment on Parts I and II of the examination by the National Board of Chiropractic Examiners;

4.        Successfully completes and provides documentation of the coursework required by A.R.S. § 32-922.02 for prac- tice of chiropractic specialties, if specialties are to be included in the training program; and

5.        Submits the $75.00 filing fee, which is non-refundable except if A.R.S. § 41-1077 applies.

C.      The Board shall not approve participation for an extern who:

1.        Has been the subject of disciplinary sanction or convicted of a felony or misdemeanor involving moral turpitude;

2.        Is currently under investigation for a licensing violation, or a felony or misdemeanor involving moral turpitude;

3.        Fails to demonstrate good character and reputation;

4.        Fails to demonstrate the physical and mental ability to practice chiropractic skillfully and safely; or

5.        Has practiced chiropractic without a license or through participation in an approved preceptor program.

D.      The Board shall approve participation for a preceptor who:

1.        Concurrently participates as a preceptor at the chiroprac- tic college in which the extern is enrolled throughout the time period of the preceptor program and provides verifi- able proof of participation;

2.        Submits a written waiver of confidentiality that permits the Board access to any information, records, or docu- mentation collected or used by the college to evaluate the preceptor’s eligibility for or performance in the program; and

3.        Is continuously licensed in Arizona for at least five years before the date the program is to begin and, if the pro- gram is to include practice of chiropractic specialties, is certified in those specialties for at least three years before the date upon which the program is to begin; and

E.       The Board shall not approve participation for a preceptor who:

1.        Has been the subject of disciplinary sanction or convicted of a felony or a misdemeanor involving moral turpitude;

2.        Is currently under investigation for a licensing violation, felony, or misdemeanor involving moral turpitude;

3.        Fails to demonstrate good character and reputation; or

4.        Fails to demonstrate the physical and mental ability to practice chiropractic skillfully and safely.

Historical Note

Adopted effective September 27, 1985 (Supp. 85-5). Sec- tion repealed and new Section adopted by final rulemak- ing at 5 A.A.R. 1602, effective May 20, 1999 (Supp. 99- 2). Amended by final rulemaking at 8 A.A.R. 3293, effec- tive July 17, 2002 (Supp. 02-3).