Alaska Administrative Code
Title 12 - Professional Regulations
Part 1 - Boards and Commissions Subject to Centralized Licensing
Chapter 40 - State Medical Board
Article 1 - Rules of Professional Conduct
12 AAC 40.035 - Temporary permit application requirements

Universal Citation: 12 AK Admin Code 40.035

Current through February 24, 2025

(a) A member of the board, the executive secretary, or a person designated by the board to issue temporary permits, may issue a temporary physician permit to an applicant who

(1) meets the requirements of AS 08.64.270;

(2) has a complete application under 12 AAC 40.010 or 12 AAC 40.015 on file with the division; and

(3) if an interview is required under 12 AAC 40.055, is interviewed in accordance with AS 08.64.279.

(b) Repealed 8/9/2000.

(c) Repealed 8/9/2000.

(d) A member of the board, the executive secretary, or a person designated by the board to issue temporary permits, may expedite the issuance of a temporary physician permit to an applicant who

(1) meets the requirements of AS 08.64.270; and

(2) has on file with the division
(A) a completed application on a form provided by the department, including a photograph of the applicant and the applicants notarized signature;

(B) a completed authorization for release of records on a form provided by the department and signed by the applicant;

(C) payment of all required application and licensing fees;

(D) a complete profile and credentials verification documents sent directly to the division from the Federation Credentials Verification Service of the Federation of State Medical Boards of the United States, Inc.;

(E) verification of passing the licensing examination required under 12 AAC 40.0lO(c)(l) or 12 AAC 40.020;

(F) clearance from the federal Drug Enforcement Administration (DEA);

(G) clearance from the Federation of State Medical Boards or the Federation of Podiatric State Medical Boards; and

(H) clearance from the National Practitioner Data Bank; and

(3) has no adverse or derogatory history, including
(A) grounds for which the board may impose disciplinary sanctions under AS 08.64.321;

(B) malpractice settlements or payments in excess of $50,000 individually or $100,000 in the aggregate;

(C) any criminal charge or conviction, including conviction based on a . guilty plea or plea of no lo contendere;

(D) any complaint, investigation, or action, regarding the practice of medicine, in another state or territory of the United States, a province or territory of Canada, a federal agency, the armed forces of the United States or any international jurisdiction;

(E) any adverse action taken by a hospital, health care facility, health care entity, residency program or fellowship program.

As of Register 160 (January 2002), the regulations attorney made a technical revision under AS 44.62.125(b)(6), to 12 AAC 40.035(a) (1).

Authority: AS 08.64.100

AS 08.64.101

AS 08.64.180

AS 08.64.270

AS 08.64.279

Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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