New Mexico Administrative Code
Title 16 - OCCUPATIONAL AND PROFESSIONAL LICENSING
Chapter 2 - ACUPUNCTURE AND ORIENTAL MEDICINE PRACTITIONERS
Part 16 - AURICULAR DETOXIFICATION
Section 16.2.16.10 - CERTIFIED AURICULAR DETOXIFICATION SPECIALIST CERTIFICATION APPLICATION

A. the auricular detoxification specialist certification application fee specified in 16.2.10 NMAC; and

B. an application for certified auricular detoxification specialist certification that is complete and in English on a form provided by the board that shall include the applicant's name, address, date of birth and social security number if the applicant has one; and

C. two passport-type photographs of the applicant taken not more than six months prior to the submission of the application; and

D. a copy of the applicant's high school diploma or high school general equivalency diploma (GED) or diploma of higher education; and

E. a copy of the applicant's certificate of successful completion of a board approved auricular detoxification specialist training program; and

F. the name of the auricular detoxification supervisor(s) registered with the board who will supervise the applicant if known; and

G. an affidavit as provided on the certified auricular detoxification specialist application form as to whether the applicant:

H. an affidavit as provided on the certified detoxification specialist application form attesting the disciplinary record of the applicant with regard to each jurisdiction where the applicant has been licensed, certified, registered or legally recognized to practice any profession, including health care professions, in any jurisdiction, under any authority other than the New Mexico Acupuncture and Oriental Medicine Practice Act; and

I. an affidavit as provided on the certified auricular detoxification specialist application form certifying that all documents submitted with the form are true and faithful copies of the original; and

J. an affidavit as provided on the certified auricular detoxification specialist application form certifying a record free of convictions for drug or alcohol related offenses for at least two consecutive years before the submission of the certified auricular detoxification specialist application; and

K. an affidavit as provided on the certified auricular detoxification specialist application form stating that the applicant understands that:

L. an affidavit as provided on the certified auricular detoxification specialist application form stating that the applicant understands that a certified auricular detoxification specialist is authorized to perform only the following, for the purpose of harm reduction or treating and preventing alcoholism, substance abuse or chemical dependency and only within a board approved treatment program that demonstrates experience in disease prevention, harm reduction, or the treatment or prevention of alcoholism, substance abuse or chemical dependency:

M. a board approved clean needle technique examination and the board approved jurisprudence examination covering the act and the rules with passing scores of not less than 90%;

N. an accurate translation in English of all documents submitted in a foreign language; each translated document shall bear the affidavit of the translator certifying that he or she is competent in both the language of the document and the English language and that the translation is a true and faithful translation of the foreign language original; each translated document shall also bear the affidavit of the translator certifying that the translation is a true and faithful translation of the original; each affidavit shall be signed before a notary public; the translation of any document relevant to an application shall be at the expense of the applicant.