Section 12.16.033. Application for licensure by credentials.

An applicant for licensure by credentials must meet the requirements of AS 08.20.141, pass the examination required under AS 08.20.141(5), and submit, at least 45 days before the next scheduled state chiropractic examination, the following:  
		(1) a completed application on a form provided by the department;  
		(2) the applicable fees established in 12 AAC 02.150;  
		(3) evidence that the applicant has held a license in good standing to practice chiropractic in another jurisdiction for the five years preceding the date of application;  
		(4) verification of the present status of the applicant's license from each jurisdiction  where the applicant holds or has ever held a license to practice chiropractic;  
		(5) evidence of active licensed clinical chiropractic practice for at least three out of the last five years immediately preceding the date of application;  
		(6) official transcripts showing that the applicant is a graduate of a school or college of chiropractic that was, at the time of graduation, accredited by or a candidate for accreditation by the Council on Chiropractic Education or a successor accrediting agency recognized by the board;  
		(7) an official grade transcript sent directly to the department from the National Board of Chiropractic Examiners showing that the applicant has successfully passed either the Special Purposes Examination of Chiropractic (SPEC) or both parts one and two of the national examination;  
		(8) either  
			(A) evidence of completion of 120 hours of formal training in physiological therapeutics; or   
			(B) an official grade transcript sent directly to the department from the National Board of Chiropractic Examiners showing that the applicant has successfully passed the physiological therapeutics examination;  
		(9) a notarized sworn statement by the applicant that the applicant has not, within the five years preceding the date of application, been the subject of an unresolved review or an adverse decision based upon a complaint, investigation, review procedure, or disciplinary proceeding undertaken by a foreign, state, territorial, local, or federal chiropractic licensing jurisdiction, chiropractic society, or law enforcement agency that relates to criminal or fraudulent activity, chiropractic malpractice, or negligent chiropractic care and that adversely reflects on the applicant's ability or competence to engage in the practice of chiropractic or on the safety or well-being of patients;  
		(10) a report under AS 12.62  containing criminal history record information concerning the applicant and issued no earlier than 90 days before the application; if a state other than this state is the applicant's primary state of residence, or if the applicant holds or has ever held a license in a state other than this state to practice chiropractic, the applicant shall also submit an equivalent report issued by that other state and issued no earlier than 90 days before the application.  

Authorities

08.20.055;08.20.110;08.20.130;08.20.141;08.20.170

Notes

Reference

12 AAC 16.200

Authority

AS 08.20.055 AS 08.20.110 AS 08.20.130 AS 08.20.141 AS 08.20.170

History

Eff. 5/23/2003, Register 166; am 5/27/2006, Register 178; am 1/29/2009, Register 189; am 8/14/2010, Register 195