Section 12 AAC 40.035 - Temporary permit application requirements(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.(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.Eff. 5/18/85, Register 94; am 8/2/86, Register 99; am 4/10/88, Register 106; am 8/17/97, Register 143; am 8/9/2000, Register 155; am 10/8/2017,Register 224, January 2018; am 12/25/2019, Register 232, January 2020As 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