Applicants with Health History
If a “Yes” response was provided to any of the questions in this section, provide the following documents directly to the board office:
A letter from a Licensed Health Care Practitioner, who is qualified by skill and training to address the condition identified, which explains the impact the condition may have on the ability to practice the profession with reasonable skill and safety. The letter must specify that the applicant is safe to practice the profession without restrictions or specifically indicate the restrictions that are necessary. Documentation provided must be dated within one year of the application date.
A written self-explanation, identifying the medical condition(s) or occurrence(s); and current status.
Applicants with Discipline History
Disciplinary History documentation must include: Board orders, disciplinary reports, court documents, arrest records, sentencing information, final disposition(s), restitution records, completion of probation, employment records and/or employment verifications, employer and/or colleague recommendation letters, etc.
Applicants with Criminal History
Criminal History documentation must include for each offense: court and arrest records, sentencing information, final disposition(s), restitution records, proof of completion of probation and all other sanctions. If the records are no longer available, must have certification of their unavailability from the applicable clerk of courts office.