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Chapter 246-836 WAC

Last Update: 9/18/12

NATUROPATHIC PHYSICIANS

WAC Sections

Definitions.
Eligibility for licensure examination.
Licensure examination.
Release of examination results.
Reexaminations.
Continuing competency program.
Applicants educated and/or licensed in another country.
Licensing by endorsement.
Reciprocity or waiver of examination requirements.
Approval of colleges of naturopathic medicine.
Provisional approval of colleges of naturopathic medicine.
Full approval of colleges of naturopathic medicine.
Unapproved college of naturopathic medicine.
Appeal of board's decisions.
Standards for approval of colleges of naturopathic medicine.
Site review procedures for approval of college of naturopathic medicine.
Authority to use, prescribe, dispense and order.
Authorization regarding controlled substances.
Intramuscular, intravenous, subcutaneous, and intradermal injections.
Mandatory reporting.
Health care institutions.
Naturopathic associations or societies.
Health care service contractors and disability insurance carriers.
Professional liability carriers.
Courts.
State and federal agencies.
AIDS prevention and information education requirements.
Sexual misconduct—Definitions.
Sexual misconduct.
How to obtain a temporary practice permit—National background check.
Naturopathic physician licensing fees and renewal cycle.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS CHAPTER
246-836-060
Examination appeals. [Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-060, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-060, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060. WSR 88-14-009 (Order PM 742), § 308-34-150, filed 6/24/88.] Repealed by WSR 01-14-091, filed 7/5/01, effective 8/5/01. Statutory Authority: RCW 18.36A.060.
246-836-070
Renewal of licenses. [Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-070, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-070, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060. WSR 88-14-009 (Order PM 742), § 308-34-160, filed 6/24/88.] Repealed by WSR 97-20-101, filed 9/29/97, effective 10/30/97. Statutory Authority: RCW 43.70.040.
246-836-090
License reinstatement. [Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-090, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-090, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060. WSR 88-14-009 (Order PM 742), § 308-34-190, filed 6/24/88.] Repealed by WSR 98-05-060, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.280.
246-836-190
Postgraduate hours in the study of mechanotherapy. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-190, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-470, filed 1/3/89.] Repealed by WSR 97-20-101, filed 9/29/97, effective 10/30/97. Statutory Authority: RCW 43.70.040.
246-836-320
General provisions. [Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-320, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-130-320, filed 6/30/89.] Repealed by WSR 92-02-018 (Order 224), filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 18.36A.060.
246-836-400
Cooperation with investigation. [Statutory Authority: RCW 18.36A.060, 18.130.050 and 18.130.070. WSR 92-02-018 (Order 224), § 246-836-400, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-400, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-130-400, filed 6/30/89.] Repealed by WSR 97-20-101, filed 9/29/97, effective 10/30/97. Statutory Authority: RCW 43.70.040.


246-836-010
Definitions.

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.
(1) "Board" means the board of naturopathy.
(2) "Department" means the department of health.
(4) "Naturopath" or "naturopathic physician" means a person licensed under chapter 18.36A RCW.
(5) "Nursing home" means any health care institution which comes under chapter 18.51 RCW.
(6) "Unprofessional conduct" means the conduct described in RCW 18.130.180.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-010, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-010, filed 12/23/91, effective 1/23/92.]



246-836-020
Eligibility for licensure examination.

(2) All applicants shall file with the board a completed application, with the required fee, at least sixty days prior to the exam.
(3) Applicants shall request that the college of naturopathic medicine send official transcripts directly to the board.
(4) Applicants who have filed the required applications, whose official transcript has been received by the board, and who meet all qualifications shall be notified of their eligibility, and only such applicants will be admitted to the exam.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-020, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-020, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-020, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060. WSR 88-14-009 (Order PM 742), § 308-34-110, filed 6/24/88.]



246-836-030
Licensure examination.

(1) The licensure examination shall consist of the following components and tests:
(a) Basic science component which may include but not be limited to tests in the following subjects: Pathology, anatomy, physiology, microbiology and biochemistry.
(b) Clinical science component which may include but not be limited to tests in the following subjects: Physical diagnosis; nutrition; physical medicine; botanical medicines and toxicology; psychological and lifestyle counseling; emergency medicine, basic skills and public health; lab and X-ray diagnosis.
(c) Law of the state and administrative regulations as they relate to the practice of naturopathic medicine.
(d) The board, at its discretion, may require tests in other subjects. Candidates will receive information concerning additional tests prior to the examination.
(2) Candidates may take the basic science component of the exam after two years of training. A candidate who has achieved a passing score on the basic science component after two years of training must achieve a passing score on the clinical science component and the state law test within twenty-seven months after graduation; otherwise, the candidate's basic science component exam results will be null and void and the candidate must again take the basic science component of the exam. All exam candidates are required to obtain a passing score on all tests before a license is issued. A candidate who takes the basic science component of the exam after two years of training must submit an application for reexamination, along with reexamination fees, to take the clinical science component and the state law test at a later exam administration.
(3) Examinations shall be conducted twice a year.
(4) The minimum passing score for each test in the examination is seventy-five.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-030, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-030, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060. WSR 88-14-009 (Order PM 742), § 308-34-120, filed 6/24/88.]



246-836-040
Release of examination results.

(1) Candidates shall be notified of examination results by mail only.
(2) Candidates who successfully complete all components and tests of the examination shall receive a license to practice as a naturopathic physician provided all other requirements are met.
(3) Candidates who fail any test in the examination shall be so notified and shall be sent an application to retake the examination.
(4) A candidate's examination scores shall be released only to the candidate unless the candidate has requested, in writing, that the examination scores also be released to a specific school, individual, or entity.
[Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-040, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060. WSR 88-14-009 (Order PM 742), § 308-34-130, filed 6/24/88.]



246-836-050
Reexaminations.

(1) A candidate wishing to retake the examination or any portion thereof must file with the board the required reexamination fees and an application to retake the examination at least sixty days before the administration of the exam.
(2) A candidate must retake the entire basic science component if he or she failed to achieve a passing score in three or more basic science tests. A candidate must retake the entire clinical science component if he or she failed to achieve a passing score in four or more clinical science tests. A candidate must retake any test(s) for which the candidate failed to achieve a passing score.
(3) A candidate who failed to achieve a passing score in three or more basic science tests and/or four or more clinical science tests must achieve a passing score on those tests within the next two administrations of the examination. A candidate who does not achieve a passing score within those next two administrations of the exam will be required to retake the entire component.
(5) A candidate is required to pay a reexamination fee to retake the exam or any portion thereof.
(6) A candidate who took the basic science component of the exam after two years of training must submit an application for reexamination, along with reexamination fees, to take the clinical science component and the state law test at a later exam administration.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-050, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-050, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-050, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060. WSR 88-14-009 (Order PM 742), § 308-34-140, filed 6/24/88.]



246-836-080
Continuing competency program.

(1) Licensed naturopathic physicians must demonstrate completion of twenty hours of continuing education as provided in chapter 246-12 WAC, Part 7. Only courses in diagnosis and therapeutics as listed in RCW 18.36A.040 shall be eligible for credit.
(2) In emergency situations, such as personal or family illness, the board may in its discretion, for good cause shown, waive all or part of the continuing education requirement for a particular one year period for an individual licensee. The board may require such verification of the emergency as is necessary to prove its existence.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-080, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-836-080, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-080, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-080, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060. WSR 88-14-009 (Order PM 742), § 308-34-180, filed 6/24/88.]



246-836-100
Applicants educated and/or licensed in another country.

(1) Applicants for licensure educated in a country outside the United States or its territories shall meet the following requirements for licensure.
(a) Satisfactory completion of a basic naturopathic medical program in a naturopathic school or college officially approved by the country where the school is located.
(i) The naturopathic education program at the time of graduation shall be equivalent to or exceed the minimum required standards for Washington state approved colleges of naturopathic medicine.
(ii) Any deficiencies in the naturopathic medical program shall be satisfactorily completed in a Washington state approved college of naturopathic medicine.
(c) All other requirements of chapter 18.36A RCW and this chapter must be met, including the requirement that the applicant be of good moral character; not have engaged in unprofessional conduct; and not be unable to practice with reasonable skill and safety as a result of a physical or mental impairment.
(2) Applicants for examination shall:
(a) File with the board a completed notarized license application with the required fee at least sixty days prior to examination.
(b) Request the college of naturopathic medicine to submit an official transcript directly to the board.
(c) Request the licensing agency in the country of original license to submit evidence of licensure to the board.
(d) If the applicant's original documents (education and licensing) are on file in another state, the applicant may request that the other state send to the board notarized copies in lieu of the originals.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-100, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-100, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-100, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-310, filed 1/3/89.]



246-836-110
Licensing by endorsement.

A license to practice as a naturopathic physician in the state of Washington may be issued without examination at the discretion of the board provided the applicant meets all of the following requirements:
(1) The candidate has graduated from and holds a degree/diploma from a college of naturopathic medicine approved by the state or jurisdiction where the school is located and which prepares candidates for licensure as a naturopathic physician: Provided, That such program at the time of the candidate's graduation is equivalent to or exceeds the minimum naturopathic medical educational standards required for Washington state approved schools;
(2) The candidate holds a current valid license in good standing to practice as a naturopathic physician in another state or jurisdiction. Official written verification of such licensure status must be received by the board from the other state or jurisdiction;
(3) The candidate has completed and filed with the board a notarized application for licensure by endorsement, a true and correct copy of the current valid license, and the required application fee;
(4) The candidate has successfully passed a naturopathic physician licensure examination in another state or jurisdiction.Written official verification of successful completion of the licensure examination and of licensure in good standing must be requested of the state or jurisdiction by the candidate and must be received by the board directly from the state or jurisdiction;
(5) The candidate must meet all other requirements of chapter 18.36A RCW and this chapter, including the requirement that the applicant be of good moral character; not have engaged in unprofessional conduct; and not be unable to practice with reasonable skill and safety as a result of a physical or mental impairment; and
(6) The state or jurisdiction in which the candidate is currently licensed grants similar privilege of licensure without examination to candidates who are licensed in Washington as naturopathic physicians.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-110, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-110, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-110, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-320, filed 1/3/89.]



246-836-120
Reciprocity or waiver of examination requirements.

[Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-120, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-120, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-330, filed 1/3/89.]



246-836-130
Approval of colleges of naturopathic medicine.

(1) For the purposes of this chapter, "college" means a college, university, educational institution, or educational program.
(2) The minimum educational requirement for licensure to practice naturopathic medicine in Washington is graduation from a naturopathic college approved by the board which teaches adequate courses in all subjects necessary to the practice of naturopathic medicine.
(3) These rules provide the standards and procedures by which naturopathic colleges may obtain approval by the board in order that graduates of those schools may be permitted to take examinations for license.
(4) The board determines the accreditation standards adopted June 2009 by the Council on Naturopathic Medical Education (CNME) to be substantially equivalent to the requirements of RCW 18.36A.100 and this chapter. Any naturopathic college holding current CNME accreditation shall be deemed to have met all requirements for approval.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-130, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-130, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-130, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-410, filed 1/3/89.]



246-836-140
Provisional approval of colleges of naturopathic medicine.

Provisional approval is approval given to an unapproved program while the program is undergoing the process of gaining full program approval. The board may grant provisional approval to a naturopathic college which has been in continuous operation for at least one year. Provisional approval may be granted for a period not to exceed two and one-half years and may not be renewed or extended. Provisional approval shall neither imply nor assure eventual full approval.
(2) The procedures for application, examination, review and revocation of provisional approval shall be the same as those specified for full approval in this chapter.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-140, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-140, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-140, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-420, filed 1/3/89.]



246-836-150
Full approval of colleges of naturopathic medicine.

(a) Colleges of naturopathic medicine seeking full approval shall apply to the board on a form and in a manner prescribed by the board.
(b) Those naturopathic colleges holding current accreditation by the CNME need only reference their current CNME accreditation, which will be verified by the board; however, such colleges shall be subject to all other provisions of this chapter.
(2) The board may grant full approval to naturopathic colleges which have demonstrated compliance with the standards contained in this chapter and RCW 18.36A.100.
(3) To be eligible for full approval a naturopathic college must have been in continuous operation for a period of at least three years.
(4) After approval by the board, periodic reports may be required. Failure to conform to or maintain established standards may result in loss of approval. No naturopathic college shall receive full approval for a period longer than five years. Prior to the expiration of the period of approval, the college must apply to the board for renewal of approval using the same criteria required under subsection (1) of this section. The responsibility for renewal rests solely with the naturopathic college. The board shall review the application and make a final decision of approval or disapproval in not more than one hundred twenty days.
(5) If a naturopathic college fails to maintain the required standards or fails to report significant institutional changes, including changes in location, within ninety days of the change, the board may revoke or suspend approval. The board may contact a naturopathic college at any time, either through an evaluation committee or representative, to audit, inspect or gather information concerning the college's compliance with the required standards.
(6) After suspension of approval of a naturopathic college, the board may reinstate approval upon receipt of satisfactory evidence that the college meets the standards of chapter 18.36A RCW and this chapter.
(7) After revocation of approval of a naturopathic college, a college may seek provisional approval, if otherwise qualified.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-150, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-150, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-150, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-430, filed 1/3/89.]



246-836-160
Unapproved college of naturopathic medicine.

(2) A naturopathic college may be removed from the board's list of approved colleges when they no longer hold current accreditation through the CNME. Any college failing to maintain CNME accreditation is required to apply for approval to the board in accordance with the requirements in WAC 246-836-150.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-160, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-160, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-160, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-440, filed 1/3/89.]



246-836-170
Appeal of board's decisions.

[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-170, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060 and 34.05.220. WSR 92-02-018 (Order 224), § 246-836-170, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-170, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-450, filed 1/3/89.]



246-836-180
Standards for approval of colleges of naturopathic medicine.

The following standards shall be used by the board in considering a naturopathic college's application for approval:
(1) Objectives. The objectives of the college shall be clearly stated and address the preparation for the naturopathic physician to provide patient care. The implementation of the objectives should be apparent in the administration of the college, individual course objectives, and in the total program leading to graduation.
(2) Organization.
(a) For independent naturopathic colleges, the institution shall be incorporated under the laws of the state of its residence as an education corporation. Control shall be vested in a board of directors composed of naturopathic physicians and others. No less than one-third plus one of the directors shall be naturopathic physicians. Under no circumstances shall more than one-third of the directors have administrative or instructional positions in the college. The directors must demonstrate their knowledge of the objectives of the college through policy decisions, support of college programs and active participation in college governance, and selection and oversight of the chief administrative officer.
(b) For naturopathic colleges governed by a multidiscipline university, the institution shall be incorporated under the laws of the state of its residence as an education corporation and control vested in a governing board of directors or trustees composed of qualified members with diverse professional backgrounds. At least one of the directors shall be a naturopathic physician. Under no circumstances shall more than one-third of the directors have administrative or instructional positions in the institute. The institute shall have an established means by which the college can formally, regularly, and effectively communicate to the governing body its needs for resources and provide input on relevant institutional and programmatic issues.
(3) Administration. The education and experience of directors, administrators, supervisors, and instructors should be sufficient to ensure that the student will receive educational services consistent with institutional objectives. The administration of the college shall be such that the lines of authority are clearly drawn. The college shall present with its application a catalog and a brief, narrative explanation of how the administration of the college is, or is to be, organized and how the administrative responsibility for each of the following is, or is to be, managed:
(a) Faculty and staff recruitment;
(b) Personnel records management;
(c) Faculty pay scale and policies;
(d) Standards and practices relating to evaluation, improvement of instruction, promotion, retention and tenure;
(e) Admissions policies including procedures used to solicit students;
(f) Development and administration of policies governing rejection and retention of students, job placement, and student counseling and advising services;
(g) Curriculum requirements;
(h) Tuition and fee policies; and
(i) Financial management policies.
(4) Financial condition. The college shall demonstrate its financial stability by submitting certified audits once every three years and, reports, or other appropriate evidence annually.
(5) Records. The college shall maintain a detailed system of records for each student beginning with application credentials through the entire period of attendance. The records, including matriculation, attendance, grades, disciplinary action, and financial accounts, shall be the permanent property of the college, to be safeguarded from all hazards and not to be loaned or destroyed.
(6) Educational credentials.
(a) Upon satisfactory completion of the educational program, the student shall receive a degree from the college indicating that the course of study has been satisfactorily completed by the student.
(b) In addition, for each student who graduates or withdraws, the college shall prepare, permanently file, and make available a transcript which specifies all courses completed. Each course entry shall include a title, the number of credits awarded, and a grade. The transcript shall separately identify all credits awarded by transfer or by examination.
(c) Upon request, all student records and transcripts shall be made available to the board.
(7) Catalog. The college shall publish a current catalog at least every two years containing the following information:
(a) Name, mailing address, and physical address of the school;
(b) Date of publication;
(c) Admission requirements and procedures;
(d) A statement of tuition and other fees or charges for which a student is responsible and a statement on refund policies;
(e) A school calendar designating the beginning and ending dates of each term, vacation periods, holidays, and other dates of significance to students;
(f) Objectives of the college;
(g) A list of trustees (directors), administrative officers and faculty members including titles and academic qualifications;
(h) A statement of policy about standards of progress required of students, including the grading system, minimum satisfactory grades, conditions for interruption for unsatisfactory progress, probation, and reentry, if any;
(i) A description of each course indicating the number of hours and course content, and its place in the total program;
(j) A description of facilities and major equipment, including library, laboratory and clinical training facilities;
(k) Statements on the nature and availability of student financial assistance, counseling, housing, and placement services, if any;
(l) A statement indicating whether the college is recognized by other agencies or associations for the licensing or certification of naturopathic physicians; and
(m) Any other material facts concerning the college which are reasonably likely to affect the decision of the potential student.
(8) Admission policies and procedures. The college shall not deny admission to a prospective student because of gender, race, color, religion, physical handicap and/or ethnic origin.
(9) Attendance. The college shall have a written attendance policy.
(10) Curriculum. The curriculum of the college shall be designed and presented to meet or exceed the requirements of this chapter. Each student shall complete a minimum of three thousand hours instruction, which shall include no less than two hundred post-graduate hours in the study of mechanotherapy. Minimum clinical training shall be one thousand one hundred hours, of which no less than eight hundred hours shall be training with student actively involved in diagnosis and treatment in accordance with RCW 18.36A.050(3). The remainder, if any, may be preceptorships overseen by the college. The clinical training shall be in naturopathic procedures. The following standards are intended not as an exact description of a college's curriculum, but rather as a guide for the typical acceptable program. It is expected that the actual program taught by each naturopathic college will be prepared by the academic departments of the college to meet the needs of their students and will exceed the outline present here. The board's policy is to preserve the autonomy and uniqueness of each naturopathic college, and to encourage innovative and experimental programs to enhance the quality of education in colleges of naturopathic medicine.
 
(a)
Basic science
 
 
Anatomy (includes histology and embryology)
 
 
Physiology
 
 
Pathology
 
 
Biochemistry
 
 
Public health (includes public health, genetics, microbiology, immunology)
 
 
Naturopathic philosophy
 
 
Pharmacology
 
(b)
Clinical sciences
 
(i)
Diagnostic courses
 
 
Physical diagnosis
 
 
Clinical diagnosis
 
 
Laboratory diagnosis
 
 
Radiological diagnosis
 
(ii)
Therapeutic courses
 
 
Matera medica (botanical medicine)
 
 
Homeopathy
 
 
Nutrition
 
 
Physical medicine
 
 
(includes mechanical and manual manipulation, hydrotherapy, and electrotherapy)
 
 
Psychological medicine
 
(iii)
Specialty courses
 
 
Organ systems (cardiology, dermatology, endocrinology, EENT, gastroenterology)
 
 
Human development (gynecology, obstetrics, pediatrics, geriatrics)
 
 
State law and regulations as they relate to the practice of naturopathy
 
 
Medical emergencies
 
 
Office procedures
 
(iv)
Clinical externship/preceptorship
(11) Academic standards. The college must regularly evaluate the quality of its instruction and have a clearly defined set of standards of competence required of its students. Promotion to each successive phase of the program and graduation shall be dependent on mastery of the knowledge and skills presented in the program.
(12) Faculty. Faculty members shall be qualified by training and experience to give effective instruction in the subject(s) taught; advanced degrees in their respective disciplines are expected. The faculty should participate in development and evaluation of curriculum instructional methods and facilities; student discipline, welfare, and counseling; establishment of administrative and educational policies; scholarly and professional growth. Provisions shall be made to allow and encourage faculty involvement in these noninstructional functions, including a plan for peer observation and evaluation among faculty. The college shall not discriminate on the basis of gender, race, age, color, religion, physical handicap, or national or ethnic origin in the recruitment and hiring of faculty. The college shall have stated policies on faculty hiring, compensation, fringe benefits, tenure, retirement, firing, grievance, and appeals procedures. The college shall submit to the board for each faculty member a resume which includes the following information.
(a) Academic rank or title;
(b) Degree(s) held, the institution(s) that conferred the degree(s), the date(s) thereof, and whether earned or honorary;
(c) Other qualifying training or experience;
(d) Name and course number of each course taught;
(e) Other noninstructional responsibilities, if any, and the proportion of the faculty member's time devoted to them; and
(f) The length of time associated with the college.
(13) Library. The library shall be staffed, equipped, and organized to adequately support the instruction, and research of students and faculty.
(14) Clinical training. The clinical facilities shall be adequate in size, number, and resources to provide all aspects of naturopathic diagnosis and treatment. There shall be properly equipped rooms for consultation, physical examination and therapy, and a pharmacy, a laboratory, and radiological equipment each consistent with the definition of practice in chapter 18.36A RCW as now or hereafter amended. A licensed and adequately experienced naturopathic physician must be in direct supervision of and have final decision in the diagnosis and treatment of patients by students, and must be present in the clinic at all times when the clinic is open.
(15) Physical plant, materials and equipment. The college shall own or enjoy the full use of buildings and equipment adequate to accommodate the instruction of its students, and administrative and faculty offices. There shall be adequate facilities for the safekeeping of valuable records. The plant and grounds, equipment, and facilities shall be maintained in an efficient, sanitary, and presentable condition. All laws relating to safety, sanitation, and other regulations concerning public buildings shall be observed. There shall be sufficient personnel employed to carry out proper maintenance.
(16) Cancellation and refund policy. The college shall maintain a fair and equitable policy regarding refund of the unused portion of tuition fees and other charges in the event a student fails to enter the course, or withdraws at any time prior to completion of the course. Such a policy shall be in keeping with generally accepted practices of institutions of higher education.
(17) Other information. The applicant college shall provide any other information about the college and its programs as required by the board.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-180, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-180, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-180, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-460, filed 1/3/89.]



246-836-200
Site review procedures for approval of college of naturopathic medicine.

(1) The board may send a representative or an examining or evaluation committee to inspect any college requesting approval or reapproval as a college of naturopathic medicine.
(2) Such inspections may be at any reasonable time during the normal operating hours of the college. The report of the representative or committee and the college's response shall be submitted as part of the documentation necessary for the board's action on the college's application for approval.
(3) Expenses incurred for the site review shall be the responsibility of the college requesting approval.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-200, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.36A.060. WSR 92-02-018 (Order 224), § 246-836-200, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-200, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.36A.060(1). WSR 89-02-051 (Order PM 815), § 308-34-480, filed 1/3/89.]



246-836-210
Authority to use, prescribe, dispense and order.

(1) Naturopathic medical practice includes the prescription, administration, dispensing, and use of:
(a) Nutrition and food science, physical modalities, minor office procedures, homeopathy, hygiene, and immunizations/vaccinations;
(b) Contraceptive devices;
(c) Nonlegend medicines including vitamins, minerals, botanical medicines, homeopathic medicines, and hormones;
(d) Legend drugs as defined under RCW 69.41.010 with the exception of Botulinum Toxin (commonly known as, among other names, Botox, Vistabel, Dysport, or Neurobloc) and inert substances used for cosmetic purposes; and
(e) Codeine and testosterone products that are contained within Schedules III, IV, and V in chapters 69.50 RCW and 246-887 WAC.
(2) In accordance with RCW 69.41.010(13), all prescriptions must be hand-printed, typewritten, or generated electronically.
(3) Prior to being allowed to administer, prescribe, dispense, or order controlled substances, a naturopathic physician must meet the requirements in WAC 246-836-211 and have obtained the appropriate registration issued by the Federal Drug Enforcement Administration.
(4) Naturopathic physicians may not treat malignancies except in collaboration with a practitioner licensed under chapter 18.57 or 18.71 RCW.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-210, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.130.050(1), 18.36A.060, and 2005 c 158. WSR 07-20-101, § 246-836-210, filed 10/2/07, effective 11/2/07. Statutory Authority: RCW 18.36A.060 [(1)](a). WSR 92-06-020 (Order 247), § 246-836-210, filed 2/25/92, effective 3/27/92.]



246-836-211
Authorization regarding controlled substances.

(1) Upon approval by the board, naturopathic physicians may obtain a current Federal Drug Enforcement Administration registration. The board may approve naturopathic physicians who have:
(a) Provided documentation of a current Federal Drug Enforcement Administration registration from another state; or
(i) Principles of medication selection;
(ii) Patient selection and therapeutics education;
(iii) Problem identification and assessment;
(iv) Knowledge of interactions, if any;
(v) Evaluation of outcome;
(vi) Recognition and management of complications and untoward reactions; and
(vii) Education in pain management and drug seeking behaviors.
(2) The naturopathic physician must retain training documentation at least five years from attestation date.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-211, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 18.130.050(1), 18.36A.060, and 2005 c 158. WSR 07-20-101, § 246-836-211, filed 10/2/07, effective 11/2/07.]



246-836-220
Intramuscular, intravenous, subcutaneous, and intradermal injections.

Naturopathic physicians may administer substances consistent with the practice of naturopathic medicine as indicated in WAC 246-836-210 through the means of intramuscular, intravenous, subcutaneous, and intradermal injections.
(1) Naturopathic physicians may use intravenous therapy when they have submitted an attestation of training. Training must be at least sixteen hours of instruction. At least eight hours must be part of a graduate level course from a school approved under chapter 18.36A, 18.71, 18.57, or 18.79 RCW. Instruction must include the following:
(a) Indications;
(b) Contraindications;
(c) Formularies;
(d) Emergency protocols;
(e) Osmolarity calculation;
(f) Aseptic technique; and
(g) Proper documentation.
(2) The naturopathic physician must retain training documentation at least five years from attestation date.
(3) Intravenous chelation therapy is limited to use for heavy metal toxicity.
(4) All naturopathic physicians who use injection therapy must have a plan to manage adverse events including sensitivity, allergy, overdose, or other unintended reactions.
[Statutory Authority: RCW 18.130.050(1), 18.36A.060, and 2005 c 158. WSR 07-20-101, § 246-836-220, filed 10/2/07, effective 11/2/07.]



246-836-330
Mandatory reporting.

(1) All reports required by this chapter shall be submitted to the board as soon as possible, but no later than twenty days after a determination is made.
(2) A report should contain the following information if known:
(a) The name, address, and telephone number of the person making the report.
(b) The name and address and telephone numbers of the naturopath being reported.
(c) The case number of any patient whose treatment is a subject of the report.
(d) A brief description or summary of the facts which gave rise to the issuance of the report, including dates of occurrences.
(e) If court action is involved, the name of the court in which the action is filed along with the date of filing and docket number.
(f) Any further information which would aid in the evaluation of the report.
(3) Mandatory reports shall be exempt from public inspection and copying to the extent permitted under RCW 42.17.310 or to the extent that public inspection or copying of the report or any portion of the report would invade or violate a person's right to privacy as set forth in RCW 42.17.255.
(4) A person is immune from civil liability, whether direct or derivative, for providing information to the board pursuant to RCW 18.130.070.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-330, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-330, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-130-330, filed 6/30/89.]



246-836-340
Health care institutions.

The chief administrator or executive officer or their designee of any hospital or nursing home shall report to the board when any naturopath's services are terminated or are restricted based on a determination that the naturopath has either committed an act or acts which may constitute unprofessional conduct or that the naturopath may be unable to practice with reasonable skill or safety to clients by reason of any mental or physical condition.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-340, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-340, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-130-340, filed 6/30/89.]



246-836-350
Naturopathic associations or societies.

The president or chief executive officer of any naturopathic association or society within this state shall report to the board when the association or society determines that a naturopath has committed unprofessional conduct or that a naturopath may not be able to practice naturopathy with reasonable skill and safety to patients as the result of any mental or physical condition. The report required by this section shall be made without regard to whether the license holder appeals, accepts, or acts upon the determination made by the association or society. Notification of appeal shall be included.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-350, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-350, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-130-350, filed 6/30/89.]



246-836-360
Health care service contractors and disability insurance carriers.

The executive officer of every health care service contractor and disability insurer, licensed under chapters 48.20, 48.21, 48.21A, and 48.44 RCW, operating in the state of Washington shall report to the board all final determinations that a naturopath has engaged in fraud in billing for services.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-360, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-360, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-130-360, filed 6/30/89.]



246-836-370
Professional liability carriers.

Every institution or organization providing professional liability insurance directly or indirectly to naturopaths shall send a complete report to the board of any malpractice settlement, award, or payment in excess of twenty thousand dollars as a result of a claim or action for damages alleged to have been caused by an insured naturopath's incompetency or negligence in the practice of naturopathy. Such institution or organization shall also report the award, settlement, or payment of three or more claims during a twelve-month period as a result of the naturopath's alleged incompetence or negligence in the practice of naturopathy.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-370, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-370, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-130-370, filed 6/30/89.]



246-836-380
Courts.

The board requests the assistance of the clerk of trial courts within the state to report all professional malpractice judgments and all convictions of licensed naturopaths, other than minor traffic violations.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-380, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-380, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-130-380, filed 6/30/89.]



246-836-390
State and federal agencies.

The board requests the assistance of executive officers of any state or federal program operating in the state of Washington, under which a naturopath is employed to provide patient care services, to report to the board whenever such a naturopath has been judged to have demonstrated his/her incompetency or negligence in the practice of naturopathy, or has otherwise committed unprofessional conduct, or is a mentally or physically disabled naturopath. These requirements do not supersede any federal or state law.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-390, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-390, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 18.130.070. WSR 89-14-092 (Order PM 842), § 308-130-390, filed 6/30/89.]



246-836-410
AIDS prevention and information education requirements.

[Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-836-410, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 18.36A.060 and 70.24.270. WSR 92-02-018 (Order 224), § 246-836-410, filed 12/23/91, effective 1/23/92. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-410, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 70.24.270. WSR 88-22-077 (Order PM 786), § 308-130-410, filed 11/2/88.]



246-836-500
Sexual misconduct—Definitions.

(1) "Health care information" means any information, whether oral or recorded in any form or medium that identifies or can readily be associated with the identity of, and relates to the health care of, a patient or client.
(2) "Key party" means immediate family members and others who would be reasonably expected to play a significant role in the health care decisions of the patient or client and includes, but is not limited to, the spouse, domestic partner, sibling, parent, child, guardian, and person authorized to make health care decisions of the patient or client.
(3) "Legitimate health care purpose" means activities for examination, diagnosis, treatment, and personal care of patients or clients, including palliative care, as consistent with community standards of practice for the naturopathic profession. The activity must be within the scope of practice of naturopathic medicine.
(4) "Patient" or "client" means an individual who receives health care from a naturopathic physician.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-500, filed 6/20/12, effective 7/21/12.]



246-836-510
Sexual misconduct.

(1) A naturopathic physician shall not engage, or attempt to engage, in sexual misconduct with a current patient, client, or key party, inside or outside the health care setting. Sexual misconduct shall constitute grounds for disciplinary action. Sexual misconduct includes, but is not limited to:
(a) Sexual intercourse;
(b) Touching the breasts, genitals, anus, or any sexualized body part except as consistent with accepted community standards of practice for examination, diagnosis, and treatment and within the naturopathic physician's scope of practice;
(c) Rubbing against a patient or client or key party for sexual gratification;
(d) Kissing;
(e) Hugging, touching, fondling, or caressing of a romantic or sexual nature;
(f) Examination of or touching genitals without using gloves;
(g) Not allowing a patient or client privacy to dress or undress except as may be necessary in emergencies or custodial situations;
(h) Not providing the patient or client a gown or draping except as may be necessary in emergencies;
(i) Dressing or undressing in the presence of the patient, client, or key party;
(j) Removing patient or client's clothing or gown or draping without consent, emergent medical necessity, or being in a custodial setting;
(k) Encouraging masturbation or other sex act in the presence of the naturopathic physician;
(l) Masturbation or other sex act by the naturopathic physician in the presence of the patient, client, or key party;
(m) Suggesting or discussing the possibility of a dating, sexual, or romantic relationship after the professional relationship ends;
(n) Terminating a professional relationship for the purpose of dating or pursuing a romantic or sexual relationship;
(o) Soliciting a date with a patient, client, or key party;
(p) Discussing the sexual history, preferences, or fantasies of the naturopathic physician;
(q) Any behavior, gestures, or expressions that may reasonably be interpreted as seductive or sexual;
(r) Making statements regarding the patient, client, or key party's body, appearance, sexual history, or sexual orientation other than for legitimate health care purposes;
(s) Sexually demeaning behavior including any verbal or physical contact which may reasonably be interpreted as demeaning, humiliating, embarrassing, threatening, or harming a patient, client, or key party;
(t) Photographing or filming the body or any body part or pose of a patient, client, or key party, other than for legitimate health care purposes; and
(u) Showing a patient, client, or key party sexually explicit photographs, other than for legitimate health care purposes.
(2) A naturopathic physician shall not:
(a) Offer to provide health care services in exchange for sexual favors;
(b) Use health care information to contact the patient, client, or key party for the purpose of engaging in sexual misconduct; or
(c) Use health care information or access to health care information to meet or attempt to meet the naturopathic physician's sexual needs.
(3) A naturopathic physician shall not engage, or attempt to engage, in activities listed in subsection (1) of this section with a former patient, client, or key party within two years after the provider-patient/client relationship ends.
(4) After the two-year period of time described in subsection (3) of this section, a naturopathic physician shall not engage, or attempt to engage, in the activities listed in subsection (1) of this section if:
(a) There is a significant likelihood that the patient, client, or key party will seek or require additional services from the naturopathic physician; or
(b) There is an imbalance of power, influence, opportunity, and/or special knowledge of the professional relationship.
(5) When evaluating whether a naturopathic physician is prohibited from engaging, or attempting to engage, in sexual misconduct, the board will consider factors including, but not limited to:
(a) Documentation of a formal termination and the circumstances of termination of the provider-patient relationship;
(b) Transfer of care to another health care provider;
(c) Duration of the provider-patient relationship;
(d) Amount of time that has passed since the last health care services to the patient or client;
(e) Communication between the naturopathic physician and the patient or client between the last health care services rendered and commencement of the personal relationship;
(f) Extent to which the patient's or client's personal or private information was shared with the naturopathic physician;
(g) Nature of the patient or client's health condition during and since the professional relationship;
(h) The patient or client's emotional dependence and vulnerability; and
(i) Normal revisit cycle for the profession and service.
(6) Patient, client, or key party initiation or consent does not excuse or negate the naturopathic physician's responsibility.
(7) These rules do not prohibit:
(a) Providing health care services in case of emergency where the services cannot or will not be provided by another health care provider;
(b) Contact that is necessary for a legitimate health care purpose and that meets the standard of care appropriate to naturopathic medicine; or
(c) Providing health care services for a legitimate health care purpose to a person who is in a preexisting, established personal relationship with the naturopathic physician where there is no evidence of, or potential for, exploiting the patient or client.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-510, filed 6/20/12, effective 7/21/12.]



246-836-600
How to obtain a temporary practice permit—National background check.

Fingerprint-based national background checks may cause a delay in licensing. Individuals who satisfy all other licensing requirements and qualifications may receive a temporary practice permit while the national background check is completed.
(1) A temporary practice permit may be issued to an applicant who:
(a) Holds an unrestricted, active license as a naturopathic physician in another state that has substantially equivalent licensing standards to those in Washington state;
(b) Is not subject to denial of a license or issuance of a conditional or restricted license; and
(c) Does not have a criminal record in Washington state.
(2) A temporary practice permit grants the individual the full scope of practice under this chapter.
(3) A temporary practice permit will not be renewed, reissued, or extended. A temporary practice permit expires when any one of the following occurs:
(a) The license is granted;
(b) A notice of decision on application is mailed to the applicant, unless the notice of decision on application specifically extends the duration of the temporary practice permit; or
(c) One hundred eighty days after the temporary practice permit is issued.
(4) To receive a temporary practice permit, the applicant must:
(a) Submit the necessary application, fee(s), and documentation for the license;
(b) Meet all requirements and qualifications for the license, except for the results from a fingerprint-based national background check, if required;
(c) Provide verification of having an active unrestricted license as a naturopathic physician from another state that has substantially equivalent licensing standards as Washington state; and
(d) Submit the fingerprint card and a written request for a temporary practice permit when the department notifies the applicant the national background check is required.
[Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-600, filed 6/20/12, effective 7/21/12.]



246-836-990
Naturopathic physician licensing fees and renewal cycle.

(2) The following nonrefundable fees will be charged:
Title of Fee
Amount
Application initial/retake
$100.00
State examination (initial/retake)
100.00
Initial license
100.00
License renewal
325.00
Late renewal penalty
62.50
Expired license reissuance
62.50
Duplicate license
15.00
Certification of license
15.00
UW online access fee (HEAL-WA)
*16.00
*
The University of Washington HEAL-WA web portal access fee, required under RCW 43.70.110, is assessed with the initial application fee and the license renewal fee.
[Statutory Authority: RCW 43.70.110 (3)(c) and 43.70.250. WSR 12-19-088, § 246-836-990, filed 9/18/12, effective 11/1/12. Statutory Authority: RCW 18.36A.160, 2011 c 41, and 2011 c 40. WSR 12-13-104, § 246-836-990, filed 6/20/12, effective 7/21/12. Statutory Authority: RCW 43.70.110, 43.70.250, 2008 c 329. WSR 08-15-014, § 246-836-990, filed 7/7/08, effective 7/7/08. Statutory Authority: RCW 43.70.250, [43.70.]280 and 43.70.110. WSR 05-12-012, § 246-836-990, filed 5/20/05, effective 7/1/05. Statutory Authority: RCW 43.70.250. WSR 03-07-095, § 246-836-990, filed 3/19/03, effective 7/1/03. Statutory Authority: RCW 43.70.280. WSR 98-05-060, § 246-836-990, filed 2/13/98, effective 3/16/98. Statutory Authority: RCW 43.70.250. WSR 93-14-011, § 246-836-990, filed 6/24/93, effective 7/25/93. Statutory Authority: RCW 43.70.040. WSR 91-02-049 (Order 121), recodified as § 246-836-990, filed 12/27/90, effective 1/31/91. Statutory Authority: RCW 43.70.250. WSR 90-13-084 (Order 066), § 308-34-170, filed 6/20/90, effective 7/21/90; WSR 90-04-094 (Order 029), § 308-34-170, filed 2/7/90, effective 3/10/90. Statutory Authority: RCW 43.24.086. WSR 88-20-075 (Order 783), § 308-34-170, filed 10/5/88. Statutory Authority: RCW 18.36A.060. WSR 88-14-009 (Order PM 742), § 308-34-170, filed 6/24/88.]