Louisiana State Board of Medical Examiners

Physical Address: 630 Camp Street, New Orleans, LA 70130

Mailing Address: P.O. Box 30250, New Orleans, LA 70190-0250

Phone: (504) 568-6820, Fax: (504) 599-0503

SUPERVISING PHYS/ACA FOR AN ACUPUNCTURE DETOXIFICATION SPECIALIST

QUALIFICATIONS / INSTRUCTIONS

(03 11 08)

A. To be eligible for registration to supervise an ADS a proposed supervising physician shall, as of the date of the application:

1. Possess a current, unrestricted license to practice medicine in the state of Louisiana; and

2. Not currently enrolled in any post graduate residency training.

B. To be eligible for registration to supervise an ADS a proposed supervising ACA shall, as of the date of this application:

1. Possess a current, unrestricted certification to practice as an ACA; and

2. Have held certification by the board to practice as an ACA in this state for at least 2 years immediately preceding the date of application.

C. The burden of satisfying the board as to the qualifications and eligibility of the applicant acupuncture detoxification specialist, proposed supervising physician or proposed supervising acupuncturist’s assistant shall be upon the applicant, proposed supervising physician or proposed supervising acupuncturist’s assistant, who shall demonstrate and evidence such qualifications in the manner prescribed by, and to the satisfaction of, the Board.

Checklist – see application

·  A detailed description of the proposed supervising PHYS/AcA’s professional background and specialty, if any; the nature and scope of his practice; the geographic and demographic characteristics of his practice; the address or location of the office where the applicant is to be employed

·  A description of the proposed supervising PHYS/AcA’s knowledge of and prior training or experience, if any, in traditional Chinese acupuncture

·  A description of the specific activities to be performed by the applicant, the way in which the applicant will be utilized as an acupuncture detoxification specialist, and the methods to be used by the proposed supervising PHYS/ACA to insure responsible direction and control of the activities of the applicant as an acupuncture detoxification specialist.