(1) A health care practitioner is eligible to apply to the division and board for a volunteer health care practitioner license if the health care practitioner: (a) certifies to the division and board that the applicant will be engaged exclusively in volunteer health care services; and (b) completes an application for a volunteer health care practitioner license, which includes documentation: (i) of professional education, exams passed, and graduation; (ii) of practice history; (iii) of a qualified location for which the health care practitioner will be practicing; (iv) identifying the supervising health care practitioner and the supervising health care practitioner's delegation of service agreement with the volunteer practitioner; and (v) that the applicant has: (A) previously been issued an unrestricted license to practice in Utah, another state of the United States, or a district or territory of the United States; (B) never been the subject of any significant disciplinary action in any jurisdiction; and (C) is in good health and does not have a condition which would impair the health care practitioner's ability to practice with reasonable skill and safety to patients.

(a) certifies to the division and board that the applicant will be engaged exclusively in volunteer health care services; and

(b) completes an application for a volunteer health care practitioner license, which includes documentation: (i) of professional education, exams passed, and graduation; (ii) of practice history; (iii) of a qualified location for which the health care practitioner will be practicing; (iv) identifying the supervising health care practitioner and the supervising health care practitioner's delegation of service agreement with the volunteer practitioner; and (v) that the applicant has: (A) previously been issued an unrestricted license to practice in Utah, another state of the United States, or a district or territory of the United States; (B) never been the subject of any significant disciplinary action in any jurisdiction; and (C) is in good health and does not have a condition which would impair the health care practitioner's ability to practice with reasonable skill and safety to patients.

(i) of professional education, exams passed, and graduation;

(ii) of practice history;

(iii) of a qualified location for which the health care practitioner will be practicing;

(iv) identifying the supervising health care practitioner and the supervising health care practitioner's delegation of service agreement with the volunteer practitioner; and

(v) that the applicant has: (A) previously been issued an unrestricted license to practice in Utah, another state of the United States, or a district or territory of the United States; (B) never been the subject of any significant disciplinary action in any jurisdiction; and (C) is in good health and does not have a condition which would impair the health care practitioner's ability to practice with reasonable skill and safety to patients.

(A) previously been issued an unrestricted license to practice in Utah, another state of the United States, or a district or territory of the United States;

(B) never been the subject of any significant disciplinary action in any jurisdiction; and

(C) is in good health and does not have a condition which would impair the health care practitioner's ability to practice with reasonable skill and safety to patients.

(2) A health care provider who has agreed to be a supervising professional for a volunteer at a qualified location shall: (a) enter into a delegation of service agreement with the volunteer health care practitioner; (b) agree to provide the level of supervision required in Subsection 58-81-102(6); (c) determine with the volunteer whether the volunteer's scope of practice or ability to prescribe controlled substances will be limited by the delegation of service agreement; (d) include in the delegation of service agreement that the volunteer may not prescribe a controlled substance to himself, the volunteer's family, or a staff member of the qualified location; and (e) forward the delegation of service agreement to the division.

(a) enter into a delegation of service agreement with the volunteer health care practitioner;

(b) agree to provide the level of supervision required in Subsection 58-81-102(6);

(c) determine with the volunteer whether the volunteer's scope of practice or ability to prescribe controlled substances will be limited by the delegation of service agreement;

(d) include in the delegation of service agreement that the volunteer may not prescribe a controlled substance to himself, the volunteer's family, or a staff member of the qualified location; and

(e) forward the delegation of service agreement to the division.