§14–5F–12.

    To apply for a license, an applicant shall:

        (1)    Complete a criminal history records check in accordance with § 14–308.1 of this title;

        (2)    Submit an application to the Board on a form that the Board requires;

        (3)    Pay to the Board an application fee set by the Board;

        (4)    If the applicant has been licensed, certified, or registered to practice naturopathic medicine in another state, submit all evidence relating to:

            (i)    Any disciplinary action taken or any administrative penalties assessed against the applicant by the appropriate state licensing, certification, or registration authority; and

            (ii)    Any consent agreements the applicant entered into that contain conditions placed on the applicant’s professional conduct and practice, including any voluntary surrender of a license;

        (5)    Complete and submit to the Board a Board–approved written attestation that:

            (i)    States that the applicant has a collaboration and consultation agreement with a physician licensed under this article;

            (ii)    Includes the name and license number of the physician with whom the applicant has a collaboration and consultation agreement;

            (iii)    States that the applicant will refer patients to and consult with physicians and other health care providers licensed or certified under this article as needed; and

            (iv)    States that the applicant will require patients to sign a consent form that states that the applicant’s practice of naturopathic medicine is limited to the scope of practice identified in § 14–5F–14 of this subtitle; and

        (6)    Inform the physician named in the attestation that the physician has been named.