(Date) (Declarant’s Signature) (Declarant’s Title) (Added to NAC by Com. on Testing for Intoxication by R112-97, eff. 5?26?98) NAC 50.060 Form of affidavit regarding custody of sample or other evidence. (NRS 50.315) An affidavit referred to in subsection 5 of NRS 50.315 must be in substantially the following form: State of Nevada } }ss. County of } I, ........................., being first duly sworn, depose and say: That I am a ................ (occupation) employed by ................ (employer); That on ......................... (date) I received from ................ (name of person) certain evidence bearing Identification No. ..... of the ................ (law enforcement agency), consisting of ................ (description of evidence); and That I kept the evidence in my sole custody or control and in substantially the same condition as when I first received it until on ......................... (date) when I delivered the evidence to ................ (name of person). Affiant’s Signature Affiant’s Title Subscribed and sworn to before me this ............. day of the month of ........... of the year ............... ....................... Notary Public (Added to NAC by Com. on Testing for Intoxication, eff. 10?26?83; A by R112?97, 5?26?98) NAC 50.065 Form of declaration regarding custody of sample or other evidence. (NRS 50.315) A declaration referred to in subsection 5 of NRS 50.315 must be in substantially the following form: I, ................., hereby declare: That I am a ................ (occupation) employed by ................ (employer); That on ......................... (date) I received from ........ (name of person) certain evidence bearing Identification No. ..... of the ............. (law enforcement agency), consisting of ............... (description of evidence); and That I kept the evidence in my sole custody or control and in substantially the same condition as when I first received it until on ......................... (date) when I delivered the evidence to ............... (name of person). I declare under penalty of perjury that the foregoing is true and correct. Executed on ... (Date) (Declarant’s Signature) (Declarant’s Title) (Added to NAC by Com. on Testing for Intoxication by R112-97, eff. 5?26?98) CHAPTER 630 - PHYSICIANS, PHYSICIAN ASSISTANTS AND PRACTITIONERS OF RESPIRATORY CARE GENERAL PROVISIONS 630.010 Definitions. 630.025 “Controlled substance” defined. 630.040 “Malpractice” interpreted. LICENSING 630.050 Application: Acceptable medical school; filing; contents; fee. 630.055 Qualifications: “Progressive postgraduate education” interpreted. 630.080 Examinations. 630.130 Limited license for graduate program of training. 630.135 Renewal of limited license for graduate program of training; annual report required; grounds for disciplinary action or denial or revocation of license. 630.145 Restricted license: “Medically underserved area” defined. 630.153 Continuing education: General requirements; exemption; failure to comply; credit for medical review. 630.154 Continuing education: Course of instruction relating to medical consequences of act of terrorism involving use of weapon of mass destruction. 630.155 Continuing education: Credit for continuing education class on geriatrics and gerontology. 630.157 Continuing education: Licensing after beginning of period of biennial registration; change of status to active. 630.162 Temporary license: “Community” interpreted. 630.165 Effect of revocation of license in another jurisdiction: “Gross medical negligence” defined. 630.170 Termination of license issued to alien. 630.175 Fee for biennial registration: Payment; refund. 630.180 Refund of fee for application; rejection of application. STANDARDS OF PRACTICE 630.185 Standards established. 630.187 Adoption by reference of Model Guidelines for the Use of Controlled Substances for the Treatment of Pain. 630.190 Prohibited advertising. 630.205 Appetite suppressants: Limitations on authority to prescribe. 630.210 Consultation with another provider of health care. 630.225 Reporting of unlicensed physician brought into this State for consultation with or assistance to licensed physician. 630.230 Prohibited professional conduct. DISCIPLINARY ACTION 630.240 Voluntary surrender of license. 630.243 Procedure for dealing with findings of exposure to human immunodeficiency virus. 630.251 Grounds: “Gross malpractice” interpreted. 630.255 Exemption from grounds: “Intractable pain” defined. 630.260 Notice of technical or scientific facts. 630.270 Disposition of findings and order of Board. 630.275 Confidentiality of certain information regarding physicians and physician assistants. PHYSICIAN ASSISTANTS 630.280 Qualifications of applicants. 630.290 Application for license. 630.310 Rejection of application. 630.320 Temporary license. 630.325 Locum tenens license. 630.330 Contents of license. 630.340 Period of validity of license; notification of practice; termination of supervision; disciplinary action; refusal to license. 630.350 Renewal of license; notification of withdrawal of certification; suspension and reinstatement of license. 630.353 Continuing education: Course of instruction relating to medical consequences of act of terrorism involving use of weapon of mass destruction. 630.357 Continuing education: Credit for continuing education class on geriatrics and gerontology. 630.360 Performance of authorized medical services; identification; misrepresentation; notification of change regarding supervising physician. 630.370 Supervising physician: Duties; qualifications. 630.380 Disciplinary action: Grounds; institution; exception. 630.390 Disciplinary action: Notice of charges. 630.395 Examination to test medical competence. 630.400 Examination to determine fitness to practice. 630.410 Determination after notice and hearing: Sanctions or dismissal of charges. 630.415 Advisory committee. PETITIONS, ORDERS, OPINIONS AND RULES OF PRACTICE 630.420 Petition for amendment or repeal of regulation. 630.430 Filing of petition; copies. 630.440 Submission, consideration and disposition of petitions. 630.450 Declaratory orders and advisory opinions. 630.455 Time limit for request to Board for consideration or action upon matter at meeting. 630.460 Hearings: Appearance; pleadings; motions; documents. 630.465 Hearings: Prehearing conference. 630.470 Hearings: Procedure. 630.475 Subpoenas. COLLABORATING OR SUPERVISING PHYSICIANS 630.490 Collaboration with advanced practitioner of nursing. 630.495 Limit on number of advanced practitioners of nursing for collaboration or physician assistants for supervision. PRACTITIONERS OF RESPIRATORY CARE 630.500 Qual

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