68 IAC 24-3-12
68 IAC 24-3-12 Event physician's license
Cite as Ind. Admin. Code tit. 68, r. 24-3-12
Sec. 12. (a) An individual who seeks to act as an event physician must first obtain a license as an event physician under IC 4-33-22 and this article.
(b) An applicant for an event physician's license must submit the following:
(1) The completed event physician application form.
(2) A clear photocopy of a current government issued photographic identification.
(3) One (1) digital photograph of the applicant that shows head and shoulders only, without a hat, and in a natural pose.
(4) Proof that the applicant is:
(A) advanced cardiovascular life support; or
(B) advanced trauma life support;
certified.
(5) The required application fee under this rule.