Application for permit to provide services.

An applicant for a permit to be employed by or contract with a health maintenance organization to provide services therefor must submit to the Board: 1. Evidence that the applicant is a licensed optometrist in this State; 2. A copy of the agreement for employment or contract and all renewals or extensions thereof; 3. A copy of the certificate of authority of the health maintenance organization issued pursuant to chapter 695C of NRS; and 4. Evidence that nothing contained in the applicant’s agreement for employment or contract requires him or her to violate any of the provisions of chapter 636 of NRS or this chapter.