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PTBC CA Laws Test

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Patient records must be maintained for
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at least 7 years following D/C Records of minors are held for at least 7 years and 1 year after minor turns 18
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When introducing themselves to a patient, doctors of physical therapy must
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clarify that they are physical therapists
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Definition of PT
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art and science of physical or corrective rehab of any bodily or mental condition of any person by use of physical, chemical or other properties of heat, light, water, electricity…active, passive and resistive exercise and shall include PT evals, treatment planning, instruction and consultative services
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Board composition
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1 PT involved in PT education, 3 PT’s with 5 years experience, 3 public members who aren’t licentiates of the board or any other medical board (CA citizen, not school faculty)
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Board members may serve a maximum of
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two four year terms
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Board members may inspect
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PT facilities and patient records
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A physical therapist shall document and sign in the patient record following
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(1) Examination and re-examination (2) Evaluation and reevaluation (3) Diagnosis (4) Prognosis and intervention (5) Treatment plan and modification of the plan of care (6) Each treatment provided by the physical therapist or a physical therapy aide (7) Discharge Summary
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With respect to any care provided to the patient, the patient record shall indicate
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(1) The date and nature of the service provided (2) The name and title of any individual who provided such service, including the individual’s role in that service.
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Each and every change of name and residence address must be submitted to the board within
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30 days
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In addition to the address of residence
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a licensee may provide the board with an alternate address of record.
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If an applicant fails the licensure exam you
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may take it again, but re-examination fees must be paid
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You may practice as a PTALA
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when the PTBC sends you a letter of authorization to perform as a “physical therapist assistant applicant”.
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During the process of disciplinary action, the PT Board
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may request the presiding judge to require that the licensee pay the legal costs of investigating and prosecuting the case
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When issuing a probationary license due to unprofessional conduct, the board
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may require the licensee to participate in a drug or alcohol rehab program
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You must complete _______ of continuing education ______
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30 hours; every two years
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An expired license may be renewed with payment of unpaid fees and submission of required paperwork if the expiration is
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less than five years
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A PTA may be licensed without having a PTA degree if
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he or she passes the licensing exam and has completed equivalent academic and clinical coursework
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Your employer must record
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the date of your ATT letter, with its expiration date
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Administrative citation fines shall not be
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less than $100 and more than $2500
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A citation may result in a higher administration fine if
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-the violation is perpetrated against a disabled person or senior citizen -it involves multiple violations of the Practice Act -the violation presents an immediate threat to the health and safety of another person
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With aggravating circumstances, an administrative fine may
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increase to $5,000
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The cited person may request a conference to clarify the citation
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within ten days
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Continuing competency regulation may be fulfilled by
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attending conferences, publishing an article, passing the CA Laws Exam, supervising a PT/PTA intern as a CI
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You will renew your license
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every two years
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Your license will expire on
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the last day of your birth month
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Person whose license has been revoked for unprofessional conduct
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can petition for reinstatement after 3 years
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Person whose license has been revoked for early termination or probation
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can petition for reinstatement after 2 years
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Person whose license has been revoked for mental or physical illness
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can petition for reinstatement after 1 year
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Renewal of license with form and fee is due
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within 60 days notice of expiration of license
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The board can suspend license for 12 months for
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-Wrongful ads, fraudulent license, impersonating a PT -Gross negligence, verbal/sexual harassment/abuse -Habitual intemperance (alcholism)/drug addiction -Not following infection control guidelines -Commission of a crime substantially related to the qualifications, functions or duties of a PT/PTA
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Supervision of PTA by PT
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-PT will evaluate, establish treatment plan/goals and re-eval -Communicate POC verbally/in writing before treatment -Supervising PT available in person/on phone at all times -PT will periodically provide observation of pt care -within 7 days the supervising PT shall cosign and date all documentation by the PTA or conduct a weekly case conference
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Training and experience considered equivalent to that obtained in an approved physical therapist assistant school shall be acquired in one of the following ways:
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-Military training in hospital and PTA course including min 550 hours of technical coursework, 350 hours supervised clinical experience, 15 semester units general ed -Combo of training (30 semester units of instruction and 18 mos PT work) and 36 mos of full-time work experience in physical therapy in acute care -60 months of full-time PT experience, 30 months experience in acute care
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Supervision of PT aide practice
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-PT cosigns for patient related tasks -PT in same facility, providing continuous and immediate supervision -cannot soley treat patient -PT must provide direct service to the patient at some point during the treatment day
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Supervision of practice by PTLA
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-Same day cosign with direct and immediate supervision -Supervising PT documents receipt of PTLA letter and records expiration date -provide documentation of issued license at the conclusion of the PTA license applicant status
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Practice by PTLA
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-following receipt of a letter of authorization to test may perform as a license applicant under the direct and immediate supervision of a licensed PT for 90 days pending the results of the first licensing examination administered. -shall document each treatment in the patient record, along with his or her signature
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The use of roentgen rays/radioactive materials or electricity for surgical purposes
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is not authorized
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Topical medications can be
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applied but CANNOT be prescribed by a PT (require MD referral)
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PT can perform tissue penetration for evaluation neuro performance
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only if authorized by MD and PT has certification
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As part of their scope of practice a PT cannot
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diagnose disease and cannot provide prognostic interpretation of data
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Qualifications for approval as a PTA
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-over the age of 18 -graduated from an accredited program or have a combination of training and/or experience equivalent to a board approved program -Successfully pass the exam -Not addicted to drugs/alcohol -Not committed crimes constituting denial of license
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PT license application requirements
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-Graduated from an accredited school -Completed at least 18 weeks of full-time clinical experience w/ variety of patients
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A reinstatement petition
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-must include 2 letters from PTs -is not considered while under sentence for criminal offense
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Alcohol/drug rehab diversion committee (Substance Abuse Coordination Committee) for PT/PTAs
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-3 members with 4 year term -Has previous experience in substance abuse edu -Board may consider appointing MD certified in psych -Subject to the Bagley-Keene Open Meeting Act
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First violations are a
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misdemeanor subject to a fine not exceeding $1000 or imprisonment in county jail up to 6 months or both
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License application fee
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not more than $75 ($125 foreign PTs)
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License renewal fee
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not more than $150
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License registration must include
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-every name of licensee -place of residence -date and # of disciplinary actions
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Physical Therapy Corp
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-Should have “physical therapy” or “physical therapist” in name -Each shareholder/director/officer should be licensed PT (except secretary) -Shareholder rendered disqualified does not get profit -Regulations should include bylaws of stock and adequate insurance coverage -Is regulated by the Moscone-Knox Professional Corporation Act
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If an applicant fails to take exam within 1 year of the original notice
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an initial license can be denied
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License application deemed abandoned if
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applicant fails to pay initial license fee within 5 years of board notification
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Approval of PT programs
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-established in accredited post-secondary educational institutions accredited or recognized by the CAPTE -Teaching programs of not less than 1400 hours duration may be established in hospitals for students whose preliminary education meets the requirements, providing the physical therapy education program is accredited
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Identification and Supervision of Students and Interns
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-Termed “student” during academic course work/”intern” after completed coursework -Must display his/her name and working title on a name tag in at least 18-point type while working -Require on-site supervision by PT or PTA approved by APTA as CI -CI signs student/intern docs on SAME DAY, plus conferences weekly with supervising PT -provide documentation of issued license at the conclusion of the PTA license applicant status.
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Continuing Competency Subject Matter Requirements
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-Two hours in ethics, laws and regulations, or some combination thereof -Four hours in life support for health care professionals, comparable to, or more advanced than, the American Heart Association’s Basic Life Support Health Care Provider course.
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Continuing Competency Subject Matter Record Keeping
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-Keep and maintain records showing the title of the course or activity, the date taken or completed, and the record of participation for each course or activity for which credit is claimed for a period of five years after -Provide documentation to the board or its designee upon request.
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Upon written request, the board may grant inactive status to a licensee if,
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at the time of application for inactive status, the license is current and not suspended, revoked, or otherwise punitively restricted by the board.
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During inactive status
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the licensee shall not engage in any activity for which a license is required.
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An inactive license shall be renewed
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during the same time period in which an active license or certificate is renewed with continuing education requirements waived.
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Foreign Educated Applicants shall
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-complete 9 months of clinical service under the direct and immediate supervision of a licensed PT/clinical instructor
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Clinical Service waiver for Foreign Educated Applicants
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-Three months waived by successfully completing a post-secondary educational institution course or four continuing education units in Law and Professional Ethics offered by a recognized continuing education provider. -One month for each month of licensed clinical practice in another state up to the required total of nine months.
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When considering the denial of a license or a petition for reinstatement the board shall consider the following criteria for license eligibility
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-The nature and severity of the act(s) or crime(s) under consideration -Evidence of any act(s) or crime(s) committed subsequent to the act(s) or crime(s) under consideration -The time that has elapsed since commission of the act(s) or crime(s) under consideration -The extent to which the applicant has complied with any terms of parole, probation, restitution or any other sanctions -Evidence, if any, of rehabilitation submitted by the applicant.
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If an individual is required to register as a sex offender the board shall
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-Promptly revoke the license of the individual and not stay the revocation nor place the license on probation. -Not reinstate or reissue the individual’s license.
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The board shall inform an applicant for licensure as a physical therapist assistant within
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-30 days whether the application is complete and accepted for filing or is deficient and what specific information is required -60 days after completion of the application whether the applicant meets the requirements for examination
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“Completion of the application” means that
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a completed application form together with all required information, documentation and fees have been filed by the applicant.
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The board shall inform an applicant for licensure as a physical therapist who has graduated from a foreign physical therapist education program within
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-30 days whether the application is complete and accepted for filing or is deficient and what specific information is required. -150 days after completion of the application, of its decision whether the applicant meets the requirements for examination
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The mission of the Physical Therapy Board of California is to
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promote and protect the interests of the people of California by the effective and consistent administration and enforcement of the Physical Therapy Practice Act.
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The purpose of the executive officer (Director of Consumer Affairs) is
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-to oversee the board’s staff and ensures that all of its programs function efficiently and effectively -to serve solely in the interest of the consumers of physical therapy services in California
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The holder of an inactive license or certificate may restore his or her license or certificate to an active status by
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(a) Paying the renewal fee (b) completing continuing education equivalent to that required for a single license renewal period, if required by the board.
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Citations shall be destroyed from all licensee records
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five years from the date of issuance of the last citation
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Any citation that is withdrawn or dismissed shall be
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destroyed from all licensee’s records immediately
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Criminal sanction for unlicensed activity is a
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misdemeanor subject to a fine of $250 – $1000
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Grounds for denial, suspension or revocation of licenses
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-knowingly making false claims on application -conviction of a crime substantially related to the qualifications, functions, or duties of the licensee’s business or profession -commits an act intended to substantially benefit himself or substantially injure another
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The use or attempted use of any diploma or certificate which has been purchased, fraudulently issued, illegally obtained, counterfeited, or materially altered to practice
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is a felony punishable by a fine of not less than two thousand dollars ($2,000) nor more than six thousand dollars ($6,000), or by imprisonment
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Referral by a licensee for services by an entity he/she or his/her family has financial interest in is
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a misdemeanor subject to civil penalties up to $5,000 for each offense
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The offer, delivery, receipt or acceptance by any licensed person of any rebate, refund, or commission is
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a public offense punishable upon first conviction by a $50,000 and/or up to one year in jail
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Entering into an arrangement or scheme, such as a cross-referral arrangement, that has a principal purpose of ensuring referrals by the licensee to a particular entity is
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a public offense and is punishable upon conviction by a fine not exceeding $15,000 for each violation and appropriate disciplinary action, including revocation of professional licensure
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The administrative fine for fraudulent billing submitted to an insurance company, Medi-Cal or Medicare
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shall not exceed $5000 for each violation
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A person who fails to renew his or her license within five years of its expiration may
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apply for a new license if he or she has not committed any acts constituting grounds for denial, takes and passes the licensure exam, and pays all fee required at first time licensure
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Repeated acts of excessive prescribing or administering of drugs or treatment
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is a misdemeanor punishable by a fine of $100 to $600 and/or 60 to 180 days in prison
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Conviction of a felony involving providing benefits covered by workman’s comp or Medi-cal
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is grounds for automatic suspension of license
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Requirements for a mandatory report
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-a telephone report shall be made immediately or ASAP and a written report made on the standard form and sent to local law enforcement within two working days of receiving the information, even if victim expires
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Two or more persons who are required to report who are present and jointly have knowledge of an incidence that is required to be reported agree to report as a team
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may select one member to make a report by phone and a single written report. The written report shall be signed by the selected team member
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The “board” refers to
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the Physical Therapy Board of California
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electromyographic certification fees
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application and renewal fees of not more than $200; examination and reexamination fee of $500
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electromyography authorization requirements
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-be a licensed PT -provide evidence of completion of educational requirements -complete at least 400 clock hours and 200 examinations
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A person may provide nutritional advice or give advice concerning proper nutrition shall
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post in an easily visible and prominent place in his or her place of business the following: “NOTICE” “State law allows any person to provide nutritional advice or give advice concerning proper nutrition–which is the giving of advice as to the role of food and food ingredients, including dietary supplements.
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Selling equipment, supplies, or services to any person with knowledge that the equipment, supplies, or service or contract in violation of the licensing code
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shall be punishable by a fine of not less than $1,000 and imprisonment in county jail not exceeding six months
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Subverting or attempting to subvert any licensing exam or administration of exam is a
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misdemeanor liable for actual damages sustained by agency administering the exam not to exceed $10,000 and the costs of litigation
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Failure to file a mandatory report is a
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misdemeanor punishable by up to six months imprisonment in county jail or a fine not exceeding $1,000 or both
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A licensed PT who has received a doctoral degree in a related health science may
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-use the initials DPT, EdD, or PhD as applicable following the licensee’s name -use the title “Doctor” or abbreviation “Dr.” preceding the licensee’s name, if the licensee’s name is immediately followed by an unabbreviated specification of the applicable doctoral degree -in spoken communication use the title “doctor”, if the speaker specifies he or she is a physical therapist
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The board shall hold at least one regular meeting annually
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in the cities of San Francisco, Sacramento and Los Angeles
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Acceptance of PT/PTA into diversion program
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-requests admission or accepted in accordance with disciplinary action -agrees to undertake any medical or physical exam ordered -provides medical info, disclosure authorization -agrees in writing to cooperate with all elements of program
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Diversion program denial
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-applicant won’t substantially benefit from participation in program -applicant’s participation creates too great a risk to public safety