OAR 847-070-0022
Documents to be Submitted for Licensure
(1)
Application: Completed formal application provided by the Board. Required dates must include month, day and year.(2)
Birth Certificate: A copy of birth certificate and a copy of Change of Name documentation, Marriage Certificate, or Divorce Decree if the applicant’s name has been changed by court order, adoption, marriage, divorce, etc.(3)
Acupuncture School Diploma: A copy of a diploma showing graduation from an approved school of acupuncture for those applicants who qualify under OAR 847-070-0016 (Qualifications)(1).(4)
Photograph: A close-up, passport-quality photograph, front view, head and shoulders (not profile), with features distinct, taken within 90 days preceding the filing of the application.(5)
A letter from the Dean of the applicant’s program of acupuncture for those applicants who qualify under OAR 847-070-0016 (Qualifications)(1).(6)
A letter from the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) verifying current certification in acupuncture by the NCCAOM for those applicants who qualify under OAR 847-070-0016 (Qualifications)(1) or (2).(7)
A letter verifying licensure in good standing from the state or states of all prior and current health-related licensure.(8)
A letter from the Director or other official for practice and employment to include an evaluation of overall performance and specific beginning and ending dates of practice and employment, for the past five (5) years only. For acupuncturists who have been or are in solo practice, three reference letters from acupuncturists in the local treatment community who are familiar with the applicant’s practice and who have known the applicant for more than six months.
Source:
Rule 847-070-0022 — Documents to be Submitted for Licensure, https://secure.sos.state.or.us/oard/view.action?ruleNumber=847-070-0022.