4 CCR 749-1.16 - Treatment of Children Under Eight Years of Age
The purpose of this Rule is to clarify the requirements for the treatment of children under eight years of age by a naturopathic doctor as set forth in sections 12-250-106(2)(e) and (f), C.R.S., and the reporting requirements associated with the treatment of children under two years of age set forth in section 12-250-121, C.R.S.
A. Children Under the Age of Two
1. Provision of Immunization Schedule
a. The naturopathic doctor shall provide to
the parent or legal guardian of the child a copy of the most recent
immunizations schedule recommended by the ACIP and recommend that the parent or
legal guardian follow the immunizations schedule.
2. Education Requirements
a. As set forth in section
12-250-106(2)(e)(II)(A),
C.R.S., a naturopathic doctor treating patients under two years of age must
complete education and practicum training specific to pediatrics in accordance
with continued professional competency requirements.
b. The continued professional competency
requirements specific to treating children under two years of age are set forth
in Rule 1.13 (1)(b)(ii)(2) for deemed status.
3. Collaborative Agreement Requirements
a. The Collaborative Agreement must:
(1) Be made in writing and signed by both the
naturopathic doctor and the licensed physician identifying their respective
license numbers, place of business, and phone numbers;
(2) Contain the responsibilities and duties
of each party;
(3) Contain the
process for the naturopathic doctor to consult with the licensed physician;
(a) The Collaborative Agreement must specify
the anticipated means of communication and the expected frequency of
consultation between the practitioners.
(i)
Examples of "means" of communication include, but are not limited to,
telephone, telehealth, or in person.
(ii) Examples of the expected "frequency" of
the consultation include, but are not limited to, consultation for each child
patient visit, consultation on an "as needed" basis, or regularly scheduled
consultations on a weekly, monthly or quarterly basis.
b) The Collaborative Agreement must specify
an emergency protocol to be followed by the naturopathic doctor in the event a
child's condition warrants emergency treatment.
(4) Contain the process for the naturopathic
doctor to refer a patient to a licensed physician to facilitate the patient's
effective treatment;
(5) Be kept on
file by both the naturopathic doctor and the licensed physician for seven years
following the termination of the Collaborative Agreement or seven years from
the date the youngest child treated pursuant to the agreement reaches the age
of majority, whichever occurs later.
b. Within thirty days of the execution of the
Collaborative Agreement, the naturopathic doctor shall provide, in writing, the
licensed physician's name and license number to the Director. The naturopathic
doctor shall inform the Director, in writing, of any change to the licensed
physician's information within fifteen days of any such change.
c. A sample collaborative agreement is
provided in Appendix B. Use of the sample form is not mandatory but any form
must comply with statutory and rule requirements.
4. Informed Consent
a. The naturopathic doctor shall have each
child's parent or legal guardian sign an informed consent form that:
(1) Discloses that the naturopathic doctor is
registered with the State of Colorado;
(2) Discloses that the naturopathic doctor is
not a physician licensed pursuant to Article
240 of Title
12;
(3) Recommends that the child have a
relationship with a licensed pediatric health care provider; and
(4) If the child has a relationship with a
licensed pediatric health care provider, the naturopathic doctor shall request
permission from the parent or legal guardian to attempt to develop and maintain
a Collaborative Relationship with the licensed pediatric health care provider.
If the child does not have a relationship with such a provider, the
naturopathic doctor shall make a referral to at least one such provider on the
child's first visit.
b.
In conjunction with Rule 1.11 , a sample consent form is provided in Appendix
A. Use of the sample form is not mandatory but any form must comply with
statutory and rule requirements.
5. Reporting Requirements
a. The naturopathic doctor shall provide the
Collaborative Agreement to the Director upon request.
b. The naturopathic doctor shall collect,
maintain and report the following data to the Director upon renewal:
(1) The number of children under the age of
two years treated by the naturopathic doctor;
(2) The conditions for which the children
under the age of two years were treated by the naturopathic doctor;
and,
(3) The number and description
of adverse events that occurred in connection with treatment of children under
the age of two.
(a) "Adverse event" is defined
as any harm to a child under two years of age that the treating naturopathic
doctor is aware of and that resulted or likely resulted from the naturopathic
doctor's care of the child. Reporting an adverse event to the Department does
not, alone, constitute grounds for discipline under section
12-250-113, C.R.S.
c. Collaborative
Agreement submissions; updates required to be reported under these rules; and,
any adverse events shall be sent to the Director at
dora_naturopathic_doctor@state.co.us.
B. Children from Two Years of Age to Eight
Years of Age
1. Provision of the Immunization
Schedule
a. The naturopathic doctor shall
provide to the parent or legal guardian of the child a copy of the most recent
immunizations schedule recommended by the ACIP and recommend that the parent or
legal guardian follow the immunizations schedule.
2. Education Requirements
a. As set forth in section
12-250-106(2)(e)(II)(B),
C.R.S., a naturopathic doctor treating patients from two years of age to eight
years of age must complete education and practicum training specific to
pediatrics in accordance with continued professional competency
requirements.
b. The continued
professional competency requirements specific to treating children under eight
years of age are set forth in Rule 1.13 (1)(b)(ii)(1) for deemed
status.
3. Informed
Consent
a. The naturopathic doctor shall have
each child's parent or legal guardian sign an informed consent form that:
(1) Discloses that the naturopathic doctor is
registered with the State of Colorado;
(2) Discloses that the naturopathic doctor is
not a physician licensed pursuant to Article
240 of Title
12;
(3) Recommends that the child have a
relationship with a licensed pediatric health care provider; and
(4) If the child has a relationship with a
licensed pediatric health care provider, the naturopathic doctor shall request
permission from the parent or legal guardian to attempt to develop and maintain
a Collaborative Relationship with the licensed pediatric health care
provider.
b. In
conjunction with Rule 1.11 , a sample consent form is provided in Appendix
A.Use of the sample form is not mandatory but any form must comply with
statutory and rule requirements.
Notes
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
No prior version found.