Ind. Admin. Code tit. 410, r. 36-2-2
Authority: IC 16-32-4-4
Affected: IC 12-7-2-61; IC 16-32-4
Sec. 2. (a) The health care provider who is offering the medical diagnosis that the applicant is developmentally disabled such that he or she qualifies for the bracelet or identification card shall specify and certify the disability that qualifies the applicant under the definition of developmental disability set forth in IC 12-7-2-61.
(b) The health care provider who has diagnosed the applicant as being someone with a developmental disability shall sign the application and also print or type his or her name, business address, and business phone number.
(Indiana Department of Health; 410 IAC 36-2-2; filed Sep 20, 2018, 3:25 p.m.: 20181017-IR-410170445FRA; readopted filed Nov 14, 2024, 1:24 p.m.: 20241211-IR-410230798RFA)