1. A. A collaboration and consultation agreement shall:

   1. (1) Include the name and license number of the physician with whom the applicant has the collaboration and consultation agreement;

   2. (2) State that the applicant will require patients to sign a consent form in plain language that:

      1. (a) The naturopathic doctor’s practice of naturopathic medicine is limited to the scope of practice identified in Health Occupations Article, §14-5F-14, Annotated Code of Maryland; and
      2. (b) Describes the differences in scope of practice between naturopathic doctors and physicians;
   3. (3) State that naturopathic doctors shall refer patients to and consult with physicians and other health care providers licensed or certified under the Health Occupations Article as needed; and

   4. (4) State that in cases where the naturopathic doctor diagnoses a patient with a life threatening condition, the naturopathic doctor shall:

      1. (a) Counsel and discuss with the patient the potential benefits offered by other physicians or other healthcare professionals; and
      2. (b) Attempt to make the appropriate referral.

2. B. An applicant shall complete and submit to the Board a written attestation on a form supplied by the Board that states that the applicant has a collaboration and consultation agreement:

   1. (1) With a physician that is licensed in this State under Health Occupations Article, Title 14, Annotated Code of Maryland; and
   2. (2) That meets the requirements of §A of this regulation.
3. C. An applicant shall inform the physician named as a collaborating physician in the attestation that the physician has been named.
4. D. A licensee shall maintain a collaboration and consultation agreement that meets the requirements of this regulation in order to practice naturopathic medicine in the State.
5. E. A licensee shall comply with the requirements of the licensee’s collaboration and consultation agreement with a physician.

Authority: Health Occupations Article, §§14-5F-12.1—14-5F-32, Annotated Code of Maryland

Effective date: September 12, 2016 (43:18 Md. R. 1017)

Regulation .02B amended effective August 28, 2017 (44:17 Md. R. 835); January 19, 2026 (53:1 Md. R. 22)

Regulation .03-1 adopted effective January 19, 2026 (53:1 Md. R. 22)

Regulation .03-2 adopted effective January 19, 2026 (53:1 Md. R. 22)

Regulation .04C, D amended effective August 28, 2017 (44:17 Md. R. 835)

Regulation .05A, B amended effective January 19, 2026 (53:1 Md. R. 22)

Regulation .05D, E adopted effective January 19, 2026 (53:1 Md. R. 22)

Regulation .06B, C amended effective August 28, 2017 (44:17 Md. R. 835)

Regulation .10 repealed and new Regulation .10 adopted effective August 28, 2017 (44:17 Md. R. 835); January 19, 2026 (53:1 Md. R. 22)

Regulation .11A amended effective August 28, 2017 (44:17 Md. R. 835)

Regulation .11B amended effective January 19, 2026 (53:1 Md. R. 22)

Regulation .20 amended effective January 19, 2026 (53:1 Md. R. 22)

Regulation .21 adopted effective August 28, 2017 (44:17 Md. R. 835)