- (a) Pursuant to RSA 126-A:5, XVIII-a (a) and RSA 330-C:9-a, licensees shall complete, as part of their renewal application, the New Hampshire division of public health service’s Health Professions Survey, “New Hampshire Alcohol and Drug Counselor Licensure Survey”, pursuant to He-C 801.03, issued by the state office of rural health and primary care, department of health and human services.
- (b) The board shall provide licensees with the opportunity to opt out of the survey. Written notice of the opt-out opportunity shall be provided with the renewal application. Licenses may access the opt out form on the NH state office of rural health and primary care and the board’s website.
(c) Licensees choosing to opt-out of the survey shall complete, sign, and return the “New Hampshire Health Professions Survey Opt-Out Form”, pursuant to He-C 801.03, to the state office of rural health and primary care, department of health and human services, via one of the following:
- (1) Mail;
- (2) Email; or
- (3) Fax.
- (d) Information contained in the opt-out forms shall be kept confidential in the same accord with the survey form results, pursuant to RSA 126-A:5 XVIII-a(c).
- (e) CRSW’s shall be exempt from the requirement to complete the workforce survey.
Source. #12548, eff 7-1-18; ss by #14045, eff 10-7-24