H OW W E O PERATE The Board and its staff assures the public and those it licenses that there is a balanced, sensible approach to regulation, with the safety, health and welfare of the public being our primary concern.
B OARD C OMPOSITION The Kansas State Board of Healing Arts is comprised of 15 members appointed by the Governor and serve a four-year term. – 12 licensees 5 M.D.s 3 D.O.s 3 D.C.s 1 D.P.M. – 3 public members
R ADIOLOGIC T ECHNOGIST C OUNCIL Keith Burgess, LRT - Hutchinson Sharada “ Janie” Ward, LRT - Benton Doug Billings, LRT - Lawrence Dennis Petterson, MD - Topeka Gary Counselman, DC, Topeka
A PPLICATION P ROCESS All application forms are available online at http://www.ksbha.org/forms.html Application Fees $60 + $25 for temporary permit. Check, Money Order, Visa, MasterCard, Discover or American Express
A PPLICATION P ROCESS Be sure to answer all questions Request an official and final transcript Certification by school – Signature and school seal or notary seal Photo: Wallet size, head and shoulder – Picture taken within 90 days
A PPLICATION P ROCESS Sign and notarized seal for Oath Sign and notarized seal for Release Documentation and explanation to any “yes” answers to #12 Verification of any license, registration, &/or certification in any health field.
A PPLICATION P ROCESS Application status can be verified by phone or e-mail but please allow at least 2 weeks after sending in the initial information.
A PPLICATION P ROCESS Initial Review – A review of documents to verify if all required documents have been provided and are complete – A letter and/or e-mail will be issued to notify applicant of any missing documents or needed corrections – As documents come in, periodic letters will be mailed to advise applicant of the progress
A PPLICATION P ROCESS Common Problem Areas Photo: wrong size or inappropriate Not answering the NPI question Not answering the activities for the last 5 years Not sending in documentation or explanation to “yes” answers on the questions in #12 DO NOT provide info that is not required (e.g. diplomas)
A PPLICATION P ROCESS Final Review -All documents are reviewed again – Results Request for additional information Clarification of information Referral to the Legal Department Approval of temporary license (if applicable) – Valid for 180 days Approval of license
License renewal will be required of all receiving a permanent license prior to June 1 Annual renew between August 15th - September 30th The license expires September 30th The current renewal fee: $50.00 The late renewal period is October 1 st through October 31 st The current late fee: $55.00 Renew online or by paper renewal form Wallet Card (certificate of renewal) will be mailed L ICENSE R ENEWAL I NFO
C ONTINUING E DUCATION During the 12-month period immediately preceding the license expiration date, a minimum of 12 hours of CEUs are due. – If licensed less than 1 year no ceus are due
L ICENSING F AQs How do licensees change their address? – An address change form can be downloaded from our web site. How do licensees change their name? – A change of name form can be downloaded from our web site. How do licensees verify their permit to another state? – A verification request form can be downloaded from our website.
C ONTACT I NFORMATION Sandra Fienhage, Application Analyst 785-296-0440 email@example.com@ksbha.ks.gov Katy Lenahan, Licensing Administrator 785-296-8563 firstname.lastname@example.org
Web site: www.ksbha.org Address: 235 S Topeka Blvd Topeka, KS 66601 Toll-Free Phone: 888-886-7205 C ONTACT I NFORMATION