A collaboration and consultation agreement shall: Include the name and license number of the physician with whom the applicant has the collaboration and consultation agreement; State that the applicant will require patients to sign a consent form in plain language that: 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 Describes the differences in scope of practice between naturopathic doctors and physicians; 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 State that in cases where the naturopathic doctor diagnoses a patient with a life threatening condition, the naturopathic doctor shall: Counsel and discuss with the patient the potential benefits offered by other physicians or other healthcare professionals; and Attempt to make the appropriate referral. 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: With a physician that is licensed in this State under Health Occupations Article, Title 14, Annotated Code of Maryland; and That meets the requirements of §A of this regulation. An applicant shall inform the physician named as a collaborating physician in the attestation that the physician has been named. 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. A licensee shall comply with the requirements of the licensee’s collaboration and consultation agreement with a physician.