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<regulation prefix="Regulation" num=".08" citation="COMAR 10.32.21.08" title_num="10" subtitle_num="32" chapter_num="21" heading="Scope of Practice.">
  <text>A license authorizes a licensee, consistent with naturopathic education, training, and competence demonstrated by passing the Naturopathic Physician Licensing Examination, to:</text>
  <paragraph num="A.">
    <text>Order and perform physical and laboratory examinations for diagnostic purposes consistent with the education and training of naturopathic doctors, including:</text>
    <paragraph num="(1)">
      <text>Phlebotomy;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Clinical laboratory tests;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Orifical examinations;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Electrocardiograms with over read by a cardiologist; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Physiological function tests;</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Order diagnostic imaging studies, interpret the diagnostic imaging reports and have access to the images from these studies. Naturopathic doctors shall not perform the imaging procedures nor directly interpret the images themselves;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Dispense, order, or administer natural medicines, including, but not limited to, food, extracts of food, nutraceuticals, vitamins, amino acids, minerals, enzymes, botanicals and their extracts, and botanical  medicines, homeopathic medicines and all dietary supplements and  nonprescription drugs as defined by the Federal Food, Drug, and Cosmetic Act, as follows:</text>
    <paragraph num="(1)">
      <text>Except for intravenous administration, the naturopathic doctor may order or dispense natural medicines that use various routes of administration, including:</text>
      <paragraph num="(a)">
        <text>Oral;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Nasal;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Auricular;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Ocular;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Rectal;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Vaginal;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Transdermal; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Intramuscular; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The naturopathic doctor may only administer natural medicines through transdermal administration;</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Administer or perform hot or cold hydrotherapy, naturopathic physical medicine, electromagnetic energy and therapeutic exercise for the purpose of providing basic therapeutic care services, except that if a referral to another licensed provider is appropriate for ongoing rehabilitation or habilitation services, the naturopathic doctor shall make the referral;</text>
  </paragraph>
  <paragraph num="E.">
    <text>Provide health education and health counseling; and</text>
  </paragraph>
  <paragraph num="F.">
    <text>Perform naturopathic musculoskeletal mobilization.</text>
  </paragraph>
</regulation>