License Renewal. A licensee shall satisfactorily complete 48 hours of continuing education in the 2-year period before each renewal and provide verification to the Board if requested. The licensee shall: Obtain a minimum of: 3 hours in approved communicable-disease education, which includes AIDS/HIV, and sanitary procedures; 1 hour in diversity or cultural competency education; 3 hours in risk management; and 1 hour in professional ethics or jurisprudence; Pay a renewal fee as set forth in COMAR 10.43.06; and Submit to the Board a renewal application accompanied by a continuing education form that the Board requires. Registration Renewal. A registrant shall satisfactorily complete 10 hours of continuing education in the 2-year period before each renewal and provide verification to the Board, if requested. The registrant shall: Pay a renewal fee as set forth in COMAR 10.43.06; and Submit to the Board a renewal application accompanied by a continuing education form that the Board requires. Hours may be in-person, home study, or online format. Exemptions, Waivers, and Extensions. Individuals issued initial licensure or registration within 12 months of the renewal date are exempt from the continuing education (CEU) requirements under this chapter for the first renewal cycle. Licensees and registrants with documented hardships seeking an exemption, waiver, or extension from CEU requirements under this chapter shall petition the Board in writing at least 90 days before the renewal date. The Board shall review the petition for an exemption, waiver, or extension, and respond in writing to the licensee or registrant within 30 days of the Board’s decision. The Board may deny the license or registration renewal of any chiropractor or chiropractic assistant who fails to comply with this chapter. The Board shall conduct an audit of licensees and registrants before or during the renewal period to ensure compliance with this chapter. Continuing education hours may not be carried over from one renewal period to the next.