NEW JERSEY ADMINISTRATIVE CODE TITLE 13 LAW AND

VETERINARY MEDICAL EXAMINERS LAW AND PUBLIC SAFETY

Chapter 44 Page 1 of 33 Last Revision Date: 3/15/2021

N EW J ERSEY A DMINISTRATIVE C ODE

T ITLE 13

L AW AND P UBLIC S AFETY

C HAPTER 44

S TATE B OARD OF V ETERINARY M EDICAL

E XAMINERS

VETERINARY MEDICAL EXAMINERS LAW AND PUBLIC SAFETY

Chapter 44 Page 2 of 33 Last Revision Date: 3/15/2021

CHAPTER TABLE OF CONTENTS

SUBCHAPTER 1. LICENSURE BY EXAMINATION; LICENSURE BY WAIVER OF EXAMINATION;

BIENNIAL LICENSE RENEWAL; REINSTATEMENT ..................................................................... 3

13:44-1.1 Eligibility to take New Jersey Jurisprudence Orientation ............................................................. 3

13:44-1.2 Required documentation to take the New Jersey Jurisprudence Orientation ............................. 4

13:44-1.3 (Reserved) ..................................................................................................................................... 4

13:44-1.4 Licensure by reciprocity ................................................................................................................ 4

13:44-1.5 (Reserved) ..................................................................................................................................... 6

13:44-1.6 Renewal of license ........................................................................................................................ 6

13:44-1.7 License reactivation ...................................................................................................................... 7

13:44-1.8 License reinstatement .................................................................................................................. 9

13:44-1.9 Proof of licensure ....................................................................................................................... 10

SUBCHAPTER 2. (RESERVED) ................................................................................................ 10

SUBCHAPTER 3. DEFINITIONS............................................................................................... 10

13:44-3.1 Definitions................................................................................................................................... 10

SUBCHAPTER 4. GENERAL RULES OF PRACTICE ..................................................................... 12

13:44-4.1 Veterinary prescription items ..................................................................................................... 12

13:44-4.2 Municipal rabies clinics and public service ................................................................................. 13

13:44-4.3 Poultry husbandry; unlicensed practice ..................................................................................... 14

13:44-4.4 Licensees who service pet shops, pounds, shelters and adoption facilities .............................. 14

13:44-4.5 Referral fees................................................................................................................................ 14

13:44-4.6 Temporary continuance of facility upon licensee's death .......................................................... 15

13:44-4.7 Emergency cases ......................................................................................................................... 15

13:44-4.8 Advertising .................................................................................................................................. 15

13:44-4.9 Patient records ........................................................................................................................... 18

13:44-4.10 Continuing education ............................................................................................................... 21

13:44-4.11 Emergency service facilities ......................................................................................................

13:44-4.12 Notice of address ...................................................................................................................... 25

13:44-4.13 Consent for veterinary student providing veterinary services ................................................. 25

SUBCHAPTER 4A. TELEMEDICINE ......................................................................................... 26

13:44-4A.1 Purpose and scope ................................................................................................................... 26

13:44-4A.2 Definitions ................................................................................................................................ 26

13:44-4A.3 Standard of care ....................................................................................................................... 28

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13:44-4A.4 Licensee-client-patient relationship ......................................................................................... 28

13:44-4A.5 Provision of services through telemedicine or telehealth ....................................................... 29

13:44-4A.6 Prescriptions ............................................................................................................................. 31

13:44-4A.7 Records ..................................................................................................................................... 31

13:44-4A.8 Prevention of fraud and abuse ................................................................................................. 31

13:44-4A.9 Privacy and notice to patients .................................................................................................. 32

SUBCHAPTER 5. FEE SCHEDULE ............................................................................................ 33

13:44-5.1 Fee schedule ............................................................................................................................... 33

SUBCHAPTER 1.

LICENSURE BY EXAMINATION; LICENSURE BY WAIVER OF

EXAMINATION; BIENNIAL LICENSE RENEWAL; REINSTATEMENT

13:44-1.1 ELIGIBILITY TO TAKE NEW JERSEY JURISPRUDENCE ORIENTATION

a) As a prerequisite to taking the New Jersey Jurisprudence Orientation, an applicant shall

submit to the Board:

Evidence that the applicant:

i) Has been awarded a degree in veterinary medicine from a veterinary college or

university accredited by the American Veterinary Medical Association (AVMA);

ii) Will be awarded a degree in veterinary medicine during the current academic year

from a college or university accredited by the American Veterinary Medical

Association which the applicant attends; or

iii) Has successfully completed the training program administered by the Education

Commission for Foreign Veterinary Graduates (ECFVG) of the AVMA or the Program

for the Assessment of Veterinary Education equivalence (PAVE) of the American

Association of Veterinary State Boards (AAVSB); and

Proof that the applicant obtained a passing grade, as determined by the test sponsor, on

the National Board Examination and Clinical Competency Test or the North American

Veterinary Licensing Examination within 10 years preceding application.

b) The Board may refuse licensure to any applicant who has violated any provision of N.J.S.A.

45:1-21.

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13:44-1.2 REQUIRED DOCUMENTATION TO TAKE THE NEW JERSEY

JURISPRUDENCE ORIENTATION

a) An applicant for licensure shall submit or arrange to have submitted to the Board the

following:

A completed application form which requests brief educational and experiential

background;

The application fee set forth in N.J.A.C. 13:44-5.1;

Two photographs of passport size and style;

National Board Examination and Clinical Competency Test, or the North American

Veterinary Licensing Examination, scores through the Veterinary Information Verification

Agency;

If the applicant is a graduate of an AVMA accredited program, an official transcript of

veterinary school credits, to be forwarded directly to the Board by the college or

university attended.

i) The transcript shall contain the signatures of college officials and shall be properly

stamped;

ii) If the transcript is in a language other than English, the applicant shall submit a

verified English translation; and

If the applicant has completed a training program administered by the Education

Commission for Foreign Veterinary Graduates (ECFVG) of the American Veterinary

Medical Association (AVMA) or the Program for the Assessment of Veterinary Education

equivalence (PAVE) of the American Association of Veterinary State Boards (AAVSB),

notification that the applicant has satisfactorily completed the program, to be forwarded

directly to the Board by the ECFVG or PAVE office.

13:44-1.3 (RESERVED)

13:44-1.4 LICENSURE BY RECIPROCITY

a) Upon receipt of a completed application, application fee, consent to a criminal history record

background check, and requisite fee for such a check, the Board shall issue a license to any

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person who documents that he or she holds a valid, current corresponding license in good

standing issued by another state, if:

The Board determines that the state that issued the license has, or had at the time of

issuance, education, training, and examination requirements for licensure substantially

equivalent to the current Board standards;

The applicant has been practicing in the profession of veterinary medicine for a period of

at least two years within the five years prior to the date of application; and

The requirements of (b) below are satisfied.

b) Prior to the issuance of the license, the Board shall have received:

Documentation from any state in which the applicant is, or was ever, licensed that the

applicant's license(s) is in good standing;

The results of a criminal history record background check of the files of the Criminal

Justice Information Services Division in the Federal Bureau of Investigation and the State

Bureau of Identification in the Division of State Police do not disclose a conviction for a

disqualifying crime; and

Designation of an agent in New Jersey for service of process if the applicant is not a New

Jersey resident and does not have an office in New Jersey.

c) For purposes of this section, "good standing" means that:

No action has been taken against the applicant's license by any licensing board;

No action adversely affecting the applicant's privileges to practice veterinary medicine

has been taken by any out-of-State institution, organization, or employer;

No disciplinary proceeding is pending that could affect the applicant's privileges to

practice veterinary medicine;

All fines levied by any out-of-State board have been paid; and

There is no pending or final action by any criminal authority for violation of any law, rule,

or regulation, or any arrest or conviction for any criminal or quasi-criminal offense under

the laws of the United States, New Jersey, or any other state, including, but not limited

to: criminal homicide; aggravated assault; sexual assault, criminal sexual contact, or

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lewdness; or any offense involving any controlled dangerous substance or controlled

dangerous substance analog.

d) For purposes of this section, a "substantially equivalent" examination need not be identical to

the current examination requirements of this State, but such examination shall be nationally

recognized and of comparable scope and rigor.

e) The Board shall consider an applicant's experience to compensate for disparity in substantial

equivalence in the education and examination requirements under (a) above.

f) The Board, after the licensee has been given notice and an opportunity to be heard, may

revoke any license based on a license issued by another state obtained through fraud,

deception, or misrepresentation.

g) An applicant shall complete the New Jersey Jurisprudence Orientation.

h) The Board may grant a license without examination to an applicant seeking reciprocity who

holds a corresponding license from another state who does not meet the good standing

requirement of (a) above due to a pending action by a licensing board, a pending action by

an out-of-State institution, organization, or employer affecting the applicant's privileges to

practice, a pending disciplinary proceeding, or a pending criminal charge or arrest for a

crime, provided the alleged conduct of the applicant that is the subject of the action,

proceeding, charge, or arrest does not demonstrate a serious inability to practice veterinary

medicine, adversely affect the public health, safety, or welfare, or result in economic or

physical harm to a person, or create a significant threat of such harm.

13:44-1.5 (RESERVED)

13:44-1.6 RENEWAL OF LICENSE

a) The Board shall send a notice of renewal to each licensee, at least 60 days prior to the

expiration of the license. The notice of renewal shall explain inactive renewal and advise the

licensee of the option to renew as inactive. If the notice to renew is not sent 60 days prior to

the expiration date, no monetary penalty or fines shall apply to the holder for failure to renew

provided that the license is renewed within 60 days from the date the notice is sent or within

30 days following the date of license expiration, whichever is later.

b) A licensee shall renew his or her license for a period of two years from the last expiration

date. The licensee shall submit a renewal application to the Board, along with the renewal

fee set forth at N.J.A.C. 13:44-5.1, prior to the date of license expiration.

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c) A licensee may renew his or her license by choosing inactive status. A licensee electing to

renew as inactive shall not engage in the practice of veterinary medicine, or hold him- or

herself out as eligible to engage in the practice of veterinary medicine, in New Jersey until

such time as the license is returned to active status.

d) If a licensee does not renew the license prior to its expiration date, the licensee may renew

the license within 30 days of its expiration by submitting a renewal application, a renewal

fee, and a late fee as set forth at N.J.A.C. 13:44-5.1. During this 30-day period, the license

shall be valid and the licensee shall not be deemed as practicing without a license.

e) A licensee who fails to submit a renewal application within 30 days of license expiration shall

have his or her license suspended without a hearing.

f) A licensee who continues to engage in the practice of veterinary medicine with a suspended

license shall be deemed to be engaging in the unlicensed practice of veterinary medicine

and shall be subject to action consistent with N.J.S.A. 45:1-14 et seq., even if no notice of

suspension has been provided to the individual.

13:44-1.7 LICENSE REACTIVATION

a) A licensee who holds an inactive license pursuant to N.J.A.C. 13:44-1.6(c) may apply to the

Board for reactivation of an inactive license. A licensee seeking reactivation of an inactive

license shall submit:

A renewal application;

A certification of employment listing each job held during the period the license was

inactive that includes the names, addresses, and telephone numbers of each employer;

If the renewal application is sent during the first year of the biennial renewal period, the

renewal fee for the biennial period for which reactivation is sought as set forth at N.J.A.C.

13:44-5.1. If the renewal application is sent during the second year of the biennial period,

half of the renewal fee for the biennial period for which reactivation is sought as set forth

at N.J.A.C. 13:44-5.1; and

Evidence of having completed all continuing education credits for the current biennial

registration period, consistent with the requirements set forth at N.J.A.C. 13:44-4.10.

b) An applicant who holds a valid, current license in good standing issued by another state to

engage in the practice of veterinary medicine and submits proof of having satisfied that

state's continuing education requirements, shall be deemed to have satisfied the

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requirements of (a)4 above. If the other state does not have any continuing education

requirements, the requirements of (a)4 above shall apply.

c) If a Board review of an application establishes a basis for concluding that there may be

practice deficiencies in need of remediation prior to reactivation, the Board may require the

applicant to submit to, and successfully pass, an examination or an assessment of skills, a

refresher course, or other requirements as determined by the Board prior to reactivation of

the license. If that examination or assessment identifies deficiencies or educational needs,

the Board may require the applicant, as a condition of reactivation of licensure, to take, and

successfully complete, education or training, or to submit to supervision, monitoring, or

limitations, as the Board determines necessary to assure that the applicant practices with

reasonable skill and safety. The Board may restore the license subject to the applicant's

completion of training within a period of time prescribed by the Board following the

restoration of the license. In making its determination whether there are practice deficiencies

requiring remediation, the Board may consider the following:

Length of time license was inactive;

Employment history;

Professional history;

Disciplinary history and any action taken against the applicant's license by any

professional or occupational board;

Actions affecting the applicant's privileges taken by any institution, organization, or

employer related to the practice of veterinary medicine or other professional or

occupational practice in New Jersey, any other state, the District of Columbia, or in any

other jurisdiction;

Pending proceedings against a professional or occupational license issued to the

licensee by a professional or occupational board in New Jersey, any other state, the

District of Columbia, or in any other jurisdiction; and

Civil litigation related to the practice of veterinary medicine or other professional or

occupational practice in New Jersey, any other state, the District of Columbia, or in any

other jurisdiction.

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13:44-1.8 LICENSE REINSTATEMENT

a) A licensee who has had his or her license suspended pursuant to N.J.A.C 13:44-1.6(e) may

apply to the Board for reinstatement. A licensee applying for reinstatement shall submit:

A reinstatement application;

A certification of employment listing each job held during the period of suspended license

that includes the names, addresses, and telephone numbers of each employer;

The renewal fee set forth at N.J.A.C. 13:44-5.1 for the biennial period for which

reinstatement is sought;

The past due renewal fee for the biennial period immediately preceding the renewal

period for which reinstatement is sought;

The reinstatement fee set forth at N.J.A.C. 13:44-5.1; and

Evidence of having completed all continuing education credits for the current biennial

registration period, consistent with the requirements set forth at N.J.A.C. 13:44-4.10.

b) An applicant who holds a valid, current license in good standing issued by another state to

engage in the practice of veterinary medicine and submits proof of having satisfied that

state's continuing education requirements, shall be deemed to have satisfied the

requirements of (a)6 above. If the other state does not have any continuing education

requirements, the requirements of (a)6 above apply.

c) If a Board review of an application establishes a basis for concluding that there may be

practice deficiencies in need of remediation prior to reinstatement, the Board may require the

applicant to submit to, and successfully pass, an examination or an assessment of skills, a

refresher course, or other requirements as determined by the Board prior to reinstatement of

the license. If that examination or assessment identifies deficiencies or educational needs,

the Board may require the applicant, as a condition of reinstatement of licensure, to take,

and successfully complete, education or training, or to submit to supervision, monitoring, or

limitations, as the Board determines necessary to assure that the applicant practices with

reasonable skill and safety. The Board may restore the license subject to the applicant's

completion of training within a period of time prescribed by the Board following the

restoration of the license. In making its determination whether there are practice deficiencies

requiring remediation, the Board may consider the following:

Length of time license was suspended;

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Employment history;

Professional history;

Disciplinary history and any action taken against the applicant's license by any

professional or occupational board;

Actions affecting the applicant's privileges taken by any institution, organization, or

employer related to the practice of veterinary medicine or other professional or

occupational practice in New Jersey, any other state, the District of Columbia, or in any

other jurisdiction;

Pending proceedings against a professional or occupational license issued to the

licensee by a professional or occupational board in New Jersey, any other state, the

District of Columbia, or in any other jurisdiction; and

Civil litigation related to the practice of veterinary medicine or other professional or

occupational practice in New Jersey, any other state, the District of Columbia, or in any

other jurisdiction.

13:44-1.9 PROOF OF LICENSURE

Wherever a licensee is engaged in the practice of veterinary medicine, surgery or dentistry,

he or she shall have available for inspection proof of his or her licensure.

SUBCHAPTER 2.

(RESERVED)

SUBCHAPTER 3.

DEFINITIONS

13:44-3.1 DEFINITIONS

As used in this chapter, the following terms have the following meanings unless the context

clearly indicates otherwise.

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"Address of record" means an address designated by a licensee which is part of the public

record and which may be disclosed upon request. "Address of record" may be a licensee's

home, business or mailing address, but shall not be a post office box.

"Animal or veterinary facility" means any fixed or mobile establishment, veterinary hospital,

animal hospital or premises wherein or whereon the practice of veterinary medicine or any part

thereof is conducted.

"Person" means any individual, firm, partnership, association, joint venture, cooperative,

corporation incorporated under Title 14A of the New Jersey Statutes, or any other group or

combination acting in concert; and whether or not acting as a principal, trustee, fiduciary,

receiver, or as any other kind of legal or personal representative, or as the successor in interest,

assignee, agent, factor, servant, employee, director, officer, or any other representative of any

person.

"Practice of veterinary medicine, surgery and dentistry" means to directly or indirectly

diagnose, prognose, treat, correct, change, relieve or prevent animal disease, deformity, defect,

injury, wound or other physical or mental condition; including the prescription or administration of

any drug, medicine, biologic, apparatus, application, anesthetic or other therapeutic or

diagnostic substance or technique on any animal including, but not limited to, animal

acupuncture, surgical or dental operations, animal chiropractic, theriogenology, alternative or

complementary veterinary medicine, surgery, including cosmetic surgery, any manual,

mechanical, biological or chemical procedure for testing for the presence of any disease or

pregnancy or for correcting sterility or infertility, including embryo transfer, or to render service

or recommendations with regard to any of the above and all other branches of veterinary

medicine, surgery and dentistry.

"Qualified veterinary graduate" means a graduate of a veterinary college or university

approved by the Board, a graduate of a veterinary college or university which is not approved by

the Board, but who has received a certificate from an accrediting or qualifying body recognized

by the Board for the purpose of licensure examination, or a veterinarian who has qualified under

the provision of the American Veterinary Medical Association's Education Commission for the

Foreign Veterinary Graduate.

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"Responsible supervision" means that the supervising licensed veterinarian has assumed full

responsibility for the actions or omissions of the persons being supervised.

SUBCHAPTER 4.

GENERAL RULES OF PRACTICE

13:44-4.1 VETERINARY PRESCRIPTION ITEMS

a) No licensed veterinarian shall dispense any prescription item unless the container in which

such medication is dispensed bears a label containing the following information:

The name or species of the patient or identification of the herd or flock;

The name of the drug or devices;

The strength per unit;

The number of units dispensed;

Directions for use;

Precautionary statements including withdrawal time, where applicable;

The date dispensed; and

The name and license number of the licensee and the name of the facility dispensing the

medication.

b) A licensed veterinarian may prescribe, sell, dispense, or distribute any prescription item,

providing there is a bona fide veterinarian-client-patient relationship, and the prescription

item is properly recorded in the medical record. For purposes of this section, a prescription is

properly recorded when it contains the type of medication, the strength per unit, the number

of units dispensed, the directions for use and the date dispensed.

For purposes of this section, a "veterinarian-client-patient relationship" means:

i) The veterinarian has undertaken to make medical judgments regarding the health of

an animal or animals, herd or flock being treated and the need for medical treatment;

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ii) The client has retained the services of the veterinarian;

iii) The veterinarian has sufficient knowledge of the animal or animals, herd or flock to

initiate at least a general or preliminary diagnosis of the medical condition of the

animal or animals, herd or flock;

iv) The veterinarian is available for follow-up treatment; and

v) The veterinarian maintains records on the animal or animals, herd or flock in

accordance with N.J.A.C. 13:44-4.9.

c) A licensed veterinarian may dispense prescription items to a person without a bona fide

veterinarian-client-patient relationship on the basis of a prescription issued by another

licensed veterinarian subject to the provisions of (a) and (b) above and (d) below.

d) A licensed veterinarian shall not prescribe, sell, dispense, or distribute any prescription item

in an indiscriminate manner, or without good cause, or where the licensee reasonably knows

or should know that the item or items prescribed, sold, dispensed or distributed are to be

used for unauthorized or illicit consumption or distribution. A licensee shall not issue a

prescription for, or dispense, an item where the licensee knows or has reason to know that

an item or items previously prescribed or dispensed were used by the recipient for

unauthorized or illicit consumption or distribution.

e) A licensed veterinarian, in the course of professional practice and an existing veterinarian-

client-patient relationship, shall, upon request, provide a written prescription to a client who

does not wish to purchase a prescription item directly from the licensed veterinarian.

f) A licensed veterinarian may issue a prescription by oral, written, or electronic communication

to the dispenser. The licensed veterinarian shall properly record the prescription in the

patient's medical record.

13:44-4.2 MUNICIPAL RABIES CLINICS AND PUBLIC SERVICE

Veterinarians shall not be required to establish a veterinarian-client-patient relationship, nor

maintain patient, herd, flock, or any other aggregation of animals records as required by

N.J.A.C. 13:44-4.9 in the course of practice, when participating in municipal rabies clinics

sponsored by the State of New Jersey, or when performing emergency services on behalf of any

municipal, county, State, or Federal agencies.

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13:44-4.3 POULTRY HUSBANDRY; UNLICENSED PRACTICE

a) Poultry husbandry procedures such as de-beaking, toe clipping, sex determination,

caponizing, clipping of wings, culling and blood testing may be recommended or performed

by agents of Cook College of Rutgers, The State University, and other members of the

poultry industry if they do not represent themselves to be veterinarians or use any title or

degree pertaining to the practice of veterinary medicine and do not diagnose disease and

prescribe treatment.

b) Only licensees may perform husbandry procedures for caged or exotic birds.

13:44-4.4 LICENSEES WHO SERVICE PET SHOPS, POUNDS, SHELTERS AND

ADOPTION FACILITIES

a) A licensee who provides services to a public, for-profit or non-profit pet shop, pound, shelter

or adoption facility, shall sign and print his or her name and New Jersey license number on

each animal's health certificate, adoption form or "Fit for Purchase" form, and on any other

document which may be given to the consumer at the time of purchase or adoption that

attests to findings made, care rendered or care prescribed for that animal by a licensed

veterinarian.

b) A licensee who signs an animal health certificate, adoption form or "Fit for Purchase" form,

or any other documents as set forth in (a) above, shall:

Personally examine the pet before prescribing or administering any medication;

Comply with N.J.A.C. 13:44-4.1 regarding prescriptions;

If the licensee supplies vaccines or other medications for which a prescription is

necessary, ensure that the vaccines or other medication is administered properly; and

Comply with the requirements of N.J.A.C. 13:44-4.9 for every animal examined and/or

treated.

13:44-4.5 REFERRAL FEES

It shall be professional misconduct for a licensee to pay, offer to pay, or to receive from any

person any fee or other form of compensation for the referral of a patient. The prohibition in this

section shall not prohibit the division of fees among licensees engaged in bona fide employment,

partnership or corporate relationship for the delivery of professional services.

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13:44-4.6 TEMPORARY CONTINUANCE OF FACILITY UPON LICENSEE'S DE ATH

a) Upon the death of the licensed proprietor of an individually owned veterinary facility, an

unlicensed spouse or the executor or administrator of the licensee's estate may continue to

own, maintain and operate the facility for a period, of two years in order to convey or

liquidate the practice, provided that the services of a New Jersey licensed veterinarian shall

be engaged to conduct, manage and be responsible for the practice of veterinary medicine.

b) The two-year period of conveyance or liquidation referred to in (a) above may be extended

by the Board for good cause following a written request to the Board.

c) The unlicensed owner shall provide the State Board of Veterinary Examiners with written

notice of the substitute licensee's name within three months of the owner's death. This

period of time may be extended upon written petition to the Board.

d) The substitute licensee shall advise the Board in writing that he or she is willing to assume

the responsibilities of a licensee for the facility.

e) If for any reason the substitute licensee's services are terminated, both the owner and the

licensee shall inform the Board in writing and a new licensee shall be engaged pursuant to

13:44-4.7 EMERGENCY CASES

Veterinarians shall provide emergency care.

13:44-4.8 ADVERTISING

a) The following words and terms, when used in this section, shall have the following meanings

unless the context clearly indicates alternatives.

"Advertisement" means the attempt directly or indirectly by publication, dissemination,

endorsement or circulation or in any other way to induce directly or indirectly any person to

enter into an express or implied agreement to accept veterinary services or treatments

related thereto.

"Electronic media" means radio, television, telephone, facsimile machine and computer.

"Licensee" means a person possessing a plenary license to practice veterinary medicine,

surgery and dentistry.

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"Printed media" means newspapers, magazines, periodicals, professional journals,

telephone directories, circulars, handbills, flyers and other similar written materials or

comparable publications, the contents of which is disseminated by means of the printed

word.

"Range of fees" means the upper and lower limit on the fees charged for professional

service.

"Routine professional service" shall refer to a service which a licensee, professional

association or institution which provides veterinary care ordinarily performs.

b) A licensed veterinarian who is engaged in the practice of veterinary medicine, dentistry or

surgery in the State of New Jersey, may provide information to the public by advertising

which is not false, fraudulent, misleading or deceptive through the use of the print or

electronic media.

c) A licensee who engages in the use of advertising that contains the following, shall be

deemed to be engaged in professional misconduct:

Any claim that services performed or material used are professionally superior to those

ordinarily performed or used unless the claim can be substantiated.

Any statement that emergency service is provided or any statement or implication that a

facility is open and operating to provide emergency services during non-regular business

hours unless the veterinary facility advertised meets the requirements of N.J.A.C. 13:44-

4.11.

Any statement or claim or implication arising therefrom that licensee is a specialist where

national specialty board certification in the claimed area exists and the licensee does not

possess such certification. Where national specialty board certification in an area of

claimed expertise does not exist, the use of the term "specialist" or its substantial

equivalent shall not be utilized provided, however, that nothing herein shall prohibit

truthful and non-deceptive statements concerning a licensee's experience or training in a

particular area of veterinary practice.

The use of any misrepresentation.

Any statement which guarantees that a veterinary cure will result from the professional

service offered, provided however that nothing herein shall prohibit an offer or statement

guaranteeing a return of professional fees received or a repeat treatment in the event an

owner is dissatisfied with services rendered.

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d) The Board may require a licensee to substantiate the truthfulness of any objective material

claim or representation set forth in an advertisement. Failure of a licensee to provide factual

substantiation to support that representation or claim shall be deemed professional

misconduct subject to disciplinary action pursuant to N.J.S.A. 45:1-21(e).

e) Advertising of fees shall be limited to a fixed or stated range of fees for a specifically

described routine professional veterinary service.

A licensee who advertises fees shall disclose all the relevant variables and

considerations which are ordinarily included in such a service so that the fee will not be

misunderstood. In the absence of such a disclosure, the stated fees shall be presumed to

include everything ordinarily required for such a service.

Offers of discounts or fee reductions shall indicate the fixed or stated range of fees

against which said discount is to be made. Where an "across the board" discount is

offered, such as "10% of all fees," the advertisement shall, at the least, include a list of

the regular fees of common, representative services along with a statement that a

complete list of veterinary services and the regular fees therefor is available for

examination at the veterinarian's office.

The effective period during which a fee or discount shall remain in effect shall be set

forth in the face of the advertisement. In the absence of such a disclosure and solely for

the purpose of enforcement, the effective period shall be deemed to be 30 days.

f) Advertising which contains the name, address or telephone number of a professional service

facility shall also contain the name of at least one licensee who is responsible for the

provision of the advertised services.

g) A licensee shall be presumed to have approved and shall be personally responsible for the

form and contents of an advertisement which contains the licensee's name, office address,

or telephone number.

h) A licensee who employs or allows another to employ for his benefit an intermediary source

or other agent in the course of advertising shall be personally responsible for the form and

contents of said advertisement.

i) All licensees shall list his or her degree after his or her name or use the word "Veterinarian"

if the title Doctor is used before his or her name.

j) Copies of all printed and electronic advertisements shall be retained by the licensee and

made available for review by the Board or its designee upon request for a period of three

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years. All advertisements in the licensee's possession shall indicate the accurate date and

place of publication.

k) An advertisement may contain either lay or expert testimonial, provided that such testimonial

is based upon personal knowledge or experience obtained from a licensee-client relationship

with the licensee or direct personal knowledge of the subject matter of the testimonial. A lay

person's testimonial shall not attest to any technical matter beyond the testimonial giver's

competence to comment upon. An expert testimonial shall be rendered only by an individual

possessing specialized expertise sufficient to allow the rendering of a bona fide statement or

opinion. A licensee shall be able to substantiate any objective, verifiable statement of fact

appearing in a testimonial. Failure to abide by the requirements of this section may be

deemed professional misconduct pursuant to the provision of N.J.S.A. 45:1-21(e).

13:44-4.9 PATIENT RECORDS

a) A licensee shall maintain a separate patient record for each animal, herd, flock, or any other

aggregation of animals. All patient records shall accurately reflect the treatment or services

rendered. Such records shall include at least the following information:

The name of the facility, which shall appear on every page of the record;

The name, initials or other identifying information to indicate the identity of the licensee

or agent making the entry in the patient record and the date on which the entry is made;

The name, address and telephone number of the owner of the animal;

Sufficient information to clearly identify the animal, herd or flock (for example, animal

name or tattoo, breed or predominant breed species);

A history of the presenting problem;

All pertinent symptoms and signs observed;

Tests ordered or performed and the results thereof;

Conclusions and/or diagnosis;

The treatment or treatment plan prescribed, including a specific notation of any

medications or modalities prescribed;

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10)

Such other notes or information so as to provide a clear statement of the patient's

condition and the veterinary evaluation and response; and

11)

Copies of any consent forms signed by the owner or the owner's representative.

b) A licensed veterinarian shall keep records confidential, unless:

The licensed veterinarian is required by law to release the records;

The Board requests the records;

The client, at the time services were rendered by the licensed veterinarian, authorizes

the licensed veterinarian to release the records; or

It becomes necessary to release information in the records in order to protect the health

of a person, the animal that is the subject of the records or another animal.

c) A licensee may require that a record request be in writing and may charge a fee for the

reproduction of records, which shall be no greater than $1.00 per page or $100.00 for the

entire record, whichever is less. If the record requested is less than 10 pages, the licensee

may charge up to $10.00 to cover postage and the costs associated with retrieval of the

record.

d) A licensee shall only release diagnostic imaging, such as a radiograph, pursuant to (b)

above. A licensee who obtains a copy of diagnostic imaging may charge a fee that covers

the cost of obtaining the copy. A licensee who releases diagnostic imaging shall keep, as

part of his or her records:

A copy or original of the diagnostic imaging;

A release form signed by the individual to whom an original diagnostic imaging is

released, indicating that he or she has taken the diagnostic imaging and will return the

diagnostic imaging to the licensee; or

A certified radiologist's report on the diagnostic imaging.

e) All records and radiographs on patients shall be retained for a period of five years from the

date of the patient's last visit except as provided in (h) or (

) below. Where the records reflect

the decease of the patient, all written records and radiographs shall be retained for a period

of three years from the last date of entry.

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f) Copies of a licensee's record or a summary report of such record and copies of all pertinent

objective data and papers pertaining to a given patient, along with a key to any codes,

abbreviations and non-English words appearing on such record, data or papers, shall be

furnished to the patient's owner, a designated representative or a designated veterinarian

within 10 business days of a written request by the owner or duly authorized representative.

A licensee may charge a fee pursuant to (c) above for providing copies of records.

g) When a patient's life or health is in danger, a licensee shall release information pertinent to

the critical care of the patient to the patient's owner, a representative designated by the

owner or a veterinarian designated by the owner, immediately upon receiving a request for

the information.

h) Where services are rendered on an emergency basis by a veterinary facility and the patient

is referred to the owner's regular veterinarian for continued treatment, the veterinarian

rendering such emergency treatment shall release the medical records and radiographs to

the owner or the regular veterinarian; provided, however, that the emergency treatment

facility shall obtain a written receipt if originals are released, showing the disposition of the

records and shall keep the receipt for a period of two years.

i) Whenever a veterinary practice is to be closed due to the retirement or death of the

veterinarian in charge, or the practice will be closed for more than six consecutive months,

the licensee or the executor or administrator of the licensee's estate shall:

Establish a procedure by which patients may obtain treatment records or agree to the

transfer of those records to another licensee who is assuming the responsibilities of that

practice;

If the practice will not be attended by another licensee, publish a notice of the cessation

and the established procedure for the retrieval of records in a newspaper of general

circulation in the geographic location of the licensee's practice, at least once each month

for the first three months after the cessation;

Notify the Board, in writing, of the impending closure and the established procedure for

the retrieval of records;

Make reasonable efforts to directly notify the owner of any patient treated during the six

months preceding the cessation of the practice to provide information concerning the

established procedure for retrieval of records;

Conspicuously post a notice on the premises of the procedure for the retrieval of records

for at least one month prior to the cessation of the practice; and

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Arrange for the storage of any records that have not been retrieved by patient owners for

one year from the date the practice closes.

13:44-4.10 CONTINUING EDUCATION

a) Upon biennial license renewal, a licensee shall attest that he or she has completed courses

of continuing education of the types and number of credits specified in (b) or (c) below.

Falsification of any information submitted on the renewal application may require an

appearance before the Board and may result in penalties and/or suspension or revocation of

the licensee pursuant to N.J.S.A. 45:1-21 through 45:1-25.

b) Each applicant for biennial license renewal shall complete 20 credit hours of continuing

education in the preceding biennial license period. Of these 20 credit hours:

At least 17 shall be in surgery, medicine, or dentistry;

No more than four shall be in courses related solely to business management; and

Commencing with the biennial renewal period beginning on June 30, 2019, one shall be

in topics concerning prescription opioid drugs, including the risks and signs of opioid

abuse, addiction, and diversion.

c) An applicant who is licensed in the second year of a biennial renewal period shall be

required to complete 10 credit hours of continuing education in the preceding biennial

license period.

d) A licensee may obtain continuing education credit from the following sources with the

following credit hours:

Successful completion of continuing education courses or programs approved by either

the New Jersey Veterinary Medical Association (NJVMA), NJVMA constituent

associations or the American Association of Veterinary State Boards, Registry of

Approved Continuing Education (RACE): one credit hour for each hour of attendance;

Attendance at a seminar sponsored by the American Veterinary Medical Association

(AVMA) or by an organization recognized by the AVMA: one credit hour for each hour of

the seminar;

Successful completion of a continuing education course sponsored by a veterinary

school approved by the Council on Education of the AVMA: one credit hour for each hour

of the course;

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Successful completion of a course related to the practice of veterinary medicine given by

a college or university: one credit hour for each credit;

Completion of a self-assessment test from a peer reviewed journal issued by veterinary

school approved by the Council on Education of the AVMA which distributes a certificate

of completion: one credit hour for each test, up to five credit hours per biennial period;

Completion of a Veterinary Information Network (VIN) course: one credit hour for each

course credit;

Writing an article in a peer reviewed professional journal: three credit hours per article,

up to three credit hours per biennial period;

Teaching a new continuing education course or program that is approved pursuant to

(d)1 above. "New" means that the licensee has never taught or developed curriculum for

that course or program in any educational setting: one credit hour for each hour taught

up to 10 credit hours per biennial period; and

Presenting a new seminar or lecture to professional peers, provided the seminar or

lecture is at least one hour long. "New" means that the licensee has never presented the

seminar or lecture before: one credit hour for each hour of presentation up to five credit

hours per biennial period.

e) The Board shall perform audits on randomly selected licensees to determine compliance with

continuing education requirements.

f) A licensee shall maintain the following documentation for a period of four years after

completion of the credits and shall submit such documentation to the Board upon request:

For attendance at programs, courses or seminars: a certificate of completion from the

sponsor;

For completion of a self-assessment test: a certificate of completion from the veterinary

school;

For completion of a Veterinary Information Network (VIN) course: a certificate issued by

VIN;

For an article: a copy of the article;

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For teaching a course or program: documentation, including a copy of the curriculum,

location, date and time of course, duration of course by hour, and letter from the sponsor

confirming that the licensee developed or taught the course or program; and

For presenting a seminar: documentation including the location, date and duration of the

lecture or seminar.

g) The Board may waive the continuing education requirements of this section on an individual

basis for reasons of hardship, such as severe illness, disability, or military service.

A licensee seeking a waiver of the continuing education requirements shall apply to the

Board in writing at least 90 days prior to license renewal and set forth in specific detail

the reasons for requesting the waiver. The licensee shall provide the Board with such

supplemental materials as will support the request for waiver.

A waiver of continuing education requirements granted pursuant to this subsection shall

only be effective for the biennial period in which such waiver is granted. If the

condition(s) which necessitated the waiver persist(s) into the next biennial period, a

licensee shall apply to the Board for approval of such waiver for the new biennial period.

h) The Board may review a licensee's continuing education records at any time in order to

confirm that the licensee is complying with the requirements of this section.

i) The Board may direct or order a licensee to complete continuing education credit hours:

As part of a disciplinary or remedial measure in addition to the required 20 hours of

continuing education credit; or

To correct a deficiency in the licensee's continuing education requirements.

j) Any continuing education credit hours completed by the licensee in compliance with an order

or directive from the Board as set forth in (i)1 above shall not be used to satisfy the minimum

continuing education requirements as set forth in this section.

k) A licensee may obtain up to two continuing education credit hours per biennial period by

providing veterinary care without charge:

To an animal owned by a person eligible for:

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i) The New Jersey Supplemental Nutrition Assistance Program authorized by the Food,

Conservation and Energy Act of 2008, Pub.L. 110-246 (7 U.S.C. §§ 2011 et seq.);

ii) The Supplemental Security Income Program established pursuant to Title XVI of the

Social Security Act, 42 U.S.C. §§ 1381 et seq.;

iii) The program for aid to families with dependent children, pursuant to P.L.1959, c.86

(C.44:10-1 et seq.);

iv) The program for general public assistance, pursuant to the provisions of the "General

Public Assistance Law," P.L. 1947, c.156 (C.44:8-107 et seq.);

v) The program of medical assistance pursuant to P.L.1968, c. 413 (C.30:4D-1 et seq.);

vi) The program of "Pharmaceutical Assistance to the Aged and Disabled," established

pursuant to P.L.1975, c.194 (C.30:4D-20 et seq.);

vii) The rental assistance program authorized pursuant to section 8 of the United States

Housing Act of 1937 as added by the Housing and Community Development Act of

1974, Pub.L.93-383 (42 U.S.C. § 1437(f));

viii) The "Lifeline Credit Program" established pursuant to P.L.1979, c.197 (C.48:2-29.15

et seq.); or

ix) The "Tenants' Lifeline Assistance Program" established pursuant to P.L.1981, c.210

(C.48:2-29.30 et seq.);

To a feral or stray cat with no known owner in a shelter or pound licensed by the

Department of Health and Senior Services provided that the shelter or pound attests to

the licensee that the cat being treated is feral or stray with no known owner; or

To a cat in a municipally approved managed cat colony provided the municipality,

nonprofit group, or organization managing the colony attests to the licensee that the cat

being treated is feral or stray with no known owner.

l) A licensee will obtain one continuing education credit hour for every two hours spent

providing volunteer veterinary services pursuant to (k) above.

m) Continuing education credit hours obtained pursuant to (k) above shall not count towards

any of the 17 credit hours of continuing education in surgery, medicine or dentistry required

by (b) above.

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n) The Board may deny a licensee an opportunity to obtain any or all continuing education

credit hours pursuant to (k) above if the Board determines that:

The licensee must complete continuing education credit hours in order to maintain or

restore professional competence pursuant to (i) above; or

All licensees must complete continuing education credit hours in order to address

developments in science or technology.

13:44-4.11 EMERGENCY SERVICE FACILITIES

a) Any veterinary facility denominated as an emergency service facility and advertising that it

provides emergency service shall have at least one licensed veterinarian and one supporting

staff member on the premises during the hours the facility is open for service.

b) Advertisements for emergency service facilities shall include a statement of the days of the

week and the hours the facility is open and that a New Jersey licensed veterinarian and

supporting staff member are on the premises during these times.

c) A certificate of registration or duplicate certificate for the location must be obtained by all

licensed employees of an emergency service facility, except that a veterinarian who assists

at the facility on an occasional emergency relief basis shall not be required to obtain a

registration.

d) Emergency service facilities shall keep a daily log recording the names of licensees and

supporting staff regularly or occasionally employed by the facility, with the dates and the

hours each has worked for the facility.

e) This rule shall not apply to a veterinary facility not denominated as an emergency care

facility which advertises an after-hours telephone number to be called when the facility is

closed.

13:44-4.12 NOTICE OF ADDRESS

Every practitioner of veterinary medicine licensed in this State shall submit to the Board in

writing notice of change in his or her address of record within 30 days of such change.

13:44-4.13 CONSENT FOR VETERINARY STUDENT PROVIDING VETERINARY

SERVICES

a) A licensee providing direct supervision to a veterinary student who is providing veterinary

services pursuant to N.J.S.A. 45:16-9 shall:

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Provide the Board with written notification that he or she will be providing direct

supervision to the veterinary student;

Maintain written documentation from an instructor at the student’s accredited veterinary

school identifying the duties or actions assigned to the student; and

Provide the owner of an animal receiving services from the student with written

notification identifying the licensed veterinarian providing the student with direct

supervision and notifying the animal’s owner that the veterinary student is not a licensed

veterinarian. The licensed veterinarian shall maintain a copy of this notification, signed

by the animal’s owner, in his or her patient records.

SUBCHAPTER 4A. TELEMEDICINE

13:44-4A.1 PURPOSE AND SCOPE

a) The purpose of this subchapter is to implement the provisions of P.L. 2017, c. 117 (N.J.S.A.

45:1-61 et seq.), which authorizes healthcare providers to engage in telemedicine and

telehealth.

b) This subchapter shall apply to all persons who are licensed by the Board as veterinarians.

c) Pursuant to N.J.S.A. 45:1-62, a veterinarian must hold a license issued by the Board if he or

she:

Is located in New Jersey and provides health care services to any patient located in or

out of New Jersey by means of telemedicine or telehealth; or

Is located outside of New Jersey and provides health care services to any patient located

in New Jersey by means of telemedicine or telehealth.

d) Pursuant to N.J.S.A. 45:16-8.1, a veterinarian located in another state who consults on a

case with a licensee in New Jersey through the use of information and communications

technologies will not be required to obtain licensure in New Jersey in order to provide such

consultation.

13:44-4A.2 DEFINITIONS

The following words and terms, when used in this subchapter, shall have the following

meanings, unless the context clearly indicates otherwise.

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"Asynchronous store-and-forward" means the acquisition and transmission of images,

diagnostics, data, and medical information either to or from an originating site or to or from

the licensee at a distant site, which allows for the patient to be evaluated without being

physically present.

"Board" means the Board of Veterinary Medical Examiners.

"Client" means a patient's owner, owner's agent, or other person responsible for the

patient.

"Cross-coverage service" means a licensee who engages in a remote medical evaluation

of a patient, without in-person contact, at the request of another licensee who has

established a proper licensee-client-patient relationship with the patient.

"Distant site" means a site at which a licensee is located while providing health care

services by means of telemedicine or telehealth.

"Licensee" means an individual licensed by the Board as a veterinarian.

"On-call" means a licensee is available, where necessary, to physically attend to the

urgent and follow-up needs of a patient for whom the licensee has temporarily assumed

responsibility, as designated by the patient's primary care licensee or other health care

provider of record.

"Originating site" means a site at which a patient is located at the time that health care

services are provided to the patient by means of telemedicine or telehealth.

"Patient" means the animal or group of animals receiving veterinary services from a

licensee.

"Telehealth" means the use of information and communications technologies, including

telephones, remote patient monitoring devices, or other electronic means, to support clinical

health care, provider consultation, patient and professional health-related education, public

health, health administration, and other services in accordance with the provisions of P.L.

2017, c. 117 (N.J.S.A. 45:1-61 et seq.).

"Telemedicine" means the delivery of a health care service using electronic

communications, information technology, or other electronic or technological means to

bridge the gap between a health care licensee who is located at a distant site and a patient

who is located at an originating site, either with or without the assistance of an intervening

licensee, and in accordance with the provisions of P.L. 2017, c. 117 (N.J.S.A. 45:1-61 et

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seq.). "Telemedicine" does not include the use, in isolation, of audio-only telephone

conversation, electronic mail, instant messaging, phone text, or facsimile transmission.

13:44-4A.3 STANDARD OF CARE

a) Prior to providing services through telemedicine or telehealth, a licensee shall determine

whether providing those services through telemedicine or telehealth would be consistent with

the standard of care applicable for those services when provided in-person.

b) If a licensee determines, either before or during the provision of services, that services

cannot be provided through telemedicine or telehealth in a manner that is consistent with in-

person standards of care, the licensee shall not provide services through telemedicine or

telehealth.

c) A licensee who determines that services cannot be provided through telemedicine or

telehealth pursuant to (b) above shall advise the client to obtain services in-person for the

patient.

d) A licensee who provides a diagnosis, treatment, or consultation recommendation, including

discussions regarding the risk and benefits of a patient's treatment options, through

telemedicine or telehealth shall be held to the same standard of care or practice standards

as are applicable to in-person settings.

13:44-4A.4 LICENSEE-CLIENT-PATIENT RELATIONSHIP

a) Prior to providing services through telemedicine or telehealth, a licensee shall establish a

licensee-client-patient relationship by:

Identifying the patient and the client with, at a minimum, the client's name, date of birth,

phone number, and address. A licensee may also use a client's assigned identification

number, Social Security number, photo, health insurance policy number, or other

identifier associated directly with the client; and

Disclosing and validating the licensee's identity, license, title, and, if applicable, specialty

and board certifications.

b) Prior to an initial contact with a patient for the purpose of providing services to the patient

using telemedicine or telehealth, a licensee shall:

Review the patient's history and any available records;

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Determine whether he or she will be able to provide the same standard of care using

telemedicine or telehealth as would be provided if the services were provided in-person.

The licensee shall make this determination prior to each unique patient encounter; and

Provide the client the opportunity to sign a consent form that authorizes the licensee to

release records of the encounter to the patient's primary care provider or other health

care provider identified by the client.

c) Notwithstanding (a) and (b) above, service may be provided through telemedicine or

telehealth without a proper licensee-client-patient relationship if:

The provision of services is for informal consultations with another healthcare provider

performed by a licensee outside the context of a contractual relationship, or on an

irregular or infrequent basis, without the expectation or exchange of direct or indirect

compensation;

The provision of services is during episodic consultations by a medical specialist located

in another jurisdiction who provides consultation services, upon request, to a licensee in

this State;

A licensee furnishes medical assistance in response to an emergency or disaster,

provided that there is no charge for the medical assistance; or

A substitute licensee, who is acting on behalf of an absent licensee in the same

specialty, provides health care services on an on-call or cross-coverage basis, provided

that the absent licensee has designated the substitute licensee as an on-call licensee or

cross-coverage service provider.

13:44-4A.5 PROVISION OF SERVICES THROUGH TELEMEDICINE OR TELEHEALTH

a) As long as a licensee has satisfied the requirements of N.J.A.C. 13:44-4A.4, a licensee may

provide health care services to a patient through the use of telemedicine and may engage in

telehealth to support and facilitate the provision of health care services to patients.

b) Prior to providing services through telemedicine or telehealth, a licensee shall determine the

patient's originating site and record this information in the patient's record.

c) A licensee providing healthcare services through telemedicine shall use interactive, real-

time, two-way communication technologies, which shall include, except as provided in (e)

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below, a video component that allows a licensee to see a patient and client and the patient

and client to see the licensee during the provision of services.

d) A licensee providing services through telemedicine or telehealth may use asynchronous

store-and-forward technology to allow for the electronic transmission of:

Images;

Diagnostics;

Data; and

Medical information.

e) If, after accessing and reviewing the patient's records, a licensee determines that he or she

is able to meet the standard of care for such services if they were being provided in-person

without using the video component described in (c) above, the licensee may use interactive,

real-time, two-way audio in combination with asynchronous store-and-forward technology,

without a video component.

f) During the provision of services through telemedicine or telehealth, and after the provision of

services, a licensee, or another designated licensee, shall provide his or her name,

professional credentials, and contact information to the client. Such contact information shall

enable the client to contact the licensee for at least 72 hours following the provision of

services, or for a longer period if warranted by the patient's circumstances and accepted

standards of care.

g) Prior to providing services through telemedicine or telehealth, a licensee shall review any

patient history or records provided by a client as follows:

For an initial encounter with a patient, history and records shall be reviewed prior to the

provision of services through telemedicine or telehealth; and

For any subsequent interactions with a patient, history and records shall be reviewed

either prior to the provision of services through telemedicine or telehealth or

contemporaneously with the encounter with the patient.

h) After the provision of services through telemedicine or telehealth, a licensee shall provide

the client, upon request, with the patient's records created due to the services provided.

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i) A licensee shall provide, upon a client's written request, the patient's information to the

patient's primary care provider.

j) A licensee engaging in telemedicine or telehealth shall refer a patient for follow-up care

when necessary.

13:44-4A.6 PRESCRIPTIONS

a) A licensee providing services through telemedicine or telehealth may issue a prescription to

a patient, as long as the issuance of such a prescription is consistent with the standard of

care or practice standards applicable to the in-person setting.

b) A licensee shall not issue a prescription based solely on responses provided in an online

questionnaire, unless the licensee has established a proper licensee-client-patient

relationship pursuant to N.J.A.C. 13:44-4A.4.

c) Notwithstanding (a) above, a licensee shall not issue a prescription for a Schedule II

controlled dangerous substance unless the licensee has had an initial in-person examination

of the patient and a subsequent in-person visit with the patient at least every three months

for the duration of the time the patient is prescribed the Schedule II controlled dangerous

substance.

13:44-4A.7 RECORDS

A licensee who provides services through telemedicine or telehealth shall maintain a record

of the care provided to a patient. Such records shall comply with the requirements of N.J.A.C.

13:44-4A.9, and all other applicable State and Federal statutes, rules, and regulations for

recordkeeping, confidentiality, and disclosure of a patient's record.

13:44-4A.8 PREVENTION OF FRAUD AND ABUSE

a) In order to establish that a licensee has made a good faith effort to prevent fraud and abuse

when providing services through telemedicine or telehealth, a licensee must establish written

protocols that address:

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Authentication and authorization of users;

Authentication of the patient and client during the initial intake pursuant to N.J.A.C.

13:44-4A.4(a)1;

Authentication of the origin of information;

The prevention of unauthorized access to the system or information;

System security, including the integrity of information that is collected, program integrity,

and system integrity;

Maintenance of documentation about system and information usage;

Information storage, maintenance, and transmission; and

Synchronization and verification of patient profile data.

13:44-4A.9 PRIVACY AND NOTICE TO PATIENTS

a) Licensees who provide services through telemedicine or telehealth, or their authorized

representatives, shall, prior to providing services, give clients notice regarding telemedicine

and telehealth, including the risks and benefits of being treated through telemedicine or

telehealth and how to receive follow-up care or assistance in the event of an adverse

reaction to the treatment or in the event of an inability to communicate as a result of a

technological or equipment failure. A licensee shall obtain a signed and dated statement

indicating that the client received this notice.

b) When telemedicine or telehealth is unable to provide all pertinent clinical information that a

licensee exercising ordinary skill and care would deem reasonably necessary to provide care

to a patient, the licensee shall inform the client of this prior to the conclusion of the provision

of care through telemedicine or telehealth and shall advise the client regarding the need for

the patient to obtain an additional in-person medical evaluation reasonably able to meet the

patient's needs.

VETERINARY MEDICAL EXAMINERS LAW AND PUBLIC SAFETY

Chapter 44 Page 33 of 33 Last Revision Date: 3/15/2021

SUBCHAPTER 5.

FEE SCHEDULE

13:44-5.1 FEE SCHEDULE

a) The following fee shall be charged by the Board:

Application fee ......................................................................................... $ 150.00

Initial license fee

i) During the first year of a biennial renewal period ................................ $250.00

ii) During the second year of a biennial renewal period ........................... $125.00

Biennial renewal fee ................................................................................. $250.00

Non-active registration fee ........................................................................ $150.00

Transfer fee non-active to active

i) During the first year of a biennial renewal period ................................ $100.00

ii) During the second year of a biennial renewal period ........................... $ 50.00

Late renewal fee (up to 60 days after renewal is due) ............................... $100.00

Reinstatement fee (61 or more days after renewal is due) ........................ $250.00

Certificate of registration duplicate ............................................................ $ 80.00

Verification of licensure ............................................................................ $ 25.00

10)

Duplicate wall license ............................................................................... $ 50.00