# COMAR 10.32.21.05: COMAR 10.32.21.05. Collaboration and Consultation Agreement and the Written Attestation

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_05

## Section

- **Citation:** COMAR 10.32.21.05
- **Heading:** COMAR 10.32.21.05. Collaboration and Consultation Agreement and the Written Attestation
- **Jurisdiction:** Maryland
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 32 BOARD OF PHYSICIANS / Chapter 21 Licensure, Regulation, and Discipline of Naturopathic Doctors / COMAR 10.32.21.05

## Text

A. A collaboration and consultation agreement shall:
(1) Include the name and license number of the physician with whom the applicant has the collaboration and consultation agreement;
(2) State that the applicant will require patients to sign a consent form in plain language that:
(a) The naturopathic doctor’s practice of naturopathic medicine is limited to the scope of practice identified in Health Occupations Article, §14-5 F-14, Annotated Code of Maryland; and
(b) Describes the differences in scope of practice between naturopathic doctors and physicians;
(3) 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
(4) State that in cases where the naturopathic doctor diagnoses a patient with a life threatening condition, the naturopathic doctor shall:
(a) Counsel and discuss with the patient the potential benefits offered by other physicians or other healthcare professionals; and
(b) Attempt to make the appropriate referral.
B. 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:
(1) With a physician that is licensed in this State under Health Occupations Article, Title 14, Annotated Code of Maryland ; and
(2) That meets the requirements of §A of this regulation .
C. An applicant shall inform the physician named as a collaborating physician in the attestation that the physician has been named.
D. 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.
E. A licensee shall comply with the requirements of the licensee’s collaboration and consultation agreement with a physician.
Cross References 10.32.21.04B(3) 10.32.21.10A(5)(f) 10.32.21.10B(5) 10.32.21.21B(4)

## Nearby sections

- [COMAR 10.32.21.01 COMAR 10.32.21.01. Scope](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_01.md)
- [COMAR 10.32.21.02 COMAR 10.32.21.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_02.md)
- [COMAR 10.32.21.03 COMAR 10.32.21.03. Naturopathic Medicine Advisory Committee](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_03.md)
- [COMAR 10.32.21.03-1 COMAR 10.32.21.03-1. Naturopathic Doctors Formulary Council](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_03_1.md)
- [COMAR 10.32.21.03-2 COMAR 10.32.21.03-2. Naturopathic Doctors Formulary Council and Board Duties](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_03_2.md)
- [COMAR 10.32.21.04 COMAR 10.32.21.04. Qualifications for Initial Licensure](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_04.md)
- [COMAR 10.32.21.05 COMAR 10.32.21.05. Collaboration and Consultation Agreement and the Written Attestation](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_05.md)
- [COMAR 10.32.21.06 COMAR 10.32.21.06. Documentation for Initial Licensure](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_06.md)
- [COMAR 10.32.21.07 COMAR 10.32.21.07. Exceptions to Licensure Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_07.md)
- [COMAR 10.32.21.08 COMAR 10.32.21.08. Scope of Practice](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_08.md)
- [COMAR 10.32.21.09 COMAR 10.32.21.09. Prohibited Actions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_09.md)
- [COMAR 10.32.21.10 COMAR 10.32.21.10. Renewals and Reinstatement](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_10.md)
- [COMAR 10.32.21.11 COMAR 10.32.21.11. Continuing Education Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_11.md)
- [COMAR 10.32.21.12 COMAR 10.32.21.12. Grounds for Discipline](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_12.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_05. Check the current official text before relying on it. Not legal advice.