# COMAR 10.32.21.08: COMAR 10.32.21.08. Scope of Practice

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_32_21_08

## Section

- **Citation:** COMAR 10.32.21.08
- **Heading:** COMAR 10.32.21.08. Scope of Practice
- **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 10.32.21.08

## Text

A license authorizes a licensee, consistent with naturopathic education, training, and competence demonstrated by passing the Naturopathic Physician Licensing Examination, to:
A. Order and perform physical and laboratory examinations for diagnostic purposes consistent with the education and training of naturopathic doctors, including:
(1) Phlebotomy;
(2) Clinical laboratory tests;
(3) Orifical examinations;
(4) Electrocardiograms with over read by a cardiologist; and
(5) Physiological function tests;
B. 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;
C. 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:
(1) Except for intravenous administration, the naturopathic doctor may order or dispense natural medicines that use various routes of administration, including:
(a) Oral;
(b) Nasal;
(c) Auricular;
(d) Ocular;
(e) Rectal;
(f) Vaginal;
(g) Transdermal; and
(h) Intramuscular; and
(2) The naturopathic doctor may only administer natural medicines through transdermal administration;
D. 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;
E. Provide health education and health counseling; and
F. Perform naturopathic musculoskeletal mobilization.

## 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_08. Check the current official text before relying on it. Not legal advice.