Utah Code 53-5c-302. Assistance from a health care provider

53-5c-302. Assistance from a health care provider — Restricted list.

(1)	An individual who is not a restricted person under Section 76-10-503 and is seeking inclusion on a restricted list under Section 53-5c-301 may direct the individual’s health care provider to electronically deliver the individual’s inclusion form described in Section 53-5c-301 to the bureau.

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Terms Used In Utah Code 53-5c-302

Bureau: means the Bureau of Criminal Identification created in Section 53-10-201. See Utah Code 53-5c-102
Health care provider: means a person:

(a)	who provides health care or professional services related to health care; and

(b)

is acting within the scope of the person's license, certification, practice, education, or training. See Utah Code 53-5c-102

Person: means :Utah Code 68-3-12.5

Signature: includes a name, mark, or sign written with the intent to authenticate an instrument or writing. See Utah Code 68-3-12.5

(2)

In addition to the inclusion form described in Section 53-5c-301, the bureau shall create a form, available by download through the bureau’s website, for:

(a)

an individual who is directing a health care provider to electronically deliver the individual’s inclusion form and require, at a minimum, the following information:

(i)	the individual’s signature;

(ii)	the name of the individual’s health care provider; and

(iii)

the individual’s acknowledgment of the statement in Subsection (4)(a); and

(b)

a health care provider who is delivering an individual’s inclusion forms and require, at a minimum, the following information for the health care provider:

(i)	the health care provider’s name;

(ii)	the name of the health care provider’s organization;

(iii)

the health care provider’s license or certification, including the license or certification number;

(iv)	the health care provider’s signature; and

(v)	the health care provider’s acknowledgment of the statement in Subsection (4)(b).

(3)

(a)	An individual who is directing a health care provider to electronically deliver the individual’s inclusion form shall, in the presence of the health care provider, complete the forms described in Section 53-5c-301 and Subsection (2)(a).

(b)

The health care provider:

(i)	shall verify the individual’s identity before accepting the forms;

(ii)	may not accept forms from someone other than the individual named on the forms;

(iii)

shall complete the form described in Subsection (2)(b); and

(iv)	shall deliver the individual’s and health care provider’s forms electronically to the bureau.

(4)

(a)

The form described in Subsection (2)(a) shall have the following language prominently displayed before the signature:

ACKNOWLEDGMENT

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Utah Code 53-5c-302. Assistance from a health care provider — Restricted list

Terms Used In Utah Code 53-5c-302