A person requesting a modification of a board order shall submit a written request prior to a board meeting. These shall be submitted by the requesting party to the board, along with three copies of the request. The application shall include, but not be limited to: (1) date of order, nature of violation; (2) specific punishment on which modification is requested; (3) sections on which the applicant does not request modification; (4) summary of reasons for request; (5) benefit to the public if granted; (6) separately numbered and indexed exhibits or testimonials tending to support the request; (7) notice to any patient or other party involved in the original action with an invitation to respond; and (8) acknowledgment that the applicant understands that he or she is not entitled to modification of the board order.
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