Section 22.03. Applications and credentials.

  Every applicant for initial licensure as a perfusionist shall submit:

(1)  A completed application form.

(2)  The fee specified in s. 440.05 , Stats.

(3)  One of the following:

(a) For applications submitted before January 1, 2004, satisfactory evidence that the applicant has, for the entire 10 year period prior to May 3, 2002, been practicing perfusion.

(b)

1. Satisfactory evidence that the applicant has successfully completed an educational program in perfusion recognized by the board and accredited by the Accreditation Committee for Perfusion Education of the Commission on Accreditation of Allied Health Educational Programs.

2. Written verification that the applicant has passed both the perfusion basic science examination and the clinical application in perfusion examination of the American Board of Cardiovascular Perfusion.

3. Evidence of successful completion of the state board statutes and rules examination and an oral examination, if required.

CR 03-023 : cr. Register March 2004 No. 579 , eff. 4-1-04.

Note

Application forms are available on request to the board office at 1400 East Washington Avenue, P.O. Box 8935, Madison, Wisconsin 53708. Microsoft Windows NT 6.1.7601 Service Pack 1