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ORDINANCE NO. 2014-018 <br />g. A sworn statement certifying that within the ten (10) years prior to submittal <br />of the application, neither the pain management clinic, nor any person <br />identified pursuant to subsections b, c or d above, has been found by any <br />county or municipal board, commission or council, or by any state or <br />federal court, or by any state or federal regulatory body, to have acted with <br />respect to controlled substances or marijuana in violation of applicable law; <br />and <br />h. A sworn statement certifying that the pain management clinic, and every <br />other clinic owned or operated by any person identified pursuant to <br />subsections b, c or d above, will, during the term of the permit, be operated <br />in compliance with applicable law. <br />Proof that a Medical Mariivana Treatment Center is wholly owned and <br />operated by one or more <br />1. board-certified anesthesiologists, physiatrists, or <br />neurologists; or <br />2. board-certified medical specialists who have also <br />completed fellowships in pain medicine approved by the <br />Accreditation Council for Graduate Medical Education or <br />the American Osteopathic Association or who are also <br />board-certified in pain medicine by a board approved by the <br />American Board of Medical Specialties or the American <br />Osteopathic Association and perform interventional pain <br />procedures of the type routinely billed using surgical codes. <br />(3) Abbreviated application for qualified pain management clinics that do not <br />possess process (including development of related products such as food <br />tinctures aerosols oils or ointments) transfer, transport, sell, distribute or <br />dispense marijuana products containing marijuana, related supplies, or <br />educational materials to qualifying patients or their personal caregivers. In lieu <br />of completing the application form described in subsection (2), a qualified pain <br />management clinic that does not possess process (including development of <br />related products such as food tinctures aerosols oils, or ointments), transfer, <br />transportsell distribute or dispense mariivana products containing marijuana, <br />related supplies or educational materials to qualifying patients or their personal <br />caregivers requesting issuance of a pain management clinic permit may <br />complete and submit to the department a sworn application, on a form provided <br />by the department, containing, at a minimum, the following information: <br />F: 1Attornry�lirda'GEh'ERAL1Resolunon,&0,d,rtart i0,dlm—P— CliM.Me&-1Af.,!j—ad-. 8 <br />