COMDTINST 6010.2B
to maintain his/her certification, license, competence, and qualifications, including but not
limited to, Healthcare Provider Basic Life Support Certification (CPR) and continuing
medical/dental/nursing education.
e. Any incident or circumstance that might impact upon the Auxiliarist's credentials or
professional status; or if he/she no longer remains a member of the USCG Auxiliary; or if
he/she becomes aware of any mental or physical condition or impairment which he/she
develops which may impact upon the performance of assigned activities; shall immediately be
reported to the SMO/SDO and Chief, Health Services Division, and/or Commanding
Officer/Officer-in-Charge. The Auxiliarist shall also immediately notify the cognizant MLC
(k) and Commandant (CG-1122) in writing, by certified mail, return receipt requested, within
14 days.
f. The information provided in paragraph (10)(e) may be submitted to the Auxiliarist's health care
licensing board or organization and the NPDB in accordance with reference (a) ( if applicable),
and may result in disciplinary or other consequences by the Auxiliarist's licensing/registry
authority.
g. By accepting orders for participation in Coast Guard health care activities, the Auxiliarist
agrees to abide by the conditions and regulations contained within this Instruction, the
Auxiliary Manual and as promulgated by authorities empowered to do so by the United States
Coast Guard.
11. ENVIRONMENTAL ASPECT AND IMPACT CONSIDERATION. Environmental considerations
were examined in the development of this directive and have been determined to be not applicable.
12. FORMS/REPORTS. All forms referred to in this Instruction are attached as enclosures and may be
locally reproduced, except for the Request of Clinical Privileges, CG-5575 (series). Request of
Clinical Privileges forms are located on the Commandant (CG-1122) Quality and Performance
Improvement website at: http://www.uscg.mil/hq/g-w/g-wk/wkh/provider_priv/index.htm.
PAUL J. HIGGINS /s/
Director of Health and Safety
Encl: (1) Waiver Request for Auxiliary Health Care Providers Residing Greater than 50 miles from an
Assigned Clinic / Sickbay
(2) Information Questionnaire for Auxiliary Health Care Providers
(3) Required Application Information for Auxiliary Health Care Activities
(4) Privacy Act Statement for Individual Credentials File (ICF) Requests
(5) Attestation Form
(6) Verification Conditions and Release of Information Form
6
Previous Page
