VE 4.10(1)(d)(d) An agreement to submit to random monitored alcohol, drug, or other chemical screens at the credential holder’s expense, by a service provider for alcohol, drug, or other chemical testing approved by the program under s. VE 4.14, if deemed necessary by the program. VE 4.10(1)(e)(e) An agreement to submit to practice restrictions at any time during the treatment regimen, as deemed necessary by the program. VE 4.10(1)(f)(f) An agreement to furnish the program with signed consents for release of information from service providers and employers, authorizing the release of information to the program and board for the purpose of monitoring the credential holder’s participation in the program. VE 4.10(1)(g)(g) An agreement authorizing the program to release, to the employer or any service provider identified by the credential holder, all of the following: VE 4.10(1)(h)(h) An agreement authorizing the program to release the results of random monitored alcohol, drug, or other chemical screens under par. (d), to any service provider identified by the credential holder. VE 4.10(1)(i)(i) An agreement to participate in the program for a period of time, as established by the stipulation between the credential holder and board or disciplinary counsel. VE 4.10(2)(2) The program may include additional requirements for an individual credential holder, if the credential holder’s condition warrants additional safeguards. VE 4.10 HistoryHistory: EmR1718: emerg. cr., eff. 11-22-17; CR 17-083: cr. Register July 2018 No. 751, eff. 8-1-18; correction in (1) (g) 1., 2., 3. made under s. 35.17, Stats., Register July 2018 No. 751; CR 21-062: am. (1) (d), (g) 2., 3. Register July 2022 No. 799, eff. 8-1-22. VE 4.12VE 4.12 Approval of service providers. VE 4.12(1)(1) The program may approve a service provider designated by a credential holder for the purpose of participation in the program if: VE 4.12(1)(a)(a) The service provider is a facility where all of the following apply: VE 4.12(1)(a)1.1. The facility is certified by appropriate national or state certification agencies. VE 4.12(1)(a)2.2. The treatment program focus at the facility is on the individual with an impairment of the same type as has been identified in the credential holder. VE 4.12(1)(a)3.3. Facility treatment plans and protocols are available to the program. VE 4.12(1)(a)4.4. The facility, through the facility’s supervising therapist for the credential holder, agrees to file reports as required, including quarterly progress reports and immediate reports if a credential holder withdraws from therapy, relapses, or is believed to be in an unsafe condition to practice. VE 4.12(1)(b)(b) The service provider is an individual therapist who: VE 4.12(1)(b)1.1. Has credentials and experience determined by the program to be in the credential holder’s area of need. VE 4.12(1)(b)2.2. Agrees to perform an appropriate assessment of the credential holder’s therapeutic needs and to establish and implement a comprehensive treatment regimen for the credential holder. VE 4.12(1)(b)3.3. Forwards copies of the therapist’s treatment regimen and office protocols to the program. VE 4.12(1)(b)4.4. Agrees to file reports as required to the program, including quarterly progress reports and immediate reports if a credential holder withdraws from therapy, relapses, or is believed to be in an unsafe condition to practice. VE 4.12(2)(2) If the program does not approve any service provider, as requested by the credential holder, the credential holder may, within 10 days of notice of the determination, request the board to review the program’s adverse determination. VE 4.12 HistoryHistory: EmR1718: emerg. cr., eff. 11-22-17; CR 17-083: cr. Register July 2018 No. 751, eff. 8-1-18; correction in (1) (a) (intro.) made under s. 35.17, Stats., Register July 2018 No. 751. VE 4.14VE 4.14 Approval of service providers for alcohol, drug or other chemical testing. VE 4.14(1)(1) The program shall approve service providers for use by credential holders, who participate in alcohol, drug, or other chemical monitoring programs pursuant to stipulations between the board and credential holders or pursuant to disciplinary orders. VE 4.14(2)(2) To be approved as a service provider for alcohol, drug, or other chemical testing, the service provider shall satisfactorily meet all of the following requirements for administration, collection site, laboratory, and reporting: