§ 10-513. Occupational tax certificate application; process.

Business establishments determined to be pain clinics shall apply for the pain clinics occupational tax certificate, completing the application and process as follows:

(1)

Detail all services to be provided on-site at the proposed location.

(2)

Provide corporate name, d/b/a name, corporate address, owner or principal corporate officer name(s), proposed location address for the proposed establishment.

(3)

Provide physician names, principal address and contact information for each.

(4)

Demonstrate compliance with section 10-511, submitting all licensure and certifications.

(5)

All staff and employee names, addresses and positions held at the establishment.

(6)

All staff members and employees requiring a state license shall submit the respective licensure, which must be in good standing.

(7)

List of health insurance carriers accepted and evidence of such acceptance.

(8)

Proof of malpractice insurance for the physicians must be provided, in the amount as prescribed by state law. Said malpractice insurance shall remain current, submitted with each annual renewal.

(9)

Provide all additional information on the occupational tax certificate application form, as determined by the city manager, police chief, or planning and development director. The completed application along with all attachments shall be submitted to the planning and development department for review.

(10)

Submit the application review fee of two hundred fifty dollars ($250.00).

(Ord. No. 15-12, 2-2-12)