A licensee shall self report to the physical therapy section, within thirty days, any of the items outlined in paragraphs (A) to (E) of this rule. Failure to comply with this rule may be grounds for disciplinary action pursuant to section 4755.47 of the Revised Code and in accordance with Chapter 119. of the Revised Code.
(A) Impairment by physical or mental illness, chemical use, or chemical dependency, that affects the applicant's or licensee's ability to practice with reasonable skill and safety.
(B) Conviction of a felony.
(C) Conviction of a misdemeanor when the act that constituted the misdemeanor occurred during the practice of physical therapy.
(D) The termination, revocation, or suspension of membership by a state or national physical therapy professional association.
(E) A positive drug and/or alcohol screening.