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(B) immediately available by telephone or radio contact; and

(C) able to be on site at the frontier extended stay clinic within 30 minutes after an emergency contact;

(2) ensure that a mid-level practitioner is available on site to provide patient care services at least 60 percent of the time during the clinic’s normal hours of operation, or a minimum of 32 hours a week, whichever is less;

(3) require that an order by a practitioner, including a telephonic or other verbal order, be reduced to writing and authenticated within three days after the order was given; the authentication must be signed and dated by the practitioner who gave the verbal order;

(4) require that a physician approve each standing order;

(5) establish procedures for circumstances in which consultation, referral, or transfer is required;

(6) ensure that the review required under 7 AAC 12.460(c)(1) is conducted at regular intervals, at least annually, and that the clinic maintains accurate medical records;

(7) establish procedures for selection and supervision of mid-level practitioners; and

(8) establish procedures for the annual review of policies and procedures, including clinical, administrative, and fiscal policies and procedures, by a group consisting, at a minimum, of a physician, a mid-level practitioner, and one person who is not an employee of the clinic. (d) A physician shall be on site for sufficient periods of time, at least once in every three-month period, except in extraordinary circumstances, to provide the medical direction, medical care services, consultation, and supervision described in this section. Any extraordinary circumstance must be documented in the clinic’s records. A site visit by a physician is not required if no patients have been treated since the last time a physician made a site visit. The clinic must

(1) ensure that, in addition to the site visits required by this subsection, a physician will be

(A) available 24 hours a day through direct radio or telephone communication for consultation, assistance with medical emergencies, or patient referral; and

(B) in contact with the clinic telephonically or through telemedicine at least once in every two-week period;

(2) demonstrate sufficient staffing during periods the physician is not onsite; and

(3) ensure that the physician adheres to the plan submitted under 7 AAC 12.457(a)(6). (e) A physician shall

(1) provide medical direction, consultation, and medical supervision regarding the