On 11-13-2007 the Board voted to issue a non disciplinary letter of concern . They found that although there was insufficient evident to support disciplinary action, the physician should modify or eliminate certain practices related to the utilization of sterile technique. The Board was concerned that failure to complete a patient procedure (ie. prolotherapy) without utilizing sterile technique may lead to patient harm as referenced in ARS 32-2933(19). The Board also requested that the licensee complete 20 hours of continuing medical education in the areas of aseptic technique and sterile patient examinations.