The Administrative Services Unit of the Health Related Licensing Boards shall establish a volunteer health care provider
program to facilitate provision of health care services provided by volunteer health care providers through eligible health
care facilities and organizations as defined in Minn Stat § 214.40.
A “Health care facility or organization” means a health care facility licensed under Chapter 144 or 144A, or a charitable
organization within the meaning of section 501 (c ) (3) of the Internal Revenue Code.
A “Health care provider” means a physician licensed under chapter 147, physician assistant registered and practicing
under chapter 147A, nurse licensed and registered to practice under chapter 148, or dentist or dental hygienist licensed
under chapter 150A.
To participate, a health care facility or organization must register with ASU by completing: 1) the Registration Form
(Form A); 2) Volunteer Participant Roster (Form B); 3) Volunteer Demographics (Form D); and 4) Affidavit of
Organizations Registration (Form C) and meet the following requirements:
To participate as an individual health care provider seeking individual medical malpractice insurance coverage, the
applicant must register with ASU by completing: 1) the Registration Form (Form E)