(1) The program shall define relapse and determine when relapse has occurred.

(2) The program may report to the board a participant with a single episode of relapse and/or early detection of relapse, with nominal substance abuse.

(a) Even in cases where the program does not report participants under (2), the program shall reevaluate the participant and document any further treatment recommended by the program.

(3) A participant who has second or severe relapse shall be reported to the board screening panel for review.

(4) A participant's relapse may necessitate the participant's:

(a) withdrawal from practice;

(b) further evaluation and/or treatment as determined by the program;

(c) monitoring terms being reassessed and/or modified by the program;

(d) compliance with other recommendations as determined by the program; or

(e) discipline as imposed by a board final order.