Any person licensed under chapter 36-4 shall report to the board, within thirty days of the date of the action, any of the acts included in § 36-4-30 and any of the following:
(1) Change of contact information, including any change in home address, business address, home phone number, work phone number, e-mail address, and any other information that is used for communicating with the board;
(2) Hospital disciplinary actions;
(3) Actions affecting privileges to practice; and
(4) Judgments or settlements related to malpractice.
Failure to report may constitute a basis for disciplinary action against the licensee who failed to report.