(B) Prior to issuing a prescription for a drug intended to treat symptoms of erectile dysfunction, a physician shall do all of the following:
(1) Obtain from the patient a notarized affidavit in which at least one of the patient’s sexual partners certifies that the patient has experienced symptoms of erectile dysfunction in the ninety days preceding the date on the affidavit;
(2) Refer the patient to a sexual therapist approved by the state medical board for an assessment of the possible causes of the patient’s symptoms of erectile dysfunction and obtain a written report in which the therapist concludes that the patient’s symptoms are not solely attributable to one or more psychological conditions;
(3) Conduct a cardiac stress test and obtain a result, described in writing, indicating that the patient’s cardiac health is compatible with sexual activity;
(4) Notify the patient in writing of the potential risks and complications associated with taking drugs intended to treat erectile dysfunction and obtain the patient’s signature on a form acknowledging the patient’s receipt of the notification;
(5) Declare in writing, under penalty of perjury, that the drug the physician is prescribing is necessary to treat the patient’s symptoms of erectile dysfunction and attach to the declaration a statement that clearly describes the physician’s medical rationale for issuing the prescription;
(6) Place all documents described in divisions (B)(1) to (5) of this section in the patient’s medical record and retain the documents as part of that record for not less than seven years.
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