(1) The board may, in its discretion, grant an exemption to a physician who renders medical services in this state, provided that the physician:

(a) submits a written request to the board, describing the date, place, and the scope of practice and/or the procedure to be performed, at least 15 days prior to such service;

(b) submits proof of medical licensure (active and in good standing) and practice in another state or territory of the United States;

(c) submits the name of a physician licensed in this state who will be in attendance and will assume continuing care for the patient; and

(d) limits the service to an occasional case.

(2) An occasional case is defined as not more than two cases per year.