Dr. Docks engaged in conduct or a practice which was harmful or dangerous to the health of patient, failing to obtain a lab report and failing to obtain a culture and sensitivity report on the patient's open, infected, and ulcerated 5th toe. The conduct and circumstances constitute a violation of A.R.S. §32-854.01(9). Dr. Docks failed to obtain informed consent from patient prior to performing additional tenotomy procedures at the time of surgery. The conduct and circumstances constitute a violation of A.R.S. 132-854.01(11). Dr. Docks failed or refused to maintain adequate records on patient, Records do not include an operative report, and x-rays taken on April 27, 1993 were of poor quality.