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LICENSED PHYSICIAN ASSISTANT PRACTICE CHANGES
Effective January 1, 2012, prior to using the services of a physician assistant, a supervising physician or primary supervising physician of a supervising physician organization (SPO) must be approved as a supervising physician by the Board.  Physicians applying to be a supervising physician must take a course and pass an exam on the supervising physician requirements and responsibilities as part of the application process.
 
 
Once approved as a supervising physician, a physician may use the services of a physician assistant only after entering into a practice agreement with the physician assistant.  The practice agreement must be filed with the Board within 10 days of the physician assistant beginning practice.  Use the following form to add a new supervisory relationship:  Practice Agreement
 
 
After a supervisory relationship has been established via a practice agreement, the supervising physician must notify the Board of any changes to the practice agreement within 10 days of the effective date of the change.  Make a change to an existing practice relationship:  Update Practice Agreement 
 

If a supervising physician and physician assistant team wishes to terminate a supervisory relationship, they must submit notification of this termination to the Board within fifteen days of the termination.  Use the following form to terminate a supervisory relationship: Notification of Termination of Supervisory Relationship.
 

Page updated: December 13, 2011