To request Board approval to add or change supervisory relationships, a supervising physician must submit a Practice Description form and wait for Board approval prior to using the services of a physician assistant.
If a physician has never been Board approved to supervise a physician assistant, the physician must pass the Supervising Physician Questionnaire and submit this Questionnaire with the Practice Description.
If a physician and physician assistant team wishes to terminate their supervisory relationship, they must submit notification of this termination to the Board within fifteen days of that termination. Please submit the form at the following link for this purpose: Notification of Termination of Supervisory Relationship.
A supervising physician may request to add Schedule II prescribing privileges to his/her physician assistant’s Board approved Practice Description with the following form: Request for Schedule II Prescribing Privilege.
A supervising physician may request to add medical and surgical services and/or hospital locations to his/her physician assistant’s Board approved Practice Description by submitting the following form: Revision to the Board Approved Practice Description.
Page updated: March 13, 2008
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