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Practice Agreements

Once approved by the Board, a supervising physician may use the services of a physician assistant (PA) in accordance with a practice agreement. 

A "practice agreement" is a written agreement between a physician assistant and a supervising physician or supervising physician organization (SPO) that describes what and how the physician assistant will practice.  The practice agreement must be filed with the Board within 10 days of the physician assistant beginning practice.

You may submit, modify, or terminate a practice agreement by logging in to Licensee Services and choosing "Practice Agreements."

If the PA is supervised by a Supervising Physician Organization (SPO), the designated primary supervising physician must submit, modify, and terminate the practice agreement.

Beginning a Supervisory Relationship

  1. A Board-approved supervising physician may submit a new practice agreement online.  The physician will be asked to submit the details of the practice agreement and electronically sign the attestation. See a sample practice agreement - REFERENCE ONLY.
  2. The supervising physician and the PA should review the details of the practice agreement and must keep a copy at the practice location. 
  3. The Board will send written confirmation of the filed practice agreement to the supervising physician and the PA.
Oregon-licensed physician assistants practicing solely at a federal facility are not required to be supervised by an Oregon Board-approved physician. For a physician assistant who holds licensure from the Oregon Medical Board to maintain Active status while practicing at a federal facility and to document the physician assistant's current practice location, we request that the PA contact the Board at or (971) 673-2700 for instructions.

Modifying a Supervisory Relationship

If the relationship is currently on file as a practice description (approved prior to 2012), it must be terminated (see Termination of Supervisory Relationship below) and a new practice agreement must be submitted (see above).

If the relationship is currently on file as a practice agreement (filed in 2012 or later), the supervising physician must submit the details of the update online.  The Board will send written confirmation of the practice agreement update to the supervising physician and the PA. 

COVID-19 Waiver: The OMB is waiving the requirements for 8 hours of supervision of physician assistants for the months in which Oregon is under a declared state of emergency for the COVID-19 outbreak. Supervising physicians do not need to submit a letter requesting the waiver during this emergency.

NEW: To request a waiver of the requirement for 8-hours of on-site supervision, a supervising physician may submit a letter detailing the need for the waiver and a statement regarding the physician assistant’s character and competence. If the following qualifications are met, the Board may grant a waiver so that the PA and supervising physician may meet monthly via synchronous technology rather than in person:

  • PA maintains certification with the National Commission on Certification of Physician Assistants;
  • PA is in good standing with the Board;
  • Supervising physician (or primary supervising physician of the supervising physician organization) is in good standing with the Board;
  • PA has been in continuous medical practice for at least two years immediately preceding the request; and
  • PA has been in practice with this supervising physician, SPO, or at this medical practice for at least six months.
If the above criteria are not met, Board staff will forward the waiver request to the Administrative Affairs Committee for additional consideration.

Terminating a Supervisory Relationship

Both the supervising physician and the PA must report termination of a supervisory relationship online within 15 days following termination of supervision.  When the initial termination report is made by either the supervisor or the PA, both parties will be notified via e-mail that a termination report has been initiated, and the other party will be instructed to submit an independent termination report (see OAR 847-050-0050). 

Log in to Licensee Services and choose "Practice Agreements" to submit a termination report.

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