Home
Forms Library
Supervising Physician Statement of Responsibility Form

Supervising Physician Statement of Responsibility Form 2025

Supervising Physician Statement of Responsibility Form Preview on Page 1

Show details

4 out of 5

46 votes

The document outlines the application process for physician assistants in New Mexico, detailing the responsibilities of both the physician assistant and the supervising physician. It includes sections for personal information, supervision details, alternate supervisors, and payment information for application fees. Additionally, it requires signatures to certify understanding and compliance with New Mexico Medical Practice Act regulations.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to modify Supervising Physician Statement of Responsibility Form in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Adjusting documents with our extensive and intuitive PDF editor is easy. Adhere to the instructions below to complete Supervising Physician Statement of Responsibility Form online quickly and easily:

Sign in to your account. Sign up with your email and password or register a free account to test the service before upgrading the subscription.
Import a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Supervising Physician Statement of Responsibility Form. Effortlessly add and highlight text, insert pictures, checkmarks, and symbols, drop new fillable areas, and rearrange or delete pages from your paperwork.
Get the Supervising Physician Statement of Responsibility Form completed. Download your adjusted document, export it to the cloud, print it from the editor, or share it with others using a Shareable link or as an email attachment.

Benefit from DocHub, the most straightforward editor to quickly handle your documentation online!

See more Supervising Physician Statement of Responsibility Form versions

We've got more versions of the Supervising Physician Statement of Responsibility Form form. Select the right Supervising Physician Statement of Responsibility Form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2008	4 Satisfied (46 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How many PA can a doctor supervise?

The law limits a physician to supervise no more than four PAs, except as provided in Business and Professions Code (BPC) section 3502.5, which applies only in a state of emergency.

How many physician assistants can a physician supervise in Maryland?

patient care team physician may not delegate medical acts under a collaboration agreement to more than eight PAs at one time (rather than four PAs for a supervising physician under a delegation agreement) with limited specified exceptions.

What is the scope of practice for a physician assistant in Maryland?

The Physician Assistants scope of practice is limited to the: Appropriate education, training, and experience of the physician assistant; Customary practice speciality of a patient care team physician listed on the collaboration agreement; and. Manner that is consistent with the collaboration agreement.

What is a physician statement form?

An Attending Physician Statement (APS) is a form questionnaire from the insurance company that your treating doctor must complete. The purpose of the APS is for your doctor to certify your inability to work.

Is there a limit to the number of PAs that can be supervised by a physician in Texas?

Statute does not limit the number of PAs a physician may supervise.

What are the duties of a supervising physician?

It is the responsibility of the supervising physician to direct and review the work, records, and practice of the NPCs on a continuous basis to ensure that appropriate directions are given and understood and that appropriate treatment is rendered consistent with applicable state law.

How many PAs work in primary care?

With respect to the absolute number of PAs in a state, New York (16,168), California (14,023), Florida (11,821), Texas (11,687), and Pennsylvania (11,471) top the charts.

Supervising Physician Statement of Responsibility Form 2025

Here's how it works

The best way to modify Supervising Physician Statement of Responsibility Form in PDF format online