Delegation of Services Agreements - Physician Assistant Board - pac ca 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the name of the physician assistant and their training program details in the designated fields.
  3. Specify the supervising physician's name and medical license number, ensuring accuracy for compliance.
  4. Detail the authorized services that the physician assistant is permitted to perform, referencing specific regulations as needed.
  5. Include consultation requirements, listing situations where immediate consultation with a supervising physician is necessary.
  6. Ensure all parties sign and date the agreement, including both supervising physicians if applicable.
  7. Review all entries for completeness and accuracy before saving or exporting your document.

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Collaborative agreements are legal contracts between a physician and another provider in which the physician agrees to collaborate. For physicians, collaborative arrangements can offer additional income, expand patients access to care, and provide an opportunity to support colleagues.
In Florida, NPs and PAs are required to have a collaborating physician in order to practice.
All PA orders must be patient-specific; therefore a PA cannot sign standardized procedures for a nurse to follow. Most states require a supervising physician to co-sign a percentage of the charts and orders written by the PA.
No, a PA cannot practice independently. Every PA must be supervised by a licensed physician (either M.D. or D.O.). The supervising physician is responsible for all medical services provided by the PA under their supervision and for following each patients progress.
APRNs are required to practice under a collaborative practice agreement or protocol with a physician for two years and a minimum of 4,000 hours of practice. All APRNs have full practice and prescriptive authority, but full practice authority does not equate to independent practice.

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PAs are educated and trained to collaborate with other health professionals. During their coursework and clinical training, PAs learn from and work with physicians, other PAs, nurses, and additional health care professionals in a variety of settings.
The DSA is the foundation of the relationship between a supervising physician and the physician assistant, and specifies the names of the supervising physicians and what types of medical services the physician assistant is allowed to perform, how they are performed, how the patient charts will be reviewed and
The agreement should clearly state the scope of practice for the physician assistant, including specific duties, procedures, and limitations. It is vital to discuss and agree upon the supervision requirements, detailing how often and in what manner the supervising physician will provide oversight.

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