Physician Assistant Supervision Form is a legal document that was released by the Arkansas State Medical Board - a government authority operating within Arkansas.
Q: What is a Physician Assistant Supervision Form?
A: The Physician Assistant Supervision Form is a document used in Arkansas to establish the supervisory relationship between a physician and a physician assistant.
Q: Why is a Physician Assistant Supervision Form necessary?
A: The form is necessary to comply with Arkansas state law, which requires physician assistants to work under the supervision of a licensed physician.
Q: Who needs to fill out the Physician Assistant Supervision Form?
A: Both the physician assistant and the supervising physician need to complete and sign the form.
Q: What information is required on the Physician Assistant Supervision Form?
A: The form typically asks for the names and contact information of the physician and physician assistant, as well as details about the supervisory relationship.
Q: What happens after the Physician Assistant Supervision Form is submitted?
A: Once the form is submitted and approved by the Arkansas State Medical Board, the physician assistant can begin practicing under the supervision of the designated physician.
Q: Is the Physician Assistant Supervision Form required annually?
A: No, the form does not need to be renewed annually. However, any changes to the supervisory relationship should be reported to the Arkansas State Medical Board.
Q: What are the consequences of not submitting the Physician Assistant Supervision Form?
A: Failure to submit the form and comply with Arkansas state law could result in disciplinary action, including fines or the suspension of the physician assistant's license.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Arkansas State Medical Board.