
Of Physician Assistant Date Please submit the original and one copy of this form fully completed to the address below. The copy will be acknowledged, stamped with approval date by the Council office and returned to the physician assistant. DH-MQA 2004, Revised 09/07 Council on Physician Assistants 4052 Bald Cypress Way, Bin #C03, Tallahassee, Florida 32399-3253 (850) 245-4131 3 of 4 pages SAMPLE OF COMPLETED FORM ADDING SUPERVISING PHYSICIAN(S) Name and License number of Supervising Phy.
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How to fill out the FL DH-MQA 2004 online
The FL DH-MQA 2004 form is essential for licensed Physician Assistants in Florida to notify the department about their employment and supervision details. Completing this form correctly ensures compliance with Florida statutes and supports effective practice.
Follow the steps to complete the FL DH-MQA 2004 form online
- Press the ‘Get Form’ button to access the form and open it in your chosen editor.
- Enter your Physician Assistant data, including your FL license number, employment start date, and prescribing number if applicable. Clearly print your name, current mailing address, home telephone number, and email address, which is optional.
- Provide the details of your practice location, including the name and address, as well as the practice telephone number. If applicable, fill out the satellite location information in the same manner.
- Select the reasons for submitting this form by checking the appropriate boxes for adding or deleting supervising physicians or practice locations.
- For adding supervising physicians, list the name and license number of each supervising physician, their specialty, and the date supervision begins. Remember to initial next to each name.
- For deleting supervising physicians, provide the names and license numbers of those being deleted along with the effective date of deletion. Initial next to each entry.
- If you are deleting practice or satellite locations, include the address and deletion date, providing any necessary signatures.
- Affirm the accuracy of your information by signing and dating the form. Make sure to submit the original and one copy to the specified address.
- Finally, save your changes, and choose whether to download, print, or share the completed form as needed.
Complete your FL DH-MQA 2004 form online today to ensure your compliance and continued practice.
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Get answers to your most pressing questions about US Legal Forms API.
Does a supervising physician have to be on site?
Under FL DH-MQA 2004, a supervising physician does not always have to be on-site to oversee a PA’s work. However, the physician must provide adequate supervision, which can include direct communication and availability for consultation. Having an established method for supervision helps maintain quality care and ensures that the PA has the support they need.
Does a PA have to be supervised by a physician?
Yes, per FL DH-MQA 2004, a physician assistant must be supervised by a licensed physician to practice legally in Florida. This supervision creates a safety net for patient care and ensures that the PA’s clinical work aligns with best practices. Therefore, establishing a solid supervisory relationship is essential for effective healthcare delivery.
Do you need a collaborating physician in Florida?
In Florida, a collaborating physician is not mandatory for every PA practice, but one may be needed depending on the specific services provided. The FL DH-MQA 2004 stipulates that if a PA performs certain tasks, collaboration may be necessary to ensure comprehensive patient care. Always review the practice agreement to determine if collaboration is essential.
Does a physician assistant need a supervising physician in Florida?
Yes, according to FL DH-MQA 2004, a physician assistant must have a supervising physician to practice in Florida. The supervising physician collaborates with the PA, guiding their clinical decisions and ensuring adherence to legal standards. This relationship enhances patient care and provides a framework for the PA’s professional development.
What is the difference between an attending physician and a supervising physician?
An attending physician typically has overall responsibility for a patient's care in a healthcare setting, while a supervising physician oversees the activities of a Physician Assistant based on the FL DH-MQA 2004 guidelines. The attending physician may not necessarily supervise a PA, but the supervising physician's role focuses specifically on the PA’s practice and scope of work. Understanding these roles helps clarify responsibilities in patient care.
Can PA bill under supervising physician?
Yes, under the FL DH-MQA 2004, a Physician Assistant (PA) can bill for services performed when under the guidance of a supervising physician. However, it is crucial that the supervising physician is listed in the practice agreement and performs oversight duties. Be aware that proper documentation is necessary to meet state requirements and ensure compliance.
How long does it take to get a Florida medical license?
The timeframe to obtain a Florida medical license can vary considerably depending on several factors. Typically, the process spans several months, as applicants must complete numerous steps mandated by FL DH-MQA 2004. This includes submitting the application, completing background checks, and fulfilling all educational requirements. By using resources such as USLegalForms, candidates can efficiently manage their applications, significantly reducing potential delays.
How do I contact the Florida Board of Medicine?
To contact the Florida Board of Medicine, you can visit their official website or reach out via phone for direct assistance. They provide resources and guidance on navigating medical licensing and regulations in Florida. Utilizing these resources can help clarify questions regarding the FL DH-MQA 2004 and related issues.
What is the statute 458.347 in Florida?
Statute 458.347 is a critical section of Florida law concerning the practice of physician assistants. This statute outlines the requirements for PA licensure, practice agreements, and the responsibilities of both physician assistants and supervising physicians. Understanding this statute is vital for anyone navigating the healthcare system in Florida.
Can physician assistants open their own practice in Florida?
No, physician assistants cannot operate their own independent practices in Florida. However, they can work under the supervision of a licensed physician in a collaborative practice model. This alignment helps ensure high-quality care while maintaining necessary medical oversight.
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