Get Mn Pa Delegation Agreement 2017-2025
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How to fill out the MN PA Delegation Agreement online
The MN PA Delegation Agreement is a crucial document that outlines the responsibilities of supervising physicians and physician assistants in Minnesota. This guide provides step-by-step instructions on how to complete this agreement effectively online, ensuring compliance and clarity in your professional practices.
Follow the steps to complete the MN PA Delegation Agreement online.
- Click ‘Get Form’ button to obtain the MN PA Delegation Agreement and open it in your editor.
 - Complete all identification fields, including the names and licenses of both the physician assistant and the supervising physician. Make sure to include first, middle, and last names, along with their respective signatures and specialties.
 - Provide a description of how supervision will be accomplished. Use a narrative format to explain the means of communication between the physician assistant and supervising physician.
 - Indicate the review methods for services provided by the physician assistant by marking on-site review, telecommunication, or any other method chosen.
 - In the Delegation of Medical Services section, carefully review and mark ‘yes’ or ‘no’ next to each type of medical service the supervising physician chooses to delegate.
 - If applicable, proceed to the Delegation of Prescriptive Practice section and select whether the physician assistant has prescriptive authority. Fill in the relevant medication categories and controlled substances as appropriate.
 - Outline the process and schedule for reviewing delegated prescribing practices, indicating whether reviews will occur daily, weekly, monthly, or quarterly.
 - Complete the attestation sections for both the physician assistant and supervising physician by providing printed names, signatures, license numbers, and the date of completion.
 - After filling out all sections, review the document for accuracy, then save changes. You may then download, print, or share the completed form as needed.
 
Complete your MN PA Delegation Agreement online to ensure compliance and clarity in your medical practices.
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