Physician Assistant Supervision Agreement Form

State:
Multi-State
Control #:
US-00771BG
Format:
Word; 
Rich Text
Instant download

Description

The Physician Assistant Supervision Agreement Form outlines the relationship between a Physician and a Professional Corporation, establishing clear terms for the provision of medical services. Key features of the form include detailed sections on the services to be rendered, compensation structure, and stipulations regarding the independent contractor status of the Physician. The form emphasizes that the Corporation will manage billing and collection, while also defining the Physician's obligations to maintain their medical license and adhere to corporate guidelines. The agreement is terminable at will by either party, without the need for cause or notice. Specific use cases for the form involve ensuring compliance with state regulations while providing clarity on the roles of Healthcare professionals employed by professional corporations. Target audience members such as attorneys, partners, owners, associates, paralegals, and legal assistants will find this form useful for structuring and formalizing collaborative healthcare arrangements, ensuring that both legal requirements and operational needs are met.
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  • Preview Agreement Between Physician as Self-Employed Independent Contractor and Professional Corporation
  • Preview Agreement Between Physician as Self-Employed Independent Contractor and Professional Corporation
  • Preview Agreement Between Physician as Self-Employed Independent Contractor and Professional Corporation

How to fill out Agreement Between Physician As Self-Employed Independent Contractor And Professional Corporation?

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FAQ

There is no limitation to the number of PAs or APNs a physician may supervise. However, a physician may only delegate prescriptive authority to a maximum of seven PA's or APN's, or their full-time equivalent.

No, a Physician Assistant cannot practice independently. Every Physician Assistant 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 Physician Assistant under their supervision and for following each patient's progress.

3) A non-physician serving in such a position may not act independently or in the absence of a physician or exercise independent judgment in implementing any procedure.

A physician may not supervise more than 10 currently licensed physician assistants at any one time. A physician supervising a physician assistant pursuant to this section may not be required to review and cosign charts or medical records prepared by such physician assistant.

As in Pennsylvania, a physician may not supervise more than four PAs without obtaining specific Board approval. The use of PAs is a cost effective way to improve a medical practice.

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Physician Assistant Supervision Agreement Form