PA Supervision Agreement Application: A Comprehensive Guide

If you`re a physician assistant (PA) who wishes to practice medicine in collaboration with a supervising physician, you`ll need to file a PA supervision agreement application with your state`s medical board. The supervision agreement is a legal document that outlines the terms and conditions of the physician-PA relationship, including the scope of practice, delegation of duties, and supervision requirements.

To help you navigate the application process, we`ve put together a comprehensive guide that covers everything you need to know about PA supervision agreements. From eligibility requirements to application procedures, we`ve got you covered.

Eligibility Requirements

Before you start the application process, you need to ensure that you meet the eligibility requirements for a PA supervision agreement. Here are some of the basic qualifications:

1. Licensure: You must hold a valid PA license issued by your state`s medical board.

2. Education: You must have completed an accredited PA program and passed the Physician Assistant National Certifying Examination (PANCE).

3. Supervision: You must have identified a supervising physician who holds an active license and practices in the same state.

4. Collaboration: You must be willing and able to collaborate with the supervising physician in accordance with the state`s laws and regulations.

Application Procedures

Once you`ve confirmed that you`re eligible for a supervision agreement, you can start the application process. Here are the general steps involved:

1. Obtain the application form: Contact your state`s medical board to obtain the PA supervision agreement application form. Most states have these forms available on their website.

2. Fill out the form: Complete the application form with accurate and up-to-date information. Be sure to include your personal information, education and training, supervising physician`s information, and any other relevant details.

3. Attach supporting documents: In addition to the application form, you`ll need to submit supporting documents such as your PA license, PANCE scores, and proof of collaboration with the supervising physician.

4. Pay the application fee: Most states require a fee to process the application. The fee varies depending on the state, so check with your state`s medical board for the exact amount.

5. Submit the application: Once you`ve completed the application and attached all the required documents, submit the application to your state`s medical board. You can usually submit the application online or by mail.

6. Wait for approval: The medical board will review your application and notify you of the outcome. If your application is approved, you`ll receive a supervision agreement that outlines the terms and conditions of your collaboration with the supervising physician.


Applying for a PA supervision agreement can seem daunting, but it`s a necessary step if you want to practice medicine as a PA. By following the eligibility requirements and application procedures outlined in this guide, you can ensure that your application process goes smoothly. Remember to double-check all the information on your application form and submit all the required documents to avoid delays or rejections. With a valid supervision agreement in hand, you can work collaboratively with a supervising physician and provide quality care to your patients.