Physician Assistant (PAC) SUPERVISING PHYSICIAN Applications

Law Act 112 of 1985, Section 13(e.6) indicates all written agreements are considered effective upon submission to the Board.

Proof of submission comes in the form of a payment receipt for the application filing fee, along with a copy of the application itself, which can be downloaded by the licensee upon submission to the Board.

Guides for Submitting Supervising Physician Applications Online
Application Overview to Get Started (PDF)
Online Written Agreement User Guide - Initiated by Physician Assistant (PDF)
Online Written Agreement User Guide - Initiated by Physician and Surgeon (PDF)
Delegate Written Agreement Submission Access (PDF).
Online Written Agreement Change User Guide (PDF).
Downloading a Filed Written Agreement (PDF).
Terminating a Written Agreement Online (PDF)
Physician Assistant Written Agreement Review Process (PDF)

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Contact

State Board of Medicine

P.O. Box 2649, Harrisburg, PA 17105-2649

Phone - (717) 783-1400

Fax - (717) 787-7769

ST-MEDICINE@PA.GOV