Sample Delegation Agreement Physician Assistant

As a physician assistant, it is important to have a clear and concise delegation agreement in place with your supervising physician. This agreement outlines the tasks that the physician assistant is authorized to perform, as well as the level of supervision required for each task.

A sample delegation agreement for a physician assistant should include the following sections:

1. Introduction: This section should include the date of the agreement, the names of the physician assistant and supervising physician, and a statement that the agreement is being entered into voluntarily.

2. Authority: This section should outline the authority the physician assistant has been granted by the supervising physician. This may include the ability to prescribe medications, order lab tests and imaging studies, perform physical exams, and make diagnoses.

3. Supervision: This section should outline the level of supervision required for each task. Tasks that require direct supervision should be clearly defined, as should tasks that can be performed with general supervision.

4. Documentation: This section should outline the documentation requirements for each task. The physician assistant should be required to document all tasks performed in the medical record, including the supervising physician`s name and approval.

5. Training: This section should outline the training requirements for the physician assistant. This may include ongoing continuing education requirements, as well as any specific training required for certain tasks.

6. Termination: This section should outline the circumstances under which the delegation agreement may be terminated. This may include the expiration of the agreement, the termination of the supervising physician`s license, or the termination of the physician assistant`s employment.

In summary, a sample delegation agreement for a physician assistant should be comprehensive and clearly define the tasks authorized for the physician assistant, the level of supervision required, and the documentation and training requirements. It is important to consult with legal counsel and other healthcare professionals when drafting a delegation agreement to ensure compliance with state and federal regulations.