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This Practice Agreement has been developed through collaboration among physician(s) and physician assistant(s) in (department) at UC Davis Health an Organized Health Care System (as defined in Business
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How to fill out pa practice agreement

01
Review the requirements of your state regarding PA practice agreements.
02
Contact a supervising physician to discuss the details of the agreement.
03
Fill out the necessary information such as your and the supervising physician's name, contact information, and licensing details.
04
Include details about the scope of practice, the responsibilities of both parties, and any terms and conditions.
05
Review the agreement with the supervising physician and make any necessary revisions.
06
Sign and date the agreement, and ensure that the supervising physician does the same.
07
Keep a copy of the agreement for your records, and submit a copy to the relevant authorities if required.

Who needs pa practice agreement?

01
Physician Assistants (PAs) who are required by their state regulations to have a practice agreement in place.
02
Healthcare facilities that employ or work with PAs and need to ensure compliance with state laws.
03
Supervising physicians who are responsible for overseeing the practice of PAs and need to establish a formal agreement.

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A PA practice agreement is a written document outlining the working relationship between a physician assistant (PA) and a supervising physician.
Both the PA and supervising physician are required to file a PA practice agreement.
To fill out a PA practice agreement, both the PA and supervising physician must review and agree upon the terms outlined in the document.
The purpose of a PA practice agreement is to ensure that the PA is working under the supervision and direction of a licensed physician.
A PA practice agreement must include details on the supervising physician, scope of practice, and terms of supervision.
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