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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 52 Pa.B. 7348 (November 26, 2022).

49 Pa. Code § 18.142. Written agreements.

§ 18.142. Written agreements.

 (a)  The written agreement required by section 13(e) of the act (63 P. S. §  422.13(e)) satisfies the following requirements. The agreement must:

   (1)  Identify and be signed by the physician assistant and each physician the physician assistant will be assisting who will be acting as a supervising physician. At least one physician shall be a medical doctor.

   (2)  Describe the manner in which the physician assistant will be assisting each named physician. The description must list functions to be delegated to the physician assistant.

   (3)  Describe the time, place and manner of supervision and direction each named physician will provide the physician assistant, including the frequency of personal contact with the physician assistant.

   (4)  Designate one of the named physicians who shall be a medical doctor as the primary supervising physician.

   (5)  Require that the supervising physician shall countersign the patient record completed by the physician assistant within a reasonable amount of time. This time period may not exceed 10 days.

   (6)  Identify the locations and practice settings where the physician assistant will serve.

 (b)  The written agreement shall be approved by the Board as satisfying the requirements in subsection (a) and as being consistent with relevant provisions of the act and regulations contained in this subchapter.

 (c)  A physician assistant or supervising physician shall provide immediate access to the written agreement to anyone seeking to confirm the scope of the physician assistant’s authority.


   The provisions of this §  18.142 amended under sections 8, 13 and 36 of the Medical Practice Act of 1985 (63 P.S. § §  422.8, 422.13 and 422.36).


   The provisions of this §  18.142 amended August 13, 1993, effective August 14, 1993, 23 Pa.B. 3780; amended November 17, 2006, effective November 18, 2006, 36 Pa.B. 7009. Immediately preceding text appears at serial pages (222921) to (222922).

Cross References

   This section cited in 49 Pa. Code §  18.122 (relating to definitions); 49 Pa. Code §  18.143 (relating to criteria for registration as a supervising physician); and 49 Pa. Code §  18.156 (relating to monitoring and review of physician assistant utilization).

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