Delegation of Services Agreement Sample Contracts

PHYSICIAN ASSISTANT DELEGATION OF SERVICES AGREEMENT
Delegation of Services Agreement • March 31st, 2009

A Delegation of Services Agreement is to be maintained at each practice site and is to be available to DOPL upon request. It consists of written criteria jointly developed by a physician assistant’s supervising physician and any substitute supervising physicians and the physician assistant that permits a physicians assistant, working under the direction or review of the supervising physicians, to assist in the management of illnesses and injuries common to the physician’s scope of practice.

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Physician Assistant Delegation of Services Agreement
Delegation of Services Agreement • October 30th, 2014

A Delegation of Services Agreement outlining the authorized services to be performed by the PA when acting under the Supervising Physician will be approved by the Supervising Physician and Physician Assistant. A copy of the agreement is kept in the credentialing files of the Supervising Physician and PA.

DELEGATION OF SERVICES AGREEMENT
Delegation of Services Agreement • May 31st, 2018

Title 16, Section 1399.540 of the Physician Assistant Regulations states, in part, “A physician assistant may only provide those medical services which he or she is competent to perform and which are consistent with the physician assistant’s education, training, and experience, and which are delegated in writing by a supervising physician who is responsible for the patients cared for by that physician assistant. b) The writing which delegates the medical services shall be known as a delegation of services agreement. A delegation of services agreement shall be signed and dated by the physician assistant and each supervising physician. A delegation of services agreement may be signed by more than one supervising physician only if the same medical services have been delegated by each supervising physician. A physician assistant may provide medical services pursuant to more than one delegation of services agreement.”

Physician Assistant Delegation of Services Agreement
Delegation of Services Agreement • September 25th, 2018

A Delegation of Services Agreement outlining the authorized services to be performed by the PA when acting under the Supervising Physician will be approved by the Supervising Physician and Physician Assistant. A copy of the agreement is kept in the credentialing files of the Supervising Physician and PA.

Delegation of Services Agreements
Delegation of Services Agreement • May 16th, 2018

Title 16, Division 13.8, Article 4, section 1399.540 was amended to include several requirements for the delegation of medical services to a physician assistant. There are four specific changes with this amendment:

DELEGATION OF SERVICES AGREEMENT BETWEEN SUPERVISING PHYSICIAN AND PHYSICIAN ASSISTANT (Title 16, CCR, Section 1399.540)
Delegation of Services Agreement • July 12th, 2019

He/she took (or is to take) the licensing examination for physician assistants recognized by the State of California (e.g., Physician Assistant National Certifying Examination or a specialty examination given by the State of California) on .

DELEGATION OF SERVICES AGREEMENT BETWEEN SUPERVISING PHYSICIAN AND PHYSICIAN ASSISTANT (Title 16, CCR, Section 1399.540)
Delegation of Services Agreement • June 23rd, 2016

He/she took (or is to take) the licensing examination for physician assistants recognized by the State of California (e.g., Physician Assistant National Certifying Examination or a specialty examination given by the State of California on

DELEGATION OF SERVICES AGREEMENT BETWEEN SUPERVISING PHYSICIAN AND PHYSICIAN ASSISTANT (Title 16, CCR, Section 1399.540)
Delegation of Services Agreement • June 24th, 2014

The Physician assistant took (or is to take) the licensing examination for physician assistants recognized by the State of California (e.g., Physician Assistant National Certifying Examination or a specialty examination given by the State of California) on .

Delegation of Services Agreement
Delegation of Services Agreement • April 11th, 2012

Recently Title 58 Chapter 54 was amended by the Utah Legislature to include the licensure of radiologist assistants. Part of this change included the addition of a Delegation of Services Agreement between the Radiologist and the Radiologist Assistant.

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