PA Notice of
Intent to Practice/Physician Notice of Intent to Supervise, Termination of
New: Online Supervision and Prescriptive
Delegation Registration System!
Use the new online system to file the notice of intent to practice/supervise forms required of PAs and physicians AND to register prescriptive authority. Hard copy supervision and delegation forms will no longer be accepted as of 8/1/2010 (except as required below).
Supervision must be registered with the Board before a physician assistant may begin work.
Review the eligibility requirements for system usage then click on the link above to use the system.
Eligibility requirements for physicians and physician assistants:
o your license is under a current board order, or if you have notified the TMB that you are not actively practicing medicine,
o you are a physician licensed under Voluntary Charity Care Status,
o you hold a Telemedicine, Public Health or Conceded Eminence license, or
o you hold a temporary physician, temporary PA, or Faculty Temporary License.
Please contact the PRC at (512)305-7030 for a hard copy supervision/delegation form.
For more information, please contact Pre-Licensure, Registration and Consumer Services (PRC) at 512-305-7030.
Changes in Supervising Physician Relationships, Including Termination of Relationships
Use the new online system. Physician assistants must notify the board of changes related to
supervising physicians no later than 30 days after the change is made.
This includes terminations of relationships. Submission of a new, online
application for a physician assistant/supervising physician relationship does
not terminate other supervision that is currently in place. If the end date
of the supervision is known at the time of application and provided on the online
registration form, supervision will be automatically terminated on that date
with no further correspondence.
Laws and Rules Governing Practice as a Physician Assistant,
Review information about statute and board rules to ensure that you are compliant with board rules. Laws and rules may be accessed at http://www.tmb.state.tx.us/rules/pa/parandr.php. Chapter 185 of the rules is dedicated to physician assistants and Chapter 193 is dedicated to standing delegation orders. Sections of specific interest are:
Board Rule, Sec. 185.13 - Notification of Intent to Practice and Supervise
Board Rule, Sec. 185.14 - Physician Supervision
Board Rule, Sec. 185.15 - Supervising Physician
Board Rule, Sec. 185.16 - Employment Guidelines
Board Rule, Sec. 193.6 - Delegation of the Carrying Out or Signing of Prescription Drug Orders to Physician Assistants and Advanced Practice Nurses
Board Rule, Sec. 193.7 - Delegated Drug Therapy Management
Alternate Supervising Physicians
If a supervising physician will be unavailable to supervise the
physician assistant, arrangements shall be made for an alternate supervising
physician. An alternate supervising physician is a physician providing
appropriate supervision on a temporary basis that does not exceed fourteen
consecutive days, and is not required to register with the Board. The
alternate supervising physician must document, through a log where the
physician assistant is located, that he or she is familiar with the protocols
or standing delegation orders in use and is accountable for adequately
supervising care provided pursuant to those protocols or standing delegation
orders. The log shall contain dates of the alternate physician supervision and
be signed by the alternate physician acknowledging this responsibility. The
physician assistant is responsible for verifying that the alternate physician
is a licensed Texas physician holding an unrestricted and active license.
Texas Medical Board
Courier deliveries only (such as Federal Express or Airborne Express) should be sent to:
Texas Medical Board