TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
REGISTRAR'S NOTICE:
Forms used in administering the regulation have been filed by the agency. The
forms are not being published; however, online users of this issue of the
Virginia Register of Regulations may click on the name of a form with a
hyperlink to access it. The forms are also available from the agency contact or
may be viewed at the Office of the Registrar of Regulations, 900 East Main
Street, 11th Floor, Richmond, Virginia 23219.
Title of Regulation: 18VAC85-50. Regulations
Governing the Practice of Physician Assistants.
Contact Information: Elaine J. Yeatts, Senior Policy
Analyst, Department of Health Professions, 9960 Mayland Drive, Suite 300,
Richmond, VA 23233, telephone (804) 367-4688, or email elaine.yeatts@dhp.virginia.gov.
FORMS (18VAC85-50)
Instructions and Physician Assistant Licensure for
Completing an Application (rev. 10/09).
Form #B, Activity Questionnaire (rev. 8/07).
Form #C, Clearance from Other State Boards (rev. 8/07).
Form #L, Certificate of Physician Assistant Education
(rev. 10/09).
Form #2, Physician Assistant Invasive Procedures Protocol
(rev. 8/07).
Instructions and Practice Application as a Physician
Assistant (rev. 10/09).
Request for Prescriptive Authority from the PA (rev.
1/11).
Alternate Supervisors Signature Form (rev. 2/09).
Form #1-A, Addendum to Practice of Physician Assistant
Duties (rev. 8/07).
Application for Registration for Volunteer Practice (rev.
8/07 8/15).
Sponsor Certification for Volunteer Registration (rev.
8/08 3/18).
Physician Assistant Volunteer License Application (rev.
12/07 8/15).
Instructions
for Completing an Application (rev. 11/2017)
Form
#B, Activity Questionnaire (rev. 7/2017)
Application for a pharmacist license by endorsement or
examination, online form available at:
https://www.dhp.virginia.gov/medicine/medicine_forms.htm#PA
Practice
Agreement (eff. 10/2019)
Application
for Registration for Volunteer Practice (rev. 8/2015)
Sponsor
Certification for Volunteer Registration (rev. 3/2018)
Physician
Assistant Volunteer License Application (rev. 8/2015)
VA.R. Doc. No. R20-6206; Filed October 10, 2019, 3:31 p.m.