This customizable document, Approved Supervising Physician's Responsibility for Supervision of Physician Assistant, is taken from MCN Healthcare’s Medical Office Policy and Procedure Manual. For more than 20 years, MCN has been the health care industry’s leading provider of policy and procedure templates, forms, competencies and other compliance tools.

MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors.

Here is some sample content from Approved Supervising Physician's Responsibility for Supervision of Physician Assistant:

	APPROVED SUPERVISING PHYSICIAN'S RESPONSIBILITY FOR SUPERVISION OF PHYSICIAN ASSISTANT Supervisor: physician is licensed to practice in California as a physician and surgeon with medical license number . He/she has been approved by the Medical Board of California or Board of Osteopathic Examiners on , to be a physician assistant supervisor, number . That approval expires on , unless renewed. Hereinafter, the above named approved supervising physician shall be referred to as the supervising physician. SUPERVISOR REQUIRED: The physician assistant PA named in the attached Delegation of...
Second excerpt:
	...in accordance with these guidelines, set forth as required by Section 1399545 of the Physician Assistant Regulations, which have been read by the physician whose signature appears below. The physician shall review, countersign, and date within seven days the medical record of any patient cared for by the PA for whom the physician's prescription was transmitted or carried out. MEDICAL RECORD REVIEW: One or more of the following mechanisms, as indicated below, by a check mark x, shall be...