Which form should be used to notify the board of changes to the primary location in the PA's written agreement?

Which form should be used to notify the board of changes to the primary location in the PA's written agreement?

• A. Email notification.
• B. Phone call.
• C. Written agreement change form.
• D. No notification required.

Answer: (C)

Changing the primary location is a material update to the PA’s written agreement with the supervising physician, so it requires an official record with the board. Using the written agreement change form provides a formal mechanism to document the new location, include the effective date, and capture signatures from the PA and supervising physician. This creates an auditable record and ensures the board’s files accurately reflect the current supervision arrangement and practice site. Informal methods like email or a phone call don’t create a sanctioned amendment and may not satisfy regulatory reporting requirements, and saying no notification is needed undermines supervision accountability and patient safety.

Changing the primary location is a material update to the PA’s written agreement with the supervising physician, so it requires an official record with the board. Using the written agreement change form provides a formal mechanism to document the new location, include the effective date, and capture signatures from the PA and supervising physician. This creates an auditable record and ensures the board’s files accurately reflect the current supervision arrangement and practice site. Informal methods like email or a phone call don’t create a sanctioned amendment and may not satisfy regulatory reporting requirements, and saying no notification is needed undermines supervision accountability and patient safety.