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Written Agreement for Physician Assistant and Physician

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Physician’s Assistant Employment Agreement

Employment Agreement made on the (date), between of , referred to herein as Employee, and , a professional corporation organized and existing under the laws of the state of , with its principal office located at , referred to herein as Employer.

Whereas, Employee is a physician’s assistant duly licensed in ; and

Whereas, Employer desires to employ Employee and Employee desires to accept employment as a physician’s assistant of Employer; and

Whereas, the board of directors of Employer has offered Employee employment for the compensation and other benefits and subject to the terms and conditions set forth in this Agreement, and Employee is willing to accept employment on such terms;

Now, therefore, for and in consideration of the mutual covenants contained in this Agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows:

1. Employment and Duties

A. Scope of Duties.

Employer employs Employee, and Employee accepts employment, to render such services and duties as a physician’s assistant as Employer shall assign. Employer shall determine the assignment of patients to Employee, and Employee must perform services for all patients assigned to Employee. The power to supervise the duties to be performed, the manner of performing such duties, and the terms for performance of such duties shall be exercised by the Board of Directors of Employer. Hours of employment shall be determined by Employer within reasonable standards for the profession.

B. Exclusive Service.

Employee shall devote his/her full working time and attention to the practice of Employer.

C. Professional standards.

Employee shall perform his/her duties under this Agreement in accordance with the rules of ethics of the medical profession.

2. Records and Files

All case records, charts, and personal files concerning patients of Employer shall be and remain the property of Employer. On termination of Employee's employment, Employee shall not be entitled to keep or reproduce Employer's records or charts related to any patient.

3. Fees

All fees and compensation received or realized as a result of the rendition of professional medical services by Employee shall belong to and be paid and delivered to Employer.

4. Term

The term of this Agreement shall begin on (date), and shall continue until terminated as provided below in this Agreement.

5. Compensation

In consideration of all services rendered under this Agreement, from and after the date of this Agreement, Employee shall receive a base salary of $ per hour, payable on the first day of each (e.g., month) .

6. Office Facilities

Employer shall operate and maintain facilities suitable to Employee's position and adequate for the performance of Employee's duties.

7. Vacation

Employee shall be entitled to a paid annual vacation of [e.g., (number) weeks] . Vacation time may not be accumulated without Employer's consent, and must be taken in the year earned. Employee's vacation will be scheduled at times most convenient to Employer's medical practice as determined by its Board of Directors.

8. Termination for Cause

This contract shall be terminated immediately:

A. If Employee becomes disqualified to practice as a physician’s assistant in ;

B. If Employee accepts other employment that places restrictions or limitations on his/her continued rendering of medical services as a physician’s assistant;

C. On the death of Employee;

D. If Employer and Employee mutually so agree in writing;

E. If Employee becomes disabled and the disability continues for a period of consecutive months or more; or

F. If, in the opinion of Employer, Employee fails or refuses to perform faithfully or diligently the duties of his/ her employment or any of Employee's obligations under this Agreement.

On termination for any reason, Employee shall be entitled to the salary due Employee to the date of such termination. Payment of said amount shall be full compensation for all claims under this Agreement.

9. Termination without Cause

Employer may terminate Employee's employment at any time and for any or no reason (i.e., without cause) by providing Employee with days prior written notice, which notice Employer can waive, in whole or in part, in its sole discretion, by paying Employee for such time; provided, however, Employer may terminate Employee's employment immediately for the reasons set forth in Paragraph 8 above.

10. Confidentiality

Employee acknowledges that during his/her employment, he/she shall have access to and will become aware of confidential information concerning patients and the Employer. Employee agrees to hold in confidence all information disclosed to or received by him/her in connection with his/her employment

11. No Waiver

The failure of either party to this Agreement to insist upon the performance of any of the terms and conditions of this Agreement, or the waiver of any breach of any of the terms and conditions of this Agreement, shall not be construed as subsequently waiving any such terms and conditions, but the same shall continue and remain in full force and effect as if no such forbearance or waiver had occurred.

12. Governing Law

This Agreement shall be governed by, construed, and enforced in accordance with the laws of the State of .

13. Notices

Any notice provided for or concerning this Agreement shall be in writing and shall be deemed sufficiently given when sent by certified or registered mail if sent to the respective address of each party as set forth at the beginning of this Agreement.

14. Mandatory Arbitration

Any dispute under this Agreement shall be required to be resolved by binding arbitration of the parties hereto. If the parties cannot agree on an arbitrator, each party shall select one arbitrator and both arbitrators shall then select a third. The third arbitrator so selected shall arbitrate said dispute. The arbitration shall be governed by the rules of the American Arbitration Association then in force and effect.

15. Entire Agreement

This Agreement shall constitute the entire agreement between the parties and any prior understanding or representation of any kind preceding the date of this Agreement shall not be binding upon either party except to the extent incorporated in this Agreement.

16. Modification of Agreement

Any modification of this Agreement or additional obligation assumed by either party in connection with this Agreement shall be binding only if placed in writing and signed by each party or an authorized representative of each party.

17. Assignment of Rights

The rights of each party under this Agreement are personal to that party and may not be assigned or transferred to any other person, firm, corporation, or other entity without the prior, express, and written consent of the other party.

WITNESS our signatures as of the day and date first above stated.

By:

 

 

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What the Written Agreement for Physician Assistant and Physician Is

A Written Agreement for Physician Assistant and Physician is a formal, signed document describing the supervisory relationship, scope of practice, delegated procedures, and administrative responsibilities between a supervising physician and a physician assistant (PA). The agreement memorializes who may supervise, what clinical tasks the PA may perform, required supervision level or availability, reporting and documentation expectations, and any compensation or liability-sharing provisions. Many states require a written supervisory agreement as part of PA licensure or delegation rules; the document also supports quality assurance, credentialing, and audit readiness when retained in compliance with relevant laws and standards.

Why a Clear Written Agreement Matters

A concise written agreement reduces regulatory risk, clarifies delegation and supervision, and creates an auditable record for credentialing and compliance with state practice acts. It helps protect patient safety, supports consistent care delivery, and establishes responsibilities for documentation, indemnity, and termination procedures.

Why a Clear Written Agreement Matters

Who typically prepares and signs this agreement

A small group of clinical, administrative, and legal stakeholders usually collaborate to create and approve these agreements.

  • Supervising physicians or medical directors — review clinical scope and accept supervisory responsibilities.
  • Physician assistants — confirm delegated duties, hours, and reporting obligations in writing.
  • Practice managers or legal counsel — ensure the agreement meets state rules and institutional policies.

Final approval is usually retained in the PA personnel file and in any electronic records system used for credentialing and audits.

Primary signers and their roles

Supervising Physician

Typically a licensed physician authorized to delegate clinical tasks. Responsible for clinical oversight, availability expectations, periodic review of PA competence, and signing the supervisory agreement to accept legal and professional obligations.

Physician Assistant

A licensed PA who accepts delegated duties and documents scope-of-practice boundaries, training requirements, reporting pathways, and any conditions that limit independent action under the terms of the written agreement.

Core elements every professional agreement should include

A complete agreement combines clinical detail with administrative and legal protections; include the following key components to make the document enforceable, auditable, and clear.

Parties

Full legal names, licenses, credential numbers, employer or practice entity, and contact information for both the supervising physician and the PA.

Scope of Practice

Precise list of permitted clinical activities, procedures, prescriptive authority if applicable, and any settings where the PA may practice or is restricted.

Supervision Level

Define required supervision (direct, indirect, or collaborative), on-site presence expectations, and emergency availability or on-call obligations.

Delegated Procedures

Specify which procedures the PA is authorized to perform, required training or proctoring, and documentation or competency verification steps.

Compensation & Liability

Describe billing relationships, payment arrangements, professional liability coverage expectations, and indemnity or cost-sharing if applicable.

Term & Termination

Effective date, renewal process, notice requirements for termination, and obligations for patient care continuity after termination.

Step-by-step: completing the agreement

Follow these sequential steps to prepare and finalize a compliant written agreement.

  • 01
    Draft core terms: Assemble parties, scope, supervision, and termination language for review.
  • 02
    Review with counsel: Have institutional legal or compliance review for state-specific requirements.
  • 03
    Obtain signatures: Get authorized signatures from physician and PA; notarize if state requires or employer requests.
  • 04
    Store and distribute: Place final signed copy in personnel file and share copies with credentialing and billing teams.

How to configure a digital signing workflow

Set up a simple, repeatable workflow for template reuse, authentication, and retention when using an eSignature platform.

Field Configuration
Signer sequence Physician signs first, then PA; include witness or notary steps if required.
Authentication Email plus SMS code or ID check for stronger signer identity when needed.
Template reuse Create a reusable template with conditional fields for specialty-specific tasks.
Notifications Enable completion notices to HR, credentialing, and the supervising physician.

Typical eSubmission and routing flow

A standard eSignature route minimizes delay and preserves an audit trail for compliance and credentialing.

  • Upload document: Sender uploads the template or completed draft to the eSignature platform.
  • Place fields: Define signature, initials, date, and conditional fields for delegated procedures.
  • Send to signers: Email or secure link is delivered to physician and PA in the prescribed order.
  • Archive copy: Platform stores signed PDF and audit trail for retrieval and audit.

Technical considerations for digital completion

Choose a platform that supports secure PDFs, audit trails, conditional fields, and the authentication level your institution requires.

  • File formats: PDF and DOCX support for editable templates and finished signed PDFs.
  • Integrations: Integrate with HR, credentialing, or EHR systems such as NetSuite or Microsoft 365 when available.
  • Compliance: Platform should offer ESIGN/UETA compliance and HIPAA-safe workflows when handling PHI.

Confirm that your chosen vendor supports required authentication, retention, and any BAA needed for protected health information.

Typical eSignature vendor pricing and capability snapshot

Compare common plan-level indicators relevant to executing and storing written agreements. signNow is listed first per platform comparison conventions.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by promotion Varies by promotion Varies by promotion Varies by promotion
Bulk Send Yes (Premium tier) Yes (paid tiers) Yes (paid tiers) Yes No
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes (BAA required) Yes Yes No No
Envelope Cap No envelope cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Security and compliance features to verify

Encryption: TLS 1.2/1.3; AES-256 at rest
Certifications: SOC 2 Type II; ISO 27001
HIPAA Support: BAA available for protected health information
Audit Trail: Full timestamped signer activity log
ESIGN / UETA: Compliance with ESIGN and UETA frameworks
21 CFR Part 11: Support for FDA-regulated electronic records

Risks when the agreement is incomplete or incorrect

Regulatory Action: State board discipline or sanctions
Malpractice Exposure: Unclear delegation increases liability risk
Credentialing Delay: Incomplete records can impede network enrollment
Audit Findings: Missing signed agreements can trigger compliance citations
HIPAA Violations: Improper PHI handling may incur fines
Operational Disruption: Care continuity problems during termination

Common preparation errors to avoid

  • Using vague language about duties or supervision that leaves interpretation to auditors or third parties.
  • Failing to match signer names and license numbers exactly to state licensing records, causing credentialing rejections.
  • Omitting effective dates, renewal clauses, or notice periods, which creates disputes over when supervision terminated.
  • Neglecting to document required training, proctoring, or competency checks for delegated procedures.

Real-world examples of digital agreement use

Organizations use eSignature and template workflows to reduce turnaround time and maintain audit-ready records.

Optica Ventures

A small multispecialty group digitized supervisory agreements to speed onboarding

  • Reduced administrative lag by centralizing templates and signatures
  • The organization maintained consistent, auditable copies and shortened credentialing timelines.

Fertility Centers of Illinois

A regional practice adopted secure eSignature and template automation

  • Used audit trails and retention policies to meet compliance
  • The team reported easier retrieval during audits and consistent signer authentication.

Frequently asked questions about these agreements

Answers to common practical and legal questions when preparing, signing, and storing a written agreement for a physician assistant.


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