Arkansas Act 634 streamlined the notification process. In order to make changes to supervising physician authority (adding a Supervising Physician or Back-up Supervising Physician), the following documents are required to be submitted:
1. A signed Delegation Agreement (as referenced in the application)
The Board approved Delegation Agreement is found on the Arkansas State Medical Board website (www.armedicalboard.org) inside the “For the Practitioner” and the “Physician Assistant” tabs (you will see it individually under “Licensee”). This is an “editable” version of the Board approved Delegation Agreement available for use as a template to create your Delegation Agreement. You are required to keep a copy of your submitted and approved delegation agreement at the practice site.
If you are removing supervision, you will simply send an email to licensemonitor@armedicalboard.org with the pertinent information (name of practioner you are removing and the termination date).