Board Of Osteopathic Medicine Arnp / Emt / Paramedic Protocol Form (Page 3 of 4) in pdf

practices providing primarily dermatologic and skin care services, which include aesthetic skin

care services.

physician assistant at a medical office other than the osteopathic physician’s primary practice

location, where the advanced registered nurse practitioner or physician assistant is not under

the onsite supervision of a supervising osteopathic physician and the services offered at the

office are primarily dermatologic or skin care services, which include aesthetic skin care

services other than plastic surgery, must comply with the standards listed in subparagraphs 1.-

4. Notwithstanding s. 459.022(4)(e)6., an osteopathic physician supervising a physician

assistant pursuant to this paragraph may not be required to review and cosign charts or medical

records prepared by such physician assistant.

1. The osteopathic physician shall submit to the Board of Osteopathic Medicine the addresses

of all offices where he or she is supervising or has a protocol with an advanced registered nurse

practitioner or a physician’s assistant which are not the osteopathic physician’s primary practice

location.

2. The osteopathic physician must be board certified or board eligible in dermatology or plastic

surgery as recognized by the Board of Osteopathic Medicine pursuant to s. 459.0152.

3. All such offices that are not the osteopathic physician’s primary place of practice must be

within 25 miles of the osteopathic physician’s primary place of practice or in a county that is

contiguous to the county of the osteopathic physician’s primary place of practice. However, the

distance between any of the offices may not exceed 75 miles.

4. The osteopathic physician may supervise only one office other than the osteopathic

physician’s primary place of practice except that until July 1, 2011, the osteopathic physician

may supervise up to two medical offices other than the osteopathic physician’s primary place of

practice if the addresses of the offices are submitted to the Board of Osteopathic Medicine

before July 1, 2006. Effective July 1, 2011, the osteopathic physician may supervise only one

office other than the osteopathic physician’s primary place of practice, regardless of when the

addresses of the offices were submitted to the Board of Osteopathic Medicine.

(d) An osteopathic physician who supervises an office in addition to the osteopathic

physician’s primary practice location must conspicuously post in each of the osteopathic

physician’s offices a current schedule of the regular hours when the osteopathic physician is

present in that office and the hours when the office is open while the osteopathic physician is

not present.

(e) This subsection does not apply to health care services provided in facilities licensed under

chapter 395 or in conjunction with a college of medicine or college of nursing or an accredited

graduate medical or nursing education program; offices where the only service being performed

is hair removal by an advanced registered nurse practitioner or physician assistant; not-for-

profit, family-planning clinics that are not licensed pursuant to chapter 390; rural and federally

qualified health centers; health care services provided in a nursing home licensed under part II

of chapter 400, an assisted living facility licensed under part I of chapter 429, a continuing care

facility licensed under chapter 651, or a retirement community consisting of independent living

units and either a licensed nursing home or assisted living facility; anesthesia services provided

in accordance with law; health care services provided in a designated rural health clinic; health

care services provided to persons enrolled in a program designed to maintain elderly persons

and persons with disabilities in a home or community-based setting; university primary care

student health centers; school health clinics; or health care services provided in federal, state,

or local government facilities.

(4) REQUIREMENTS FOR NOTICE AND REVIEW.—Upon initial referral of a patient by

another practitioner, the osteopathic physician receiving the referral must ensure that the patient

is informed of the type of license held by the osteopathic physician and the type of license held

by any other practitioner who will be providing services to the patient. When scheduling the

Board Of Osteopathic Medicine Arnp / Emt / Paramedic Protocol Form Page 3

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