(a) The written agreement provided for in Section 13 of the Act (63 s.s. 422.13 (e) meets the following conditions. The agreement must: (1) identify and sign them by the medical assistant and each doctor will be assisted by the physician assistant who works as a supervisor. At least one doctor must be a doctor. (2) Describe how the medical assistant will assist each designated physician. The description should list the duties to be delegated to the medical assistant. (3) Describe the time, place and type of monitoring and direction that each designated physician makes available to the medical assistant, including the frequency of personal contact with the medical assistant. (4) Designates one of these doctors, who must be a doctor, as a primary supervisory physician. (5) Request that the physician who needs supervision object to the medical record completed by the medical assistant within a reasonable time. This period must not exceed 10 days. (6) Identify the places and practice parameters in which the medical assistant will work.

(d) medical assistants who have granted or practice privileges in a medical facility must comply with the guidelines and requirements set by the institution. (i) personal supervision and management and responsibility for medical services provided by a medical assistant. The permanent physical presence of the supervisory physician is not necessary as long as the supervisory physician and medical assistant are or may be in easy contact by radio, telephone or other telecommunications equipment. Each time a physician provides a medical service to a patient, he or she assumes a set of obligations such as continuity of care, reporting and case management. Physicians must ensure in advance that all parties to the practice agreement (colleagues, clinic owners, EMR providers, other professionals, administrators) are sufficiently committed to physicians being able to fulfill their obligations to patients.