To obtain a license from the Arkansas State Medical Board, the physician assistant must do the following:

1. (1) Answer all questions to include the providing of all documentation requested on an application form as provided by the Arkansas State Medical Board;
2. (2) Pay the required fee for licensure as delineated elsewhere in this part;
3. (3) Provide proof of successful completion of Physician Assistant National Certifying Examination, as administered by the National Commission on Certification of Physician Assistants;
4. (4) Certify and provide such documentation as the Arkansas State Medical Board should require that the applicant is mentally and physically able to engage safely in the role as a physician assistant;
5. (5) Certify that the applicant is not under any current discipline, revocation, suspension, probation, or investigation from any other licensing board;
6. (6) Provide letters of recommendation as to quality of practice history;
7. (7) Be at least twenty-one (21) years of age;
8. (8) Show proof of graduation with a bachelor’s degree from an accredited college or university or prior service as a military corpsman;
9. (9) Provide proof of graduation from a physician assistant education program recognized by the Accreditation Review Commission on Education for the Physician Assistant or by its successor agency, and has passed the Physician Assistant National Certifying Examination administered by the National Commission on Certification of Physician Assistants; and

10. (10) Submit to the Arkansas State Medical Board a delegation agreement delineating:

    1. (A) The scope of practice that the physician assistant will engage in;
    2. (B) The program of evaluation; and
    3. (C) Supervision by the supervising physician.