1. (a) Before initiating practice the supervising physician and the physician assistant must submit, on forms approved by the board, the following information:

   1. (1) The name, the business address, and the telephone number of the supervising physician.
   2. (2) The name, the business address, and the telephone number of the physician assistant.
   3. (3) A brief description of the setting in which the physician assistant will practice.
   4. (4) Any other information required by the board.
2. (b) A physician assistant must notify the committee of any changes or additions in practice sites or supervising physicians not more than thirty (30) days after the change or addition.

As added by P.L.227-1993, SEC.11. Amended by P.L.288-2001, SEC.11.