Authority: IC 25-22.5-2-7

Affected: IC 25-22.5

Sec. 3.5. " Collaboration agreement" means a written document signed by the collaborating physician or physicians and the physician assistant that:

1. (1) includes the tasks delegated to the physician assistant;
2. (2) describes the collaborative plan for the physician assistant, including emergency procedures the physician assistant shall follow;
3. (3) specifies the protocol the physician assistant shall follow in prescribing a drug;
4. (4) specifies the names of medical devices the physician is delegated to prescribe;

5. (5) includes the:

   1. (A) name;
   2. (B) address; and
   3. (C) phone number;
6. of the physician or physicians who will be collaborating with the physician assistant; and
7. (6) includes a description of the setting or settings in which the physician assistant will be working.

(Medical Licensing Board of Indiana; 844 IAC 2.2-1.1-3.5; filed Jun 20, 2025, 3:41 p.m.: 20250716-IR-844240435FRA)