Chart review and co-signatures may be required by state statute, a practice facility, or by a supervising physician in order for a physician assistant (PA) to practice or prescribe. Some states require chart review and co-signatures through statute, but specific state requirements may vary by the percentage of charts that must be co-signed or setting requirements for certain elements of practice or prescribing. Some states specify that chart review and co-signature requirements can be determined at the practice level based on the competency of the physician assistant.
The map indicates which states require chart co-signatures for a PA to practice and prescribe in statute or defer to the practice level to set requirements.