Indiana Code Title 25. Professions and Occupations § 25-27.5-6-4

(1) Be licensed under IC 25-22.5.

(2) Register with the board the physician's intent to enter into a collaborative agreement with a physician assistant.

(3) Not have a disciplinary action restriction that limits the physician's ability to collaborate with a physician assistant.

(4) Maintain a written agreement with the physician assistant that states the physician will:

The collaborative agreement must be signed by the physician and physician assistant, updated annually, and made available to the board upon request.

(5) Submit to the board a list of locations that the collaborating physician and the physician assistant may practice.  The board may request additional information concerning the practice locations to assist the board with considering the written agreement described in subdivision (4).