and physician assistant shall personally review, approve and
accept the description prior to submission of the description to
the board for the board's approval. The written agreement shall
be signed by the primary supervising physician, one substitute
supervising physician, if applicable, and the physician
assistant. It shall not be a defense in any administrative or
civil action that the physician assistant acted outside the
scope of the board-approved description or that the supervising
physician utilized the physician assistant outside the scope of
the board-approved description because the supervising physician
or physician assistant permitted another person to represent to
the board that the description had been approved by the
supervising physician or physician assistant. Upon submission of
the application, board staff shall review the application only
for completeness and shall issue a letter to the supervising
physician providing the temporary authorization for the
physician assistant to begin practice. If the application is not
complete, including, but not limited to, required information or
signatures not being provided or the fee not being submitted, a
temporary authorization for the physician assistant to begin
practicing shall not be issued. The temporary authorization,
when issued, shall provide a period of 120 days during which the
physician assistant may practice under the terms set forth in
the written agreement as submitted to the board. Within 120 days
the board shall notify the supervising physician of the final
approval or disapproval of the application. If approved, a final
approval of the written agreement shall be issued to the
supervising physician. If there are discrepancies that have not
been corrected within the 120-day period, the temporary
authorization to practice shall expire. There shall be no more
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