Montana Board of Medical Examiners

Physician Assistant

Individuals who want to practice as a Physician Assistant in Montana must apply to the Montana Board of Medical Examiners for licensure. Applicants for licensure must have passed the PANCE exam administered by the National Commission on the Certification of Physician Assistants and meet the educational requirements set by Montana law or in administrative rule. Additionally, a Physician Assistant must have a Supervision Agreement and a Duties and Delegation Agreement in place with the supervising physician prior to practice.The Supervision Agreement must be on file with the Board prior to practice. 

Physician Assistant Application

Supervision Agreement Form

A physician assistant new to Montana practice must also submit certificate of completion for the board-approved online education for physicians and physician assistants in supervision relationships.   You can access the education and assessment here: You will find Instructionsfor setting up/logging into the course

Upon passage of the assessment, please submit the certificate of completion in one of the following ways:

  • email to
  • mail to Board of Medical Examiners, PO Box 200513, Helena, MT 59620-0513
  • upload to your online application 

A supervising physician and the supervised PA shall execute a Duties and Delegation agreement that defines the physician assistant's professional relationship, including limitations on the physician assistant's practice under supervision of the supervising physician. The agreement must be kept current, by amendment or substitution, to reflect changes in the duties of each party occurring over time. While the Board does not currently have a preferred format for Duties and Delegation agreements, it may specify requirements through administrative rules.

Back To Top