NOTICE  OF NEW REQUIREMENTS: Continuing education will be required for assistants to physicians and supervising physicians beginning Jan. 1, 2025. See this informational page for more information.

License and Registration to Practice as an Assistant to Physicians

  • Apply for a license to practice as a Physician Assistant or Anesthesiologist Assistant.
  • Apply for registration to a supervising physician/anesthesiologist (at the same time as or following license application).
  • Applications are placed on the next available Board agenda, and the applicant is notified of approval or non-approval.
  • Processing time for licensure is four to six weeks.

Eligibility Requirements

Physician Assistant

  • Successful completion of a training program accredited by the ARC-PA.
  • Successful completion of PANCE.
  • Submit application and fee.
  • Submit to a criminal history background check.
  • Documentation submitted through the Federation Credentials Verification Service (FCVS) may be accepted to demonstrate compliance with the credentialing requirements.

Supervising Physician

  • Hold a current, unrestricted license to practice medicine in Alabama.
  • On the date of application, has practiced medicine* for at least three years/one year if board certified or if practice site is limited to a hospital.
    *since completion of residency/postgraduate education

Anesthesiologist Assistant

  • Successful completion of a training program accredited by CAHEA.
  • Successful completion of CEAA.
  • Submit application and fee.
  • Submit to a criminal history background check.

Supervising Anesthesiologist

  • Hold a current, unrestricted license to practice medicine in Alabama and practice in the medical specialty of anesthesiology.
  • On the date of application, practiced medicine for at least three years* or at least one year and certified by the ABA or AOBA or practice site is limited solely to a hospital.
    *including any practice while enrolled in internship, residency, or fellowship

License Application

Click Here for Agenda Deadlines

Additional Forms

License Application Checklist

Expedited Temporary Assistants to Physicians License for Active Military Members and Spouses

Renewal Requirements

  • Licenses are renewed annually on or before Dec. 31.
  • The annual CME requirement is 25 AMA PRA Category 1 Credits.

If a PA/AA fails to renew a license before Jan. 1 of each year, it may subsequently be renewed as follows:

  • Between Jan. 1 and Jan. 31, submit a completed application, pay the fee, and certify completion of the required CME credits earned in the prior year.
  • Feb. 1 and thereafter, submit a completed application, pay the fee, and submit proof of completion of the required CME credits earned within the preceding 12 months.

A form for the reissue may be requested from the Assistants to Physicians licensing department using our contact form

Email PA/AA Department

Registration to Supervising Physician/Anesthesiologist



Registration Termination Requirements

  • The PA/AA and the physician/anesthesiologist are responsible for informing the Board of the effective date of the termination of employment and the reasons for such termination.
  • Failure to notify the Board of termination may be considered by the Board as a violation of Board rules for the purpose of approval of future applications for registration.
  • Termination must be in writing and can be accomplished using the PA/AA registration termination form.

Changes to Hours Worked

To make changes in the hours worked of a PA or AA, please contact Assistants to Physicians licensing department using our contact form.

Fees (Non-Transferable/Non-Refundable)

  • Initial license: $200
  • Criminal Background Check Fee: $65
  • Total for Initial License:$265
  • License renewal fee: $100
  • Registration: $100
  • Print Receipts at the Licensee Portal

Additional Skills

Botulinum Toxin/Botox

Critical Care

Interventional Radiology




Generally, it takes four to six weeks to process an initial application. Registration agreements may take less or more time for approval depending upon their complexity.

An approved site for a registration agreement without a supervising or covering physician on-site. The supervising physician’s principal practice site, acute care hospitals, skilled nursing facilities, licensed, special-care assisted living facilities, and licensed assisted living facilities are not remote practice sites for the purpose of these rules.

A plan for quality assurance management with defined quality outcome measures for evaluation of the clinical practice of the physician assistant and include review of a meaningful sample of medical records plus all adverse outcomes. The term “medical records” includes, but is not limited to, electronic medical records. Documentation of quality assurance review shall be readily retrievable, identify records that were selected for review, include a summary of findings conclusions, and, if indicated, recommendations for change.

For more information and sample forms, see 

The determination is not made on the number of people. The Board limits a physician to supervise a total of 360 "full-time equivalent" (FTE) hours per week of mid-level practitioners. Mid-level practitioners include CRNPs, CNMs and PAs. The county and state health departments are exempt from this rule. Please contact our office if you have further questions about this issue.

No, a PA, CRNP, or CNM may only practice in a hospital where the practitioner and his or her supervising  or collaborating physician both have privileges.

Yes, they may refer to physical therapists for treatment based on a protocol prescribed  by the licensed physician under whom the PA, CRNP, or CNM is practicing.


Yes, as long as the physician co-signs the death summary.