What must the supervising physician actually do in Alabama?
Oversight · part of The Practice Perimeter
Short answer
At minimum, keep a written protocol on site naming the physician, with proof of his training and the delegate's activities, decision criteria and plan — plus supervise each delegated treatment on-site or locally remote and personally treat complications.
Written protocols for the purpose of this section shall mean physician’s order, standing delegation order, standing medical order, or other written order that is maintained on site. A written protocol must be provided to the Board upon request and must provide, at a minimum, the following: (1) A statement identifying the individual physician authorized to utilize the specified device and responsible for the delegation of the performance of the specified procedure, including proof of the physician’s training in accordance with these rules; (2) A statement of the activities, decision criteria, and plan the Level 1 or 2 Delegate shall follow when performing delegated procedures;
Ala. Admin. Code r. 540-X-11-.05 (Written protocols) · verified Sep 4, 2026 · regulatory monitoring, not legal advice
Related Alabama rules
(1) A physician may delegate the performance of non-ablative treatments as defined in these rules through the use of written protocols to a properly trained Level 1 or 2 Delegate. (2) A delegating physician shall supervise the performance of all non-ablative treatments delegated to a Level 1 or 2 Delegate.
Ala. Admin. Code r. 540-X-11-.04(1)-(2) (Delegation and supervision) · verified Sep 4, 2026
(b) Responsibility for the formulation or approval of a written protocol that meets the requirements of these rules and responsibility for any patient-specific deviation from the protocol; (c) Substantive review and authorization, at least annually, of the written protocol and any patient-specific deviations from the protocol regarding care provided to a patient under the protocol on a schedule defined in the written protocol;
Ala. Admin. Code r. 540-X-11-.04(2)(b)-(c) (Delegation and supervision) · verified Sep 4, 2026
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