PA · Wyoming
Supervision Agreement for Physician Assistants in Wyoming
Yes, a written supervising-physician agreement is required. Wyoming does not name a specific instrument.
Wyoming has no experience/hours-based independent-practice pathway for PAs — a supervising-physician relationship approved by the Board of Medicine is required for the PA's entire career (W.S. 33-26-501 et seq.), though PAs 'exercise autonomy in medical decision making' within that relationship.
What the supervision must look like
The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.
Proximity
Available remotely (no on-site requirement)
'Supervision means the ready availability of the supervising physician for consultation and direction... [c]ontact with the supervising physician by telecommunications is sufficient to show ready availability, if the board finds that such contact is sufficient to provide quality medical care' (W.S. 33-26-501 et seq.) — no fixed mile/minute radius.
Supervision ratio
Up to 3 at a time
A physician is limited to supervising 3 or fewer PAs 'only for good cause specific to the circumstances of that individual physician' (W.S. 33-26-504) — i.e. 3 is a soft/Board-adjustable cap rather than an absolute ceiling, but it is the explicit statutory starting point.
Chart review
Not codified — left to the agreement
Meeting cadence
Not codified — left to the agreement
Prescriptive authority
Separate prescribing terms required · controlled substances permitted
Prescriptive scope is delegated by the supervising physician within the physician's own scope of practice and the PA's skills; requires a Wyoming Controlled Substance Registration. No schedule-specific numeric limit for PAs specifically was confirmed in this research pass.
Written agreement
Required
Practice ownership (corporate practice of medicine)
Licensee-only ownership required — Professional corporation under W.S. § 17-3-101 — capital stock must be owned EXCLUSIVELY by persons licensed in that same profession; Wyoming Board of Medicine rules additionally, administratively prohibit non-physician ownership of medical practices. Whether a PA can independently own a single-profession PA-only corporation (as opposed to a physician-owned medical practice) was not separately confirmed.
Legal sources for these rules (4)
What a supervising physician costs here
Typical monthly cost in Wyoming
$500 – $800
Estimate for one Physician Assistant. This state's proximity rules add a small premium.
About Wyoming's rules
Wyoming is a full-independence state for ALL FOUR APRN roles (NP, CRNA, CNM, CNS) under the APRN Consensus Model — no supervision/collaboration agreement required. PAs are separate: permanent physician supervision under W.S. 33-26, capped at 3 PAs per physician absent Board-approved good cause (W.S. 33-26-504) — one of the few explicit numeric PA ratio caps on file.
Other clinicians in Wyoming: see the state overview.