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Virginia Administrative Code
Title 18. Professional And Occupational Licensing
12/31/2024

Agency 85. Board of Medicine

Preface

VAC AGENCY NO. 85

BOARD OF MEDICINE

AGENCY SUMMARY

The Board of Medicine is a licensing and regulatory board housed within the Department of Health Professions. For the statutory authority of the boards within the department, see Subtitle III (§ 54.1-2400 et seq.) of Title 54.1 of the Code of Virginia.

The board is authorized by Chapter 29 (§ 54.1-2900 et seq.) of Title 54.1 of the Code of Virginia to license, certify, and regulate 23 different types of health care practitioners, some jointly with the Boards of Pharmacy and Nursing. 

The board is required by Chapter 29 (§ 54.1-2900 et seq.) of Title 54.1 of the Code of Virginia to prescribe by regulation such requirements as may be necessary to ensure continued practitioner competence, which may include continuing education, testing, or any other requirement and to promulgate regulations to facilitate participation in the PA Licensure Compact and the Occupational Therapy Interjurisdictional Licensure Compact.

Board regulations and guidance as well as contact information for the board are available through the board's website at https://www.dhp.virginia.gov/Boards/Medicine/.

Rev. 07/2024

Chapter 10
Public Participation Guidelines [Repealed]Read all
Section 10
[Repealed]
Section 15
[Repealed]
Section 20
[Repealed]
Section 30
[Repealed]
Section 40
[Repealed]
Section 50
[Repealed]
Section 60
[Repealed]
Section 70
[Repealed]
Section 80
[Repealed]
Section 90
[Repealed]
Section 100
[Repealed]
Section 110
[Repealed]
Chapter 11
Public Participation GuidelinesRead all
Part I
Purpose and Definitions
Section 10
Purpose
Section 20
Definitions
Part II
Notification of Interested Persons
Section 30
Notification List
Section 40
Information to Be Sent to Persons on the Notification List
Part III
Public Participation Procedures
Section 50
Public Comment
Section 60
Petition for Rulemaking
Section 70
Appointment of Regulatory Advisory Panel
Section 80
Appointment of Negotiated Rulemaking Panel
Section 90
Meetings
Section 100
Public Hearings on Regulations
Section 110
Periodic Review of Regulations
Chapter 15
Regulations Governing Delegation to an Agency SubordinateRead all
Section 10
Decision to Delegate Informal Fact-Finding Proceedings to an Agency Subordinate
Section 20
Criteria for Delegation
Section 30
Criteria for an Agency Subordinate
Chapter 20
Regulations Governing the Practice of Medicine, Osteopathic Medicine, Podiatry, and ChiropracticRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Public Participation Guidelines
Section 21
Current Addresses
Section 22
Required Fees
Part II
Standards of Professional Conduct
Section 25
Treating and Prescribing for Self or Family
Section 26
Patient Records
Section 27
Confidentiality
Section 28
Practitioner-Patient Communication; Termination of Relationship
Section 29
Practitioner Responsibility
Section 30
Advertising Ethics
Section 40
Vitamins, Minerals and Food Supplements
Section 50
Anabolic Steroids
Section 60
[Repealed]
Section 80
Solicitation or Remuneration in Exchange for Referral
Section 90
Pharmacotherapy for Weight Loss
Section 91
Practice and Supervision of Laser Hair Removal
Section 100
Sexual Contact
Section 105
Refusal to Provide Information
Section 110
[Repealed]
Part III
Licensure: General and Educational Requirements
Section 120
Prerequisites to Licensure
Section 121
Educational Requirements: Graduates of Approved Institutions
Section 122
Educational Requirements: Graduates and Former Students of Institutions Not Approved by an Accrediting Agency Recognized by the Board
Section 130
[Repealed]
Section 131
Requirements to Practice Acupuncture
Part IV
Licensure: Examination Requirements
Section 140
Examinations, General
Section 141
Licensure by Endorsement
Section 150
[Repealed]
Section 160
[Repealed]
Part V
Limited or Temporary Licenses
Section 210
Limited Licenses to Foreign Medical Graduates
Section 220
Temporary Licenses to Interns and Residents
Section 225
Registration for Voluntary Practice by Out-of-State Licenses
Section 226
Restricted Volunteer License
Part VI
Renewal of License; Reinstatement
Section 230
Renewal of an Active License
Section 235
Continued Competency Requirements for Renewal of an Active License
Section 236
Inactive License
Section 240
Reinstatement of an Inactive or Lapsed License
Section 250
[Repealed]
Section 270
[Repealed]
Part VII
Practitioner Profile System
Section 280
Required Information
Section 285
Voluntary Information
Section 290
Reporting of Medical Malpractice Judgments and Settlements
Section 300
Noncompliance or Falsification of Profile
Part VIII
Office-Based Anesthesia
Section 310
Definitions
Section 320
General Provisions
Section 330
Qualifications of Providers
Section 340
Procedure/Anesthesia Selection and Patient Evaluation
Section 350
Informed Consent
Section 360
Monitoring
Section 370
Emergency and Transfer Protocols
Section 380
Discharge Policies and Procedures
Section 390
Reporting Requirements
Part IX
Mixing, Diluting, or Reconstituting of Drugs for Administration
Section 400
Requirements for Immediate-Use Sterile Mixing, Diluting, or Reconstituting
Section 410
Requirements for Low-Risk, Medium-Risk, or High-Risk Sterile Mixing, Diluting, or Reconstituting
Section 420
Responsibilities of Doctors Who Mix, Dilute or Reconstitute Drugs in Their Practices
FORMS
Forms (18VAC85-20)
DIBR
Documents Incorporated by Reference (18VAC85-20)
Chapter 21
Regulations Governing Prescribing of Opioids and BuprenorphineRead all
Part I
General Provisions
Section 10
Applicability
Section 20
Definitions
Section 21
Electronic Prescribing
Section 22
Patient Counseling
Part II
Management of Acute Pain
Section 30
Evaluation of the Acute Pain Patient
Section 40
Treatment of Acute Pain with Opioids
Section 50
Medical Records for Acute Pain
Part III
Management of Chronic Pain
Section 60
Evaluation of the Chronic Pain Patient
Section 70
Treatment of Chronic Pain with Opioids
Section 80
Treatment Plan for Chronic Pain
Section 90
Informed Consent and Agreement for Treatment for Chronic Pain
Section 100
Opioid Therapy for Chronic Pain
Section 110
Additional Consultations
Section 120
Medical Records for Chronic Pain
Part IV
Prescribing of Buprenorphine for Addiction Treatment
Section 130
General Provisions Pertaining to Prescribing of Buprenorphine for Addiction Treatment
Section 140
Patient Assessment and Treatment Planning for Addiction Treatment
Section 150
Treatment with Buprenorphine for Addiction
Section 160
Special Populations in Addiction Treatment
Section 170
Medical Records for Opioid Addiction Treatment
Chapter 30
Regulations Governing the Practice of Physical Therapy [Repealed]Read all
Section 10
[Repealed]
Chapter 31
Regulations Governing the Practice of Physical Therapy [Repealed]Read all
Section 10
[Repealed]
Chapter 40
Regulations Governing the Practice of Respiratory TherapistsRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Public Participation
Section 25
Current Name and Address
Section 30
Violations
Section 35
Fees
Part II
Requirements for Licensure as a Respiratory Therapist
Section 40
Licensure Requirements
Section 45
Educational Requirements
Section 50
Examination Requirements
Section 55
Registration for Voluntary Practice by Out-of-State Licensees
Part III
Renewal and Reinstatement
Section 60
Renewal of License
Section 61
Inactive License
Section 65
Reactivation or Reinstatement
Section 66
Continuing Education Requirements
Section 67
Restricted Volunteer License
Part IV
Scope of Practice
Section 70
Individual Responsibilities
Section 80
[Repealed]
Part V
Standards of Professional Conduct
Section 85
Confidentiality
Section 86
Patient Records
Section 87
Practitioner-Patient Communication; Termination of Relationship
Section 88
Practitioner Responsibility
Section 89
Solicitation or Remuneration in Exchange for Referral
Section 90
Sexual Contact
Section 91
Refusal to Provide Information
FORMS
Forms (18VAC85-40)
Chapter 50
Regulations Governing the Practice of Physician AssistantsRead all
Part I
General Provisions
Section 10
Definitions
Section 20
[Repealed]
Section 21
Current Name and Address
Section 30
Public Participation Guidelines
Section 35
Fees
Part II
Requirements for Practice as a Physician's Assistant
Section 40
General Requirements
Section 50
Licensure: Entry Requirements and Application
Section 55
Provisional Licensure
Section 56
Renewal of License
Section 57
Discontinuation of Employment
Section 58
Inactive Licensure
Section 59
Registration for Voluntary Practice by Out-of-State Licensees
Section 60
[Repealed]
Section 61
Restricted Volunteer License
Part III
Examination [Repealed]
Section 70
[Repealed]
Part IV
Practice Requirements
Section 101
Requirements for a Practice Agreement
Section 110
Responsibilities of the Patient Care Team Physician or Podiatrist
Section 115
Responsibilities of the Physician Assistant
Section 116
Volunteer Restricted License for Certain Physician Assistants
Section 117
Authorization to Use Fluoroscopy
Section 120
[Repealed]
Part V
Prescriptive Authority
Section 130
Qualifications for Approval of Prescriptive Authority
Section 140
Approved Drugs and Devices
Section 150
[Repealed]
Section 160
Disclosure
Section 170
[Repealed]
Part VI
Standards of Professional Conduct
Section 175
Confidentiality
Section 176
Treating and Prescribing for Self or Family
Section 177
Patient Records
Section 178
Practitioner-Patient Communication
Section 179
Practitioner Responsibility
Section 180
Vitamins, Minerals and Food Supplements
Section 181
Pharmacotherapy for Weight Loss
Section 182
Anabolic Steroids
Section 183
Sexual Contact
Section 184
Refusal to Provide Information
Section 191
Practice and Supervision of Laser Hair Removal
FORMS
Forms (18VAC85-50)
DIBR
Documents Incorporated by Reference (18VAC85-50)
Chapter 60
Correctional Health Assistants [Repealed]Read all
Section 10
[Repealed]
Chapter 70
Regulations Governing the Licensure of Nurse Practitioners [Withdrawn]Read all
Chapter 80
Regulations Governing the Practice of Occupational TherapyRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Public Participation
Section 25
Current Name and Address
Section 26
Fees
Section 30
[Repealed]
Part II
Requirements of Licensure as an Occupational Therapist
Section 35
Application Requirements
Section 40
Educational Requirements
Section 45
Practice by a Graduate Awaiting Examination Results
Section 50
Examination Requirements
Section 60
Practice Requirements
Section 61
[Repealed]
Section 65
Registration for Voluntary Practice by Out-of-State Licensees
Part III
Renewal of Licensure; Reinstatement
Section 70
Biennial Renewal of Licensure
Section 71
Continued Competency Requirements for Renewal of an Active License
Section 72
Inactive Licensure
Section 73
Restricted Volunteer License
Section 80
Reinstatement
Part IV
Practice of Occupational Therapy
Section 90
General Responsibilities
Section 100
Individual Responsibilities
Section 110
Supervisory Responsibilities of an Occupational Therapist
Section 111
Supervision of Unlicensed Occupational Therapy Personnel
Section 120
[Repealed]
Part V
Standards of Professional Conduct
Section 130
Confidentiality
Section 140
Patient Records
Section 150
Practitioner-Patient Communication; Termination of Relationship
Section 160
Practitioner Responsibility
Section 170
Sexual Contact
Section 180
Refusal to Provide Information
FORMS
Forms (18VAC85-80)
Chapter 90
Certification for Optometrists to Prescribe for and Treat Certain Diseases, Including Abnormal Conditions, of the Human Eye and Its Adnexa with Certain Therapeutic Pharmaceutical Agents [Repealed]Read all
Section 10
[Repealed]
Chapter 100
Certification of Radiological Technology Practitioners [Repealed]Read all
Section 10
[Repealed]
Chapter 101
Regulations Governing the Practice of Radiologic TechnologyRead all
Part I
General Provisions
Section 10
Definitions
Section 20
[Repealed]
Section 25
Fees
Section 26
Current Name and Address
Part II
Licensure Requirements - Radiologist Assistants
Section 27
Educational Requirements for Radiologist Assistants
Section 28
Licensure Requirements
Part III
Licensure Requirements - Radiologic Technologist
Section 30
Educational Requirements for Radiologic Technologists
Section 40
Licensure Requirements
Section 50
[Repealed]
Part IV
Licensure Requirements - Radiologic Technologist-Limited
Section 55
Educational Requirements for Radiologic Technologists-Limited
Section 60
Licensure Requirements
Section 61
[Repealed]
Section 70
[Repealed]
Section 80
[Repealed]
Part V
Practice of Radiologist Assistants
Section 91
General Requirements.
Section 92
Individual Responsibilities to Patients and to Licensed Doctor of Medicine or Osteopathic Medicine
Part VI
Practice of Radiologic Technologists
Section 100
General Requirements
Section 110
Individual Responsibilities to Patients and to Licensed Doctor of Medicine, Osteopathy, Chiropractic, or Podiatry
Section 120
Supervisory Responsibilities
Part VII
Practice of Radiologic Technologist-Limited
Section 130
General Requirements
Section 140
Individual Responsibilities to Patients and Licensed Radiologic Technologist, Doctor of Medicine, Osteopathy, Chiropractic, or Podiatry
Section 145
Registration for Voluntary Practice by Out-of-State Licensees
Part VIII
Renewal of Licensure
Section 150
Biennial Renewal of License
Section 151
Reinstatement
Section 152
Inactive License
Section 153
Restricted Volunteer License
Section 160
[Repealed]
Part IX
Standards of Professional Conduct
Section 161
Confidentiality
Section 162
Patient Records
Section 163
Practitioner-Patient Communication
Section 164
Practitioner Responsibility
Section 165
Sexual Contact
Section 166
Refusal to Provide Information
FORMS
Forms (18VAC85-101)
Chapter 110
Regulations Governing the Practice of Licensed AcupuncturistsRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Public Participation
Section 30
[Repealed]
Section 35
Fees
Section 36
Current Name and Address
Section 40
[Repealed]
Part II
Requirements for Licensure
Section 50
Educational Requirements: Graduates of Approved Institutions or Programs in the United States
Section 60
Requirements of Foreign Graduates of Nonaccredited Educational Programs in Acupuncture
Section 70
[Repealed]
Section 80
Examination Requirements for Licensure
Section 90
Test of Spoken English Requirements
Part III
Scope of Practice
Section 100
General Requirements
Section 110
Limitation of Titles
Section 120
[Repealed]
Section 130
[Repealed]
Section 140
Sterilization Practices and Infection Control
Section 145
Registration for Voluntary Practice by Out-of-State Licensees
Part IV
Renewal and Reinstatement of Licensure
Section 150
Biennial Renewal of Licensure
Section 155
Inactive Licensure
Section 160
Reinstatement
Section 161
Restricted Volunteer License
Section 170
[Repealed]
Part V
Standards of Professional Conduct
Section 175
Confidentiality
Section 176
Patient Records
Section 177
Practitioner-Patient Communication; Termination of Relationship
Section 178
Practitioner Responsibility
Section 179
Advertising Ethics
Section 180
Dietary Supplements
Section 181
Solicitation or Remuneration in Exchange for Referral
Section 182
Sexual Contact
Section 183
Refusal to Provide Information
FORMS
Forms (18VAC85-110)
Chapter 120
Regulations Governing the Licensure of Athletic TrainersRead all
Part I
General Provisions
Section 10
Definitions
Section 20
[Repealed]
Section 30
Current Name and Address
Section 35
Fees
Part II
Requirements for Licensure as an Athletic Trainer
Section 40
[Repealed]
Section 50
Requirements for Licensure
Section 60
[Repealed]
Section 70
[Repealed]
Section 75
Temporary Authorization to Practice
Section 80
Provisional Licensure
Section 85
Registration for Voluntary Practice by Out-of-State Trainers
Part III
Renewal and Reinstatement
Section 90
Renewal of License
Section 95
Inactive Licensure
Section 100
Reinstatement
Part IV
Standards of Practice
Section 110
Individual Responsibilities
Section 120
General Responsibilities
Section 130
Supervisory Responsibilities
Section 140
[Repealed]
Section 150
[Repealed]
Part V
Standards of Professional Conduct
Section 155
Confidentiality
Section 156
Patient Records
Section 157
Practitioner-Patient Communication
Section 158
Practitioner Responsibility
Section 159
Vitamins, Minerals and Food Supplements
Section 160
Anabolic Steroids
Section 161
Sexual Contact
Section 162
Refusal to Provide Information
FORMS
Forms (18VAC85-120)
Chapter 130
Regulations Governing the Practice of Licensed MidwivesRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Public Participation
Section 30
Fees
Section 31
Current Name and Address
Part II
Requirements for Licensure and Renewal of Licensure
Section 40
Criteria for Initial Licensure
Section 45
Practical Experience under Supervision
Section 50
Biennial Renewal of Licensure
Section 60
Inactive Licensure
Section 70
Reinstatement
Part III
Practice Standards
Section 80
General Disclosure Requirements
Section 81
Disclosures on Health Risks
Section 90
Confidentiality
Section 100
Client Records
Section 110
Practitioner-Client Communication; Termination of Relationship
Section 120
Practitioner Responsibility
Section 130
Advertising Ethics
Section 140
Vitamins, Minerals and Food Supplements
Section 150
Solicitation or Remuneration in Exchange for Referral
Section 160
Sexual Contact
Section 170
Refusal to Provide Information
FORMS
Forms (18VAC85-130)
Chapter 140
Regulations Governing the Practice of Polysomnographic TechnologistsRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Public Participation
Section 30
Current Name and Address
Section 40
Fees
Part II
Requirements for Licensure as a Polysomnographic Technologist
Section 45
Practice As a Student or Trainee
Section 50
Application Requirements
Section 60
Licensure Requirements
Part III
Renewal and Reinstatement
Section 70
Renewal of License
Section 80
Inactive License
Section 90
Reactivation or Reinstatement
Section 100
Continuing Education Requirements
Part IV
Scope of Practice
Section 110
General Responsibility
Section 120
Supervisory Responsibilities
Part V
Standards of Professional Conduct
Section 130
Confidentiality
Section 140
Patient Records
Section 150
Practitioner-Patient Communication; Termination of Relationship
Section 160
Practitioner Responsibility
Section 170
Solicitation or Remuneration in Exchange for Referral
Section 180
Sexual Contact
Section 190
Refusal to Provide Information
FORMS
Forms (18VAC85-140)
Chapter 150
Regulations Governing the Practice of Behavior AnalysisRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Public Participation
Section 30
Current Name and Address
Section 40
Fees
Part II
Requirements for Licensure as a Behavior Analyst or an Assistant Behavior Analyst
Section 50
Application Requirements
Section 60
Licensure Requirement
Part III
Renewal and Reinstatement
Section 70
Renewal of Licensure
Section 80
Inactive Licensure
Section 90
Reactivation or Reinstatement
Section 100
Continuing Education Requirements
Part IV
Scope of Practice
Section 110
Scope of Practice
Section 120
Supervisory Responsibilities
Section 130
Supervision of Unlicensed Personnel
Part V
Standards of Professional Conduct
Section 140
Confidentiality
Section 150
Client Records
Section 160
Practitioner-Client Communication; Termination of Relationship
Section 170
Practitioner Responsibility
Section 180
Solicitation or Remuneration in Exchange for Referral
Section 190
Sexual Contact
Section 200
Refusal to Provide Information
FORMS
Forms (18VAC85-150)
Chapter 160
Regulations Governing the Licensure of Surgical Assistants and CertificationOf Surgical TechnologistsRead all
Section 10
Definitions
Section 20
Public Participation
Section 30
Current Name and Address
Section 40
Fees
Section 50
Requirements for Licensure As a Surgical Assistant
Section 51
Requirements for Certification As a Surgical Technologist
Section 60
Renewal of Licensure for a Surgical Assistant
Part II
Requirements for Licensure or Certification
Section 65
Renewal of Certification for a Surgical Technologist
Section 70
Reinstatement or Reactivation of Surgical Assistant Licensure
Part III
Standards of Conduct
Section 80
Confidentiality
Section 90
Patient Records
Section 100
Communication with Patients; Termination of Relationship
Section 110
Practitioner Responsibility
Section 120
Sexual Contact
Section 130
Refusal to Provide Information
FORMS
Forms (18VAC85-160)
Chapter 170
Regulations Governing the Practice of Genetic CounselorsRead all
Part I
General Provisions
Section 10
Definitions
Section 20
Public Participation
Section 30
Current Name and Address
Section 40
Fees
Part II
Requirements for Licensure as a Genetic Counselor
Section 50
Application Requirements
Section 60
Licensure Requirements
Part III
Renewal and Reinstatement
Section 70
Renewal of License
Section 80
Inactive License
Section 90
Reactivation or Reinstatement
Section 100
Continuing Education Requirements
Part IV
Scope of Practice
Section 110
General Responsibility
Section 120
Supervisory Responsibilities
Section 125
Responsibilities of a Temporary Licensee
Part V
Standards of Professional Conduct
Section 130
Confidentiality
Section 140
Patient Records
Section 150
Practitioner-Patient Communication; Termination of Relationship
Section 160
Practitioner Responsibility
Section 170
Solicitation or Remuneration in Exchange for Referral
Section 180
Sexual Contact
Section 190
Refusal to Provide Information
FORMS
Forms (18VAC85-170)

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