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Virginia Board of Medicine
Guidance Documents

The Code of Virginia requires annual publication of lists of guidance documents from state agencies. A guidance document is defined as "...any document developed by a state agency or staff that provides information or guidance of general applicability to the staff or public to interpret or implement statutes or the agency's rules or regulations..." Agencies are required to maintain a complete, current list of all guidance documents and make the full text of such documents available to the public.

Copies of the following documents may be viewed during regular workdays from 8:15 a.m. until 5 p.m. at the offices of the Department of Health Professions, 9960 Mayland Drive, Suite 300, Henrico Virginia 23233-1463 .  Copies may also be downloaded by clicking on the links below or from the Regulatory Townhall at or requested by email at Questions regarding implementation of these documents or requests for copies may be directed to William L. Harp, M.D., Executive Director of the Board at the address above or by telephone at (804) 367-4600. Copies are free of charge.

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For the other files you'll need Microsoft Word or the free viewer.

Guidance Documents:

76-21.1:30 Mixing, Diluting or Reconstituting or Drugs or Administration, effective July 1, 2018 (PDF)

85-1 Virginia Board of Medicine Bylaws, revised June 14, 2018

85-2 Assistant Attorney General opinion of October 25, 1986 on who can do a school physical examination, reviewed and retained October 2018 (pdf)

85-3 Guidance on Completing Form B Employment Verifications, adopted December 1, 2017

85-4 Continuing Education for chiropractors acceptable to the Board, effective October 18, 2018

85-5 Guidance on questions concerning medical records, revised August 10, 2017

85-6 Guidance on competency assessments for three paid claims, reaffirmed October 18, 2018 (pdf)

85-8 Authority of Physician Assistants to write Do Not Resuscitate Orders (DNR Orders), reaffirmed October 18, 2018 (pdf)

85-9 Policy on USMLE Step Attempts, adopted October 24, 2013, reaffirmed October 18, 2018 (pdf)

85-10 Disclosure by Licensed Midwives for High-Risk Pregnancy Conditions, revised October 22, 2015 (pdf)

85-11 Sanctioning Reference Points Manual, rev. 8/11(pdf)

85-12 Telemedicine, revised October 28, 2018 (pdf)

85-13  Guidelines on Performing Procedures on the Newly Deceased for Training Purposes, revised October 28, 2018 (pdf)

85-14 Procedure for Enforcement of Continuing Competency Requirements, adopted: June 18, 2015 (pdf)

85-15  Guidelines Concerning the Ethical Practice of Attending Physicians and Fellows, Residents and Interns, revised October 18, 2018 (pdf)

85-16 Questions and Answers on Continuing Competency Requirements for the Virginia Board of Medicine, revised October 18, 2018 (pdf)

85-17 Supervisory responsibilities of an occupational therapist, adopted February 15, 2018

85-19 Glossary of Terms used in the Practitioner Profile, revised October 18, 2018 (pdf)

85-20 AG Opinion on Employment of surgeon by nonprofic corporation, reaffirmed October 18, 2018 (pdf)

85-21 AG Opinion on Employment of physician by a for-profit corporation, reaffirmed October 18, 2018 (pdf)

85-23 Board policy on the use of confidential consent agreements, revised October 18, 2018 (pdf)

85-26 Guidance Document on Compliance with Law for Licensed Midwives, revised October 18, 2018 (pdf)

85-27 Role of Licensed Midwives in Newborn Hearing Screening, Documentation, and Reporting, revised October 18, 2018 (pdf)

85-28 Authority of Licensed Midwives to Order Tests, revised October 18, 2018 (pdf)

90-11, Continuing Competency Violations for Nurse Practitioners, revised by the Board of Medicine June 18, 2015, revised by the Board of Nursing July 14, 2015

90-33, Authority of Licensed Nurse Practitioners to write Do Not Resuscitate Orders (DNR Orders), effective May 16, 2019 (pdf)

90-53 Treatment by Women's Health Nurse Practitioners of Male Clients for Sexually Transmitted Disease, revised July 17, 2012-Board of Nursing, revised August 3, 2012-Board of Medicine

90-56, Practice Agreement Requirements for Licensed Nurse Practitioners, adopted by the Board of Nursing March 21, 2017, adopted by the Board of Medicine February 16, 2017

90-64 Telemedicine for Nurse Practitioners, revised by the Board of Medicine June 22, 2017, revised by the Board of Nursing July 18, 2017

110-8 Information on prescriptive authority in Virginia, revised December 1, 2015