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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 work days 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.

To view the PDF files below you'll need the free Adobe Acrobat Reader

76-21.1.30, Mixing, Diluting or Reconstituting of Drugs for Administration, effective July 1, 2018 

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

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

85-7 Guidance on practice of conversion therapy, effective February 20, 2020

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

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

85-10 Disclosure by Licensed Midwives for High-Risk Pregnancy Conditions, effective August 19, 2021

85-11 Sanctioning Reference Points Manual, revised August 2011

85-12 Telemedicine, effective August 19, 2021

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

85-14 Procedure for Enforcement of Continuing Competency Requirements, reaffirmed April 9, 2021

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

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

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

85-20 AG Opinion on Employment of surgeon by nonprofit corporation, reaffirmed October 18, 2018

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

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

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

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

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

90-11 Continuing Competency Violations for Nurse Practitioners, effective February 4, 2021

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

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

90-56 Practice Agreement Requirements for Licensed Nurse Practitioners, effective September 30, 2021

90-64 Telemedicine for Nurse Practitioners, revised by the Board of Medicine June 22, 2017, revised by the Board of Nursing July 18, 2017, edited August 11, 2021

110-8 Information on prescriptive authority in Virginia, effective August 6, 2020

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Virginia Board of Medicine | Contact the Board
William L. Harp, MD, Executive Director
L. Blanton Marchese, President