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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 

85-4 Continuing Education for chiropractors acceptable to the Board, effective December 8, 2022

85-5 Guidance on questions concerning medical records, reaffirmed February 17, 2022

85-6 Guidance on competency assessments for three paid claims, effective December 8, 2022

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), effective December 8, 2022

85-10 Disclosure by Licensed Midwives for High-Risk Pregnancy Conditions, effective October 26, 2023

85-12 Telemedicine, effective August 19, 2021

85-13 Guidelines on Performing Procedures on the Newly Deceased for Training Purposes, effective December 8, 2022

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, effective December 8, 2022

85-16 Questions and Answers on Continuing Competency Requirements for the Virginia Board of Medicine, effective December 8, 2022

85-17 Supervisory responsibilities of an occupational therapist, effective August 18, 2022

85-23 Board policy on the use of confidential consent agreements, effective December 8, 2022

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

90-56 Practice Agreement Requirements for Licensed Nurse Practitioners (Advanced Practice Registered Nurses), effective February 2, 2023

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 January 4, 2024

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Virginia Board of Medicine | Contact the Board
William L. Harp, MD, Executive Director
John R. Clements, DPM, President