Exception Requests
This page provides guidance for osteopathic physicians who wish to request an exception to the supervision limits set forth in Oklahoma Administrative Code 510:10-4-3.
When is an exception request required?
An exception request is required when a supervising osteopathic physician:
- Asks to supervise more than six (6) mid-level practitioners.
- Asks to forego the monthly practice location visit.
- Asks to supervise an immediate family member.
- Asks to review less than fifteen percent (15%) of patient charts monthly.
- Asks to charge a fee for supervising an ARPN at a rate higher than $300 per hour (See Policy OSBOE-P008).
How is an exception request submitted?
Review the Policy on Mid-Level Exception Requests - OSBOE-P003
If requesting an increase to the six (6) mid-level practitioners allowed, prepare and submit the following information as outlined in OSBOE-P003 to support@osboe.ok.gov.
- General Section of Packet
- Current Mid-Level Section of Packet
- Proposed Mid-Level Section of Packet
If not requesting an increase, prepare and submit the following information as outlined in OSBOE-P003 to support@osboe.ok.gov.
- General Section of Packet
- Detailed Explanation of the Exception Request
- Any Relevant Documentation
What are the steps following submittal?
Once an exception request has been received:
- Board staff will respond with receipt of the request and inform the requestor they will be added to the Board's next regularly scheduled meeting. Note: If this is time sensitive request, please indicate so. The Executive Director may temporarily approve exceptions between meetings on a case-by-case basis.
- Board staff will review the submission and reach out to discuss any additional information needed or questions they have.
- Requestor will appear at the Pre-Hearing Conference roughly one (1) month before the Board appearance to prepare for their request to be heard before the Board.
- Requestor will appear in person or via teleconferencing at the Board meeting and present their request. Board may approve, deny, modify, or table the request.
- Following the Board meeting, Board staff will be in touch with an Order based upon the Board's decision.
Last Modified on
Nov 19, 2025