Guam

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Licensed professional counselors may diagnose patients and develop treatment plans for patients. Guam Public Law 32-054

No data available for the certification of peer support specialists.

Full independent practice and prescriptive authority.

NMs are licensed independent practitioners within standards established or recognized by the Board of Nursing. 10 GCA Ch. 12, Art. 3 § 12313

A NM may prescribe, order, dispense and furnish drugs and devices and prescribe Schedule II-V controlled substances. 10 GCA Ch. 12, Art. 3 §12313

Full independent practice and prescriptive authority.

NPs are licensed independent practitioners within standards established or recognized by the Board of Nursing. 10 GCA Ch. 12, Art. 3 § 12313

An NP may prescribe, order, dispense and furnish drugs and devices and prescribe Schedule II-V controlled substances. 10 GCA Ch. 12, Art. 3 §12313

Information not currently available.

NPs are recognized in policy as primary care providers. Primary care practitioner means a nurse practitioner licensed pursuant to Article 3 of Chapter 12, Division 1, Part 1 of Title 10 of the Guam Code Annotated. 10 GCA Ch. 2, Art. 9 §2903(n)

Optometrists may only examine, diagnose and treat conditions of the visual system. 10 Guam Code §12501

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Optometrists may not prescribe controlled substances. 10 Guam Code §12508

Guam does not allow dental hygienists to practice with direct access.

Dental therapists are not recognized as an oral health provider.

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Supervision with a physician is required for practice and prescriptive authority.

A physician assistant may provide any medical services when such services are within his skills, form a usual component of the physician’s scope of practice under the supervision of a supervising physician. 10 GUAM CODE ANN. § 121603

Collaborative Practice Agreement shall mean an agreement by and between […] a physician assistant and a Guam licensed physician practicing in the area of specialty, wherein the parties to such an agreement mutually agree, in writing, to the terms and conditions of the ordering and prescribing of ‘Schedule Drugs II – V.’ 10 GUAM CODE ANN. § 12802(b)(3

Statute limits the number of PAs that a physician can supervise.

Not more than two (2) currently licensed physician assistants may be supervised by a licensed physician at any one time. 10 GUAM CODE ANN. § 121607(d)

Chart co-signatures required by statute for PA to practice or prescribe

All medical records must be reviewed and co-signed by the approved supervising physician within seven (7) days. 10 GUAM CODE ANN. § 121607(b)

Statute allows adaptable proximity.

Supervision shall be one of the following:
(A) Direct supervision shall mean supervision whereby a licensee diagnoses the condition to be treated, approves the work to be performed and remains on the premises while the procedures are being performed.
(B) Indirect supervision shall mean supervision whereby a licensee authorizes the procedures which are being carried out, but need not be present on the premises when the authorized procedures are being performed. The licensee must be available on Island by telecommunications.
10 GUAM CODE ANN. § 12802(b)(11)

A PA may provide any medical services that are within their skills and forms a usual component of the physician’s scope of practice under the supervision of a supervising physician.
10 GCA Ch. 12, Art. 16 §121603