HIPAA Compliance: Health Insurance Portability and Accountability Act requirements to ensure no protected health information is disclosed in the recommendation letter

ADA Compliance: Americans with Disabilities Act considerations to ensure the letter avoids any discriminatory language

Title VII Civil Rights: Title VII of the Civil Rights Act requirements to prevent discrimination based on protected characteristics in the recommendation

State Medical Board Regulations: Specific state medical board requirements and regulations that may affect the content and format of PA recommendations

State PA Practice Requirements: State-specific Physician Assistant practice requirements that should be considered in the recommendation

State Privacy Laws: State-specific privacy laws that may impose stricter requirements than federal HIPAA regulations

ARC-PA Guidelines: Accreditation Review Commission on Education for the Physician Assistant guidelines for professional recommendations

AAPA Standards: American Academy of Physician Assistants professional standards that should be reflected in the recommendation

FERPA Compliance: Family Educational Rights and Privacy Act requirements if the recommendation involves academic records

Institutional Policies: Hospital, clinic, or academic institution specific policies regarding professional recommendations

Defamation Laws: Legal considerations regarding truthful statements and avoiding defamatory content in recommendations

Professional Liability: Considerations regarding professional liability implications of providing recommendations