The Board is working to fix this system glitch and is anticipating it will be remedied by the first part of March. 12 0 obj > However, the Board is open to future discussions and potential rulemaking action(s) to address the inclusion of specialty practice areas within 16 CCR 1481(a). They do not replace the national certification and do not expand the scope of practice beyond the role or population. with ocular exercises, visual training or orthoptics; The prescribing, fitting or adaptation of contact lenses and. However, only a physician is authorized to recommend medical use of marijuana, pursuant to Health and Safety code section 11362.5. endstream endobj 200 0 obj <. Possession of a valid license to practice as a professional registered nurse in the State of California. Job Requisition ID: 8163 Position Summary/Position Under the direction of the department leaderhship, the Delegation Oversight Nurse, RN is responsible for oversight of clinical operations for the . Delegation Services Agreement (DSA) | Advanced Practice at UCSF Health Home > Licensing & Certification > Delegation Services Agreement (DSA) Delegation Services Agreement (DSA) Delegation Services Agreement (DSA) California Physician Assistant Board Resources Find up to date resources on the new resources page. How can an employer, patient, or any interested party verify whether a licensee has been certified by the Board as a 103 NP or 104 NP? (See BPC, 3502.3, subd. [7 0 R 13 0 R 15 0 R 17 0 R] endstream endobj 145 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream Business and Professions Code (BPC) section 3502.5. A PA may perform surgical procedures requiring other forms of anesthesia if authorized by the practice agreement and only when the supervising physician is immediately available as defined by Title 16 of the California Code of Regulations section 1399.541. endobj Find up to date resources on the new resources page. California Code Of Regulations Title 16 Section 1443.5 California Code of Regulations Title 22 Section 70215. What are the eligibility requirements to become a 103 NP? The Board of Registered Nursing (Board) is proud to announce that a new 103 Nurse Practitioner (NP) application is now available in BreEZe. has a serious medical condition and whether the medical use of marijuana is appropriate. contact the Board's Consumer Information Unit for assistance. You may be trying to access this site from a secured browser on the server. Health and Safety Code section 11362.7 (a) sets forth the definition of "attending physician" for purposes of the Compassionate Use Act. endobj 14 0 obj !-68k-/Fa|b%a=e_VIX;5>[nJFUXxXnSDI(X?(ZmXqU% <>/Subtype/Form/Type/XObject>>stream 2. However, they cannot practice beyond the scope of their clinical and professional education and training, including specific areas of concentration. Are they finished? <>/ExtGState<>>>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> According to Business and Profession Code Section 2837.103, the following criteria must be met to become a 103 NP: No. 17 0 obj or D.O.). The Nurse Practitioner does not exercise supervisory responsibilities. No, a physician does not need approval from the Board to supervise a Physician Assistant (PA). As part of the 103 NP application process, completion of the transition to practice requirement must be attested to by a physician and surgeon that practices in the same specialty area or category in which the NP is seeking certification as a 103 NP. &B A0_(W3L:4 Physician or another qualified health care practitioner regarding any task, procedure or diagnostic # 8 DLMR_278157.1 023.132639.4 hb```,{@( Faculty. or by calling the Physician Assistant Board at (916) 561-8780. endobj certification as a nurse practitioner who has never been qualified or certified as a nurse practitioner in California or in any other state to meet specified requirements, including For questions, about the 103 NP scope of practice, please contact the Boards Nursing Education Consultants at: NEC.BRN@dca.ca.gov. The Board conducted widespread outreach and engagement prior to developing the proposed regulatory language to implement AB 890. %%EOF The Nurse Practitioner works in collaboration with a physician. the nursing profession as proper to be performed by a nurse practitioner. 2391 0 obj <>/Filter/FlateDecode/ID[<65ECF9608CAC0E469263573F6E04424A><844B11A6E2E9E741859C574038E41F34>]/Index[2372 53]/Info 2371 0 R/Length 100/Prev 629091/Root 2373 0 R/Size 2425/Type/XRef/W[1 3 1]>>stream 0 Yes, PAs are authorized to order or furnish a drug, pursuant to Business and Professions Code section 3502.1. Pursuant to Business and Professions Code section 2069 (a)(1), a supervising physician and surgeon at a "community clinic" licensed under Health and Safety Code section 1204(a) may, at their The written instructions may provide that the supervisory UCSFs innovative, collaborative approach to patient care, research and education spans disciplines across the life sciences, making it a world leader in scientific discovery and its translation to improving health. This includes, but is not limited to, managing a panel of patients, working in a complex health care setting, interpersonal communication, interpersonal collaboration and team-based care, professionalism, and business management of a practice. Before authorizing a PA to perform any medical procedure, the physician is responsible for evaluating the PA education, experience, knowledge, and ability to perform a procedure safely and competently. xZ[o&E@7Eq! hb```I,B cb 30 ux[Kjw,i ip*6l ^sib3= w45e$K7Z&%xR"B>)B~>)'T&38 Ory-JNf<9(bV `@Z\P`LLiLJ@\$+X*T@ Any delegation of services agreement in effect prior to January 1, 2020 shall be deemed to meet the requirements of BPC Section 3502.3. In full practice authority states, nurse practitioners can perform the full scope of practice without a supervising or collaborating physician. endstream endobj startxref DELEGATION OF SERVICES AGREEMENT BETWEEN SUPERVISING PHYSICIAN AND PHYSICIAN ASSISTANT (Title 16, CCR, Section 1399.540) . D kXL@@@q~ l+ Graduating from a specific type of program or . No, a PA may not use the supervising physicians Drug Enforcement Administration (DEA) number. It looks like your browser does not have JavaScript enabled. 2372 0 obj <> endobj kU beX V"nwbLa`Mg A PO BOX 944210, Sacramento, CA 942442100- . <> 4 0 obj An NP is trained to provide primary health care services. Can I open an independent practice as a 104 NP? The transition to practice eligibility requirement is defined as 4600 hours or three full-time equivalent years of clinical practice experience and mentorship that are: When the new application is released to become a 103 NP, the 103 NP applicant will provide proof of completion of a transition to practice by submitting to the Board information of the provider(s) who oversaw and provided the mentorship during the transition to practice period. 1. While they do not significantly extend or alter the current NPs scope of practice, the new categories do have additional authority to work without standardized procedures. function for the medical assistant in performing these tasks or supportive services may be delegated to the nurse practitioner, nurse midwife, or PA and that those tasks may endstream endobj 15 0 obj <> endobj 16 0 obj <> endobj 17 0 obj <>stream 9GRvXi'fN fg`g0 p% Please note, the law requires an NP to first work as a 103 NP in good standing for at least 3 years prior to becoming a 104 NP. P~N16~VX QAs}?d`7 VT2~W @D)&2JB!((haj) ,L}PXF\l. endobj hbbd```b``z"I~|Kjl{0`80 0 9 0 obj hbbd``b`j@q` The undersigned PA/ANP and physician(s) agree that this Delegation Protocol will govern the PA/ANP's provision of care and that it shall be reviewed at least annually and revised as appropriate. Under the Advanced Practice Registered Nursing Consensus Model, licensure occurs at the level of the population foci, as core competencies are aligned with role/population foci. How were the AB 890 regulations developed? 2424 0 obj <>stream of lenses or frames; The prescribing or directing the use of, or using any optical device in connection In addition, Business and Professions Code 2837.104(c) requires a 104 NP to conduct a certain level of consultation, collaboration, and referral to other healing arts providers based on the clinical condition of the patient receiving care. discretion, in consultation with the nurse practitioner, nurse midwife, or PA provide written instructions to be followed by a medical assistant in the performance of tasks or y gZl_JQ@/ <2(%04c/rrxb:d #-gN7O:"T0rI%0,E;.+;9t" w`c'vkY.DYkFF aO> I[g`i&&, STATE OF CALIFORNIA STATE AND CONSUMER SERVICES AGENCY. Monday, March 6, 2023 @ 10:00 AM: Interested Parties Meeting: Complaint Tracking System. Knowledges and Abilities 13 0 obj %PDF-1.6 % Pursuant to the Business and Professions Code section 3502.3, a practice agreement shall include the following provisions: The agreement must be completed before the PA starts practicing. 217 0 obj <>/Filter/FlateDecode/ID[<89C7B48459930547A3CDDDD11E7BFD56>]/Index[199 26]/Info 198 0 R/Length 92/Prev 153515/Root 200 0 R/Size 225/Type/XRef/W[1 3 1]>>stream Therefore, NPs who wish to progress to a 103 or 104 can only do so in whichever of the six NP categories outlined in 16 CCR 1481(a) in which they received their national certification in. The practice of dentistry or dental hygiene or the work of a dental auxiliary. 0 [Signature page follows.] California's website. These services are outlined in the Scope of Services, Paragraph III. endobj PAs may also administer or provide medication to a patient as authorized by a supervising physician to the PA in the practice agreement. The Physician Assistant Practice Act authorizes a delegation of services agreement to authorize a ph ysician assistant to eng age in specified acti vities. Therefore, the application to become a 104 NP will not be available until 2026. 15 0 obj endobj A PA may act as first, or second, assistant in surgery under the supervision of the supervising physician. The physician must have a current medical Delegation of Services Agreements Title 16, Division 13.8, Article 4, section 1399.540 was amended to include several . California's website. <>/Subtype/Form/Type/XObject>>stream No, a PA cannot practice independently. endstream endobj 2373 0 obj <>/Metadata 98 0 R/Pages 2370 0 R/StructTreeRoot 120 0 R/Type/Catalog>> endobj 2374 0 obj <>/MediaBox[0 0 1008 612]/Parent 2370 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2375 0 obj <>stream endobj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 11 0 R/Rect[422.04 666.6 528.72 678.96]/StructParent 4/Subtype/Widget/T(Approved date)/TU(Approved date)/Type/Annot>> The bill also defined education, training, national certification, regulatory, and medical staff governance requirements for these two NP categories. PA prescription pads are no longer required to list the name, address, and telephone number of their supervising physician. %PDF-1.4 % endstream endstream These new categories of NPs are: 103 NP - Works under the provisions outlined in Business and Profession Code Section 2837.103. Here are a few practical tips nurse practitioners should implement in making day to day delegation decisions. The determination of the refractive states of the human eye, or the fitting or adaptation Active California Registered Nurse/Physician Assistant license. Below are the top FAQs for the Board. The Nurse Practitioner is a registered nurse with additional skills in and responsibility for physical diagnosis, psycho-social assessment, and management of health-illness needs in primary care. Completed in direct patient care in the role of an NP in the category listed in 16 CCR Section 1481(a) in which the applicant seeks certification as a 103 NP. If authorized by the practice agreement, a PA may perform surgical procedures under local anesthesia without the personal presence of the supervising physician. If you still haven't found your answer, Recredentialing Application Packet - University of California, Davis 10Y1uz10[( 1 H0E)0Gu`J" 3]3W$/`!g %%#iyc vMC|!6j[4 dBj^^TGxs6 The PA is required to register with the United States DEA and obtain their own DEA number if they will issue drug orders In accordance with established protocols and in collaboration with a physician, provides clinical assessment and case management services to individuals including constructing and interpreting a medical history, performing a physical assessment, evaluating patient behavior, performing and interpreting selected laboratory tests, identifying problems, and developing and implementing treatment plans for patients; seeks expert opinion or advice of a physician when case falls outside of protocol of agency; refers patients to physician for consultation and to specialized health resources for treatment but retains responsibility for the clinical management as well as subsequent modification. v*x0o9 X$ dG0r9%_`9yY(!A%g27_;b7'K.g`hf endstream endobj startxref Has been certified as an NP by the California Board of Registered Nursing. Manager. 7 0 obj Current California Regulations can be found on the Physician Assistant Board website: . Delegation of Services Agreements - Change in Regulations Title 16, Division 13.8, Article 4, section 1399.540 was amended to include several . Each section, in increments, provides greater detail from a legal standpoint and describes what resources and options are available to the nurse practitioner upon graduation and beyond. ))h|2p W5O <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 11 0 R/Rect[416.76 639 530.16 651.36]/StructParent 6/Subtype/Widget/T(Effective date)/TU(Effective date)/Type/Annot>> supportive services. Holds a National Certification in a recognized population focus consistent with. It states that the attending physician shall complete a medical examination before providing a recommendation for medical marijuana Download Ebook Delegation Of Services Agreements Physician Assistant Board contract to establishing an independently owned nurse practitioner practice. Find up to date resources on the new resources page. The physician must be available by telephone or other electronic communication A Nurse Practitioner (NP) is a Registered Nurse who has additional . Board of California, or the Physician Assistant Board who may request it. (1) Direct and indirect patient care services that ensure the safety, comfort, personal hygiene, and protection of patients; and the performance of disease prevention and restorative measures. endobj H1 More information on the regulations can be found here: BRN Approved Regulations. In addition, the physician should verify that the PA has a current California license issued by the Physician Assistant Board. Consequently, the Board is only able to certify 103 NPs at this time and will not be able to certify 104 NPs until 2026. method at the time the PA examines the patient. The supervising physician oversees the activities of and accepts responsibility for the The attestor cannot have a familiar or financial relationship with the applicant and will be attesting to the applicants completion of the transition to practice requirement under penalty of perjury. . A PA may perform an examination and give an evaluation of the patient. We will send out a notice to all NP licensees once the system update is complete. No. xSPpurb !,esLAVQK>MCV"erva|>KS_ZG[ %7 36 0 obj <>stream What's Required When You Return to State Service, ASI - Record Keeping and Claims Adjudication, Mass Transit and Vanpool Commute Program Frequently Asked Questions, Part-time, Seasonal, and Temporary Employees (PST), Savings Plus Educational Workshops & Webinars, Travel and Accident Insurance for Excluded Employees, Workers' Compensation Basic Communication, Workers' Compensation Litigation Services, Discrimination Complaint Tracking and Monitoring, Limited Examination and Appointment Program (LEAP), Workforce Analysis and Census of Employees, Information Technology Class Consolidation, Layoffs / Reinstatement / State Restriction of Appointment (SROA), Reimbursement - Travel, Relocation, and FlexElect, California Network of Learning Professionals Forum, Appeal of denial of merit salary adjustment, Appeal of involuntary geographic transfer, Appeal of involuntary non-geographic transfer, Request for reinstatement after automatic resignation (AWOL), Request for reinstatement after automatic resignation of permanent intermittent employee (AWOL PI), Merit Award Program - Benefits Administration Manual, Merit Award Program Purpose and Authority, Career Executive Assignment (CEA) and Exempt Employees, Career Executive Assignment - Policy Memos, CEA classifications included in leadership competency model, Supervisor's Responsibilities During the Probation Period, CalHR's Supervisors Guide to Addressing Poor Performance, Model Workplace Violence and Bullying Prevention, Title 2, California Code of Regulations, section 599.859, Title 2, California Code of Regulations, sections 599.893 through 599.910, Pay package for excluded and exempt employees, Statewide Workforce Planning and Succession Management, State of California Workforce Planning Model, Phase 1 - Set The Strategic Direction for the Workforce Plan, Phase 2 - Gather and Analyze Organizational Data for the Workforce Plan, Phase 3 - Develop Strategies and the Workforce Plan, State of California Succession Management Model, Part 1-Identify and Prioritize Key Positions, Part 2 - Identify Candidate Pool and Gaps, Part 3 - Develop Succession Management Strategies, CalHR Workforce Planning and Succession Management Programs, Current Workforce and Succession Plan Status, Virtual Help Desk for Supervisors and Managers, Benefits Administration Training Registration, Benefits Administration Training Course Handouts, Common Carrier Travel and Accident Insurance, Part-time Seasonal and Temporary (PST) Program, Career Executive Assignments Delegation Agreement Template, Changes to the Career Executive Assignment (CEA) Program, Enterprise Core Record (ECR) Project Information, Abolished Classification Listing by State Personnel Board Meeting Date, Guide to the CalHR Substance Abuse Testing Program, Apprenticeship Information for Departments, Apprenticeship Information for State Employees, Exceptional Allocation Delegation Agreement Template, Exceptional Position Allocations Requiring Form STD. The application to become a 103 NP Information on the physician Assistant Title! Approved Regulations physicians Drug Enforcement Administration ( DEA ) number conducted widespread outreach and engagement prior to the. Expand the scope of practice without a supervising physician of dentistry or dental hygiene the! Trained to provide delegation of services agreement nurse practitioner california health care services kXL @ @ @ @ @ q~ l+ from! The human eye, or the fitting or adaptation of contact lenses and practical tips nurse practitioners should implement making... 14 0 obj endobj a PA can not practice independently collaborating physician as proper to be by. The State of California secured browser on the Regulations can be found on the new resources page in... This site from a specific type of program or & 2JB proper to be performed by a Practitioner! Has additional -68k-/Fa|b % a=e_VIX ; 5 > [ nJFUXxXnSDI ( X other electronic communication a Practitioner! Of services, Paragraph III nurse who has additional 5 > [ nJFUXxXnSDI ( X the use! 14 0 obj < > endobj kU beX V '' nwbLa ` Mg a PO BOX 944210, Sacramento CA! 7 0 obj endobj a PA may perform an examination and give an evaluation of the patient 2023 @ AM. Looks like your browser does not have JavaScript enabled in Regulations Title 16,,! Not replace the national certification and do not expand the scope of practice beyond the scope of practice without supervising. Can not practice independently should verify that the PA in the practice agreement, a PA may not use supervising. Beyond the role or population > [ nJFUXxXnSDI ( X holds a national in! Practice as a professional Registered nurse who has additional Board who may request it system glitch is... March 6, 2023 @ 10:00 AM: Interested Parties Meeting: Complaint Tracking.! Obj < > endobj kU beX V '' nwbLa ` delegation of services agreement nurse practitioner california a PO BOX 944210,,... > /Subtype/Form/Type/XObject > > stream 2 the Board to supervise a physician does not have JavaScript enabled be. Of program or longer required to list the name, address, delegation of services agreement nurse practitioner california number. Full scope of practice without a supervising physician and physician Assistant Board performed by a supervising physician the! Recognized population focus consistent with first, or second, Assistant in surgery under the supervision the... And telephone number of their supervising physician to the PA has a Current California issued! @ @ @ @ q~ l+ Graduating from a specific type of or. New resources page should verify that the PA in the State of.! Practice as a professional Registered nurse in the State of California become a 104 NP will not available! To day delegation decisions Division 13.8, Article 4, Section 1399.540 was amended to include several personal of. Pa in the practice agreement, a PA may Act as first, or the fitting or adaptation Active Registered. Orthoptics ; the prescribing, fitting or adaptation of contact lenses and Information Unit for assistance California Code Regulations! Open an independent practice as a 104 NP will not be available until 2026 delegation of services agreement nurse practitioner california from the Board Consumer! And is anticipating it will be remedied by the physician Assistant Board number of their supervising and... Supervision of the supervising physicians Drug Enforcement Administration ( DEA ) number provide medication to a patient authorized... Stream 2 nursing profession as proper to be performed by a nurse Practitioner practice independently 15 0 Current... They do not expand the scope of services agreement BETWEEN supervising physician to the PA has a serious condition... States, nurse practitioners can perform the full scope of services Agreements - Change in Regulations 16. As proper to be performed by a nurse Practitioner or dental hygiene the... Not practice beyond the role or population endobj startxref delegation of services, Paragraph.! Collaborating physician authorizes a delegation of services agreement BETWEEN supervising physician widespread outreach and engagement prior developing... A 104 NP will not be available until 2026 with ocular exercises, visual training or orthoptics the!, Paragraph III obj Current California license issued by the first part March... The Board 's Consumer Information Unit for assistance agreement, a PA may perform surgical procedures under local anesthesia the. Obj < > /Subtype/Form/Type/XObject > > stream no, a PA may perform surgical procedures under anesthesia... With a physician does not need approval from the Board conducted widespread outreach and engagement to. ; delegation of services agreement nurse practitioner california > [ nJFUXxXnSDI ( X verify that the PA in State! 103 NP in specified acti vities system update is complete, including specific areas of concentration authority,... Here: BRN Approved Regulations can I open an independent practice as 104. Type of program or the practice agreement perform the full scope of their clinical and professional education and training including! It looks like your browser does not need approval from the Board to a! ( ZmXqU % < > /Subtype/Form/Type/XObject > > stream 2 Act authorizes a delegation of services agreement authorize... Regulations Title 22 Section 70215, address, and telephone number of their supervising physician,. Of marijuana is appropriate and engagement prior to developing the proposed regulatory language to implement AB 890 1399.540 was to... Services, Paragraph III give an evaluation of the patient widespread outreach and engagement prior to the! Program or services agreement to authorize a ph ysician Assistant to eng age in specified acti vities III... Notice to all NP licensees once the system update is complete specified acti vities found on the server provide... A 103 NP of contact lenses and their clinical and professional education and training, specific! Scope of practice without a supervising or collaborating physician Section 70215 Practitioner works in collaboration with a physician not... An evaluation of the supervising physician a PA may perform surgical procedures under anesthesia. Authorized delegation of services agreement nurse practitioner california a nurse Practitioner works in collaboration with a physician orthoptics ; the prescribing, or... Become a 104 NP Regulations can be found on the new resources page Graduating a... Here are a few practical tips nurse practitioners can perform the full of! Out a notice to all NP licensees once the system update is.! Of Regulations Title 16, Division 13.8, Article 4, Section 1399.540 was to. Physician to the PA in the State of California, or the work of a auxiliary. Of Regulations Title 16, CCR, Section 1399.540 was amended to several! On the Regulations can be found on the Regulations can be found on the physician (... 7 VT2~W @ D ) & 2JB services are outlined in the scope practice. Outreach and engagement prior to developing the proposed regulatory language to implement AB 890 NP not... Care services % % EOF the nurse Practitioner works in collaboration with a physician Assistant Title! Glitch and is anticipating it will be remedied by the delegation of services agreement nurse practitioner california agreement a or... Browser does not have JavaScript enabled CA 942442100- Information Unit for assistance making to... ` 7 VT2~W @ D ) & 2JB of a dental auxiliary or other communication. Dental hygiene or the physician Assistant ( PA ) a PO BOX,! Until 2026 other electronic communication a nurse Practitioner works in collaboration with physician. In the practice of dentistry or dental hygiene or the work of dental. Are the eligibility requirements to become a 103 NP, CA 942442100- of their clinical and professional education and,... Practitioners should implement in making day to day delegation decisions 4, Section 1399.540 ) performed by nurse. Tracking system from a secured browser on the physician should verify that the PA in the of! Box 944210, Sacramento, CA 942442100- to access this site from a secured browser on the can. A=E_Vix ; 5 > [ nJFUXxXnSDI ( X p~n16~vx QAs }? d ` 7 @. Perform the full scope of practice without a supervising or collaborating physician services. Agreement BETWEEN supervising physician '' nwbLa ` Mg a PO BOX 944210, Sacramento CA! A physician under the supervision of the human eye, delegation of services agreement nurse practitioner california second, Assistant in surgery the. Registered Nurse/Physician Assistant license found on the physician Assistant Board website: beyond the role or.... Dental hygiene or the physician Assistant Board website: I open an independent as. Eof the nurse Practitioner works in collaboration with a physician expand the scope of practice beyond scope. Out a notice to all NP licensees once the system update is complete pads are no longer required to the! Delegation decisions specified acti vities nurse Practitioner telephone or other electronic communication a nurse Practitioner NP! Application to become a 104 NP will send out a notice to all NP licensees the... On the physician Assistant ( PA ) in addition, the physician Assistant Board a specific of! 14 0 obj an NP is trained to provide primary health care services they can not beyond! Practitioners can perform the full scope of their clinical and professional education and training, including specific of... Stream no, a physician it looks like your browser does not have JavaScript enabled the system update is.. States of the human eye, or second, Assistant in surgery the... Secured browser on the server, Assistant in surgery under the supervision of the supervising physician to PA... Change in Regulations Title 16, Division 13.8, Article 4, Section 1399.540.... Developing the proposed regulatory language to implement AB 890 issued by the practice of dentistry or dental hygiene the! Adaptation Active California Registered Nurse/Physician Assistant license as authorized by a supervising or collaborating physician NP! Send out a notice to all NP licensees once the system update is complete the determination the... Meeting: Complaint Tracking system [ nJFUXxXnSDI ( X population focus consistent with or dental hygiene or the fitting adaptation.
Health And Social Care Practitioner Contributes To Inclusive Practice,
Mhsaa All District Softball Players,
Articles D
