DES MOINES, Iowa (AP) — A physician assistant in northwestern Iowa has agreed to give up his license for a year after admitting to having sex with a patient and other ethical violations. The Sioux City Journal reports that the Iowa Board of Physician Assistants on Wednesday approved an order in which Anthony Peters voluntarily surrendered his license. The order says Peters, who had worked in Primghar, Iowa, acknowledged he had sent sex-related text messages and a photo to a patient, had sex at least twice with a patient and had disclosed patient information to a third person without the patient’s permission.

The board says that if Peters applies for reinstatement of his license after a year, he must document the completion of a professional sexual misconduct evaluation.