diff --git a/app/Http/Controllers/Staff/StudiesController.php b/app/Http/Controllers/Staff/StudiesController.php
index 2e33388..28c30b5 100644
--- a/app/Http/Controllers/Staff/StudiesController.php
+++ b/app/Http/Controllers/Staff/StudiesController.php
@@ -4,7 +4,6 @@
 
 use App\Http\Controllers\HashidControllerBase;
 use App\Models\Enums\Permission;
-use App\Models\Enums\UserRole;
 use App\Models\Study;
 use App\Services\AuditTrail\Activity;
 
@@ -64,13 +63,4 @@ public function attachments()
 
         return view('staff.history.partials._uploaded-studies-list', compact('study', 'allow_delete'));
     }
-
-    public function assignmentShow()
-    {
-        $this->decodeKeys();
-        $study = Study::findOrFail($this->key);
-        $rads = User::active()->role(UserRole::Radiologist)->get();
-
-        return view('staff.studies.assign-form', compact('study', 'rads'));
-    }
 }
diff --git a/app/Http/Controllers/Staff/StudyAssignmentController.php b/app/Http/Controllers/Staff/StudyAssignmentController.php
new file mode 100644
index 0000000..fa9ae66
--- /dev/null
+++ b/app/Http/Controllers/Staff/StudyAssignmentController.php
@@ -0,0 +1,49 @@
+<?php
+
+namespace App\Http\Controllers\Staff;
+
+use App\Http\Controllers\HashidControllerBase;
+use App\Http\Requests\AssignPhysicianRequest;
+use App\Models\Enums\UserRole;
+use App\Models\Study;
+use App\Models\User;
+use App\Services\AuditTrail\Activity;
+
+class StudyAssignmentController extends HashidControllerBase
+{
+    public function show()
+    {
+        $this->decodeKeys();
+        $study = Study::with('assignedPhysician')->findOrFail($this->key);
+        $rads = User::active()->role(UserRole::Radiologist)->get();
+
+        return view('staff.studies.assign-form', compact('study', 'rads'));
+    }
+
+    public function remove()
+    {
+        $this->decodeKeys();
+        $study = Study::with('assignedPhysician')->findOrFail($this->key);
+        if ($study->assigned_physician_id !== null) {
+            $study->update(['assigned_physician_id' => null]);
+            audit()
+                ->did(Activity::Unassign_Physician)
+                ->notes("Previous assignment: {$study->assignedPhysician?->display_name}")
+                ->on($study)
+                ->log();
+        }
+
+        return redirect()->route('staff.worklist.index')->with('success', 'Removed assignment');
+    }
+
+    public function save(AssignPhysicianRequest $request)
+    {
+        $this->decodeKeys();
+        $study = Study::findOrFail($this->key);
+        $rad = User::active()->findOrFail($request->input('rad_id'));
+        $study->update(['assigned_physician_id' => $rad->id]);
+        audit()->did(Activity::Assign_Physician)->on($study)->log();
+
+        return redirect()->route('staff.worklist.index')->with('success', "Assigned study to {$rad->display_name}");
+    }
+}
diff --git a/app/Http/Requests/AssignPhysicianRequest.php b/app/Http/Requests/AssignPhysicianRequest.php
new file mode 100644
index 0000000..3de2d59
--- /dev/null
+++ b/app/Http/Requests/AssignPhysicianRequest.php
@@ -0,0 +1,20 @@
+<?php
+
+namespace App\Http\Requests;
+
+use Illuminate\Foundation\Http\FormRequest;
+
+class AssignPhysicianRequest extends FormRequest
+{
+    public function rules(): array
+    {
+        return [
+            'rad_id' => ['required', 'exists:users,id'],
+        ];
+    }
+
+    public function authorize(): bool
+    {
+        return true;
+    }
+}
diff --git a/app/Services/AuditTrail/Activity.php b/app/Services/AuditTrail/Activity.php
index 8ce05ad..9911d95 100644
--- a/app/Services/AuditTrail/Activity.php
+++ b/app/Services/AuditTrail/Activity.php
@@ -36,4 +36,7 @@ final class Activity
     public const int User_Failed_Login = 302;
 
     public const int User_Logout = 303;
+
+    public const int Assign_Physician = 401;
+    public const int Unassign_Physician = 402;
 }
diff --git a/resources/views/staff/studies/assign-form.blade.php b/resources/views/staff/studies/assign-form.blade.php
index e7781d2..076dc00 100644
--- a/resources/views/staff/studies/assign-form.blade.php
+++ b/resources/views/staff/studies/assign-form.blade.php
@@ -1,8 +1,25 @@
+<div>
+    Currently assigned: {{ $study->assignedPhysician?->display_name ?? 'None' }}
+    @isset($study->assignedPhysician)
+        <form action="{{ route('staff.assign.remove', $study->hash) }}" class="inline" method="post">
+            @csrf
+            @method('DELETE')
+            <button class="btn btn-danger btn-xs" type="submit">Remove</button>
+        </form>
+    @endisset
+</div>
+
 <table class="table table-sm">
     @foreach ($rads as $doc)
         <tr>
             <td>{{ $doc->display_name }}</td>
-            <td>X</td>
+            <td>
+                <form action="{{ route('staff.assign.save', $study->hash) }}" class="inline" method="post">
+                    @csrf
+                    <input type="hidden" name="rad_id" value="{{ $doc->id }}">
+                    <button class="btn btn-primary btn-xs" type="submit">Assign</button>
+                </form>
+            </td>
         </tr>
     @endforeach
 </table>
diff --git a/resources/views/staff/worklist/index.blade.php b/resources/views/staff/worklist/index.blade.php
index 292af5e..93203e9 100644
--- a/resources/views/staff/worklist/index.blade.php
+++ b/resources/views/staff/worklist/index.blade.php
@@ -59,7 +59,7 @@
 
             $('body').on('click', '.show-assign', function () {
                 var study_id = $(this).data('id');
-                $.get("{{ route('staff.studies.assign-show') }}", {hashid: study_id}, function (data) {
+                $.get("{{ route('staff.assign.show') }}", {hashid: study_id}, function (data) {
                     $('#assign-details').html(data);
                     $('#assign-modal').modal('show');
                 });
diff --git a/routes/web.php b/routes/web.php
index 1cc41b3..41ad377 100644
--- a/routes/web.php
+++ b/routes/web.php
@@ -6,6 +6,7 @@
 use App\Http\Controllers\SocialLoginController;
 use App\Http\Controllers\Staff\AttachmentController;
 use App\Http\Controllers\Staff\StudiesController;
+use App\Http\Controllers\Staff\StudyAssignmentController;
 use App\Http\Controllers\Staff\StudyHistoryController;
 use App\Http\Controllers\Staff\StudyViewerController;
 use App\Http\Controllers\Staff\WorklistController;
@@ -57,6 +58,12 @@
             Route::get('attach', [StudiesController::class, 'attachments'])->name('attach');
         });
 
+        Route::group(['prefix' => 'assign', 'as' => 'assign.'], function () {
+            Route::get('', [StudyAssignmentController::class, 'show'])->name('show');
+            Route::post('{hashid}', [StudyAssignmentController::class, 'save'])->name('save');
+            Route::delete('{hashid}', [StudyAssignmentController::class, 'remove'])->name('remove');
+        });
+
         Route::group(['prefix' => 'history', 'as' => 'history.'], function () {
             Route::get('{hashid}', [StudyHistoryController::class, 'view'])->name('view');
             Route::get('{hashid}/edit', [StudyHistoryController::class, 'edit'])->name('edit');