Free Collaborative Practice Agreement Nurse Practitioner Template

A Collaborative Practice Agreement Typically Contains The Following Information:

Coverage for emergency absences of either the np or the collaborating physician. Hold initial meeting with collaborating physician or nurse practitioner to discuss agreement. The blank includes fillable areas where you can type your information.

The Collaborative Practice Agreement And Referral Must Be Renewed Yearly

Complete names, home and business addresses, zip codes, and telephone numbers of the licensed practitioner and the advanced practice registered. This agreement sets forth the terms of the collaborative practice agreement between ____________________ (nurse practitioner and specialty as listed on the state issued certificate) and _______________________________ (name of collaborating physician and specialty if. Web the purpose of this collaborative practice and prescriptive authority agreement is to describe the scope of practice of the advanced practice nurse (“aprn”) and to authorize the aprn who signs this collaborative practice and prescriptive authority agreement to.

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Clarify terms and conditions of collaborative agreement. This agreement shall take effect as of (date). Practice settings and patient populations covered by the agreement.

If You Are Searching For An Editable Nurse Practitioner Collaborative Agreement Template Template, You Will Be At The Right Place.

What makes the collaborative agreement legally binding? In general, the document outlines the rights and responsibilities of each party involved, formalizing the relationship. Web the cpa is an agreement between the nurse practitioner (np) and primary supervising physician addressing how they will operationalize the np administrative code/rules in their practice.

However, You Also Can Find Many Downloadable Templates On The Web, Including The Following Examples:

Web collaborative practice agreement (cpa) refers to the formal written statement addressing the parameters of the collaborative practice which are mutually agreed upon by the advanced practice registered nurse (aprn) and one. Web practice agreement between (nurse practitioner) and (collaborating physician) with its place of business at upstate university hospital / upstate un iversity hospital at community general incorporated in the state of new york. Collaborative practice agreements include provisions addressing: