List Of Nurse Practitioner Collaborative Agreement Template. However, you also can find many downloadable templates on the web, including the following examples: Contact information for both the np and the physician.
Nyhus says the best resource for developing collaborative agreements is the nurse practitioner's business practice and legal guide by carolyn buppert. Keep a copy of the agreement on file at the practice location. Practice settings and patient populations covered by the agreement.
This agreement shall take effect as of (date). Web some common elements in an np collaborative agreement can include: Web a collaborative practice agreement is a document outlining this joint practice relationship between the nurse practitioner and physician.
Collaborative practice agreements include provisions addressing: Complete names, home and business addresses, zip codes, and telephone numbers of the licensed practitioner and the advanced practice registered nurse: Web 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 any) at (name and address of agency or entity where practice takes place).
List of specialties, licenses, and board certifications of the np. 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. Keep a copy of the agreement on file at the practice location.
Set a timeline for renewing or revising the agreement as necessary. Contact information for both the np and the physician. Web each nurse practitioner (np) must enter into a written collaborative agreement with a physician in order to practice.
In general, the document outlines the rights and responsibilities of each party involved, formalizing the relationship. Practice settings and patient populations covered by the agreement. Nyhus says the best resource for developing collaborative agreements is the nurse practitioner's business practice and legal guide by carolyn buppert.
