Elegant Nurse Practitioner Collaborative Agreement Template

A Copy Of Such Protocols Are Attached Hereto And.

Complete names, home and business addresses, zip codes, and telephone numbers of the licensed practitioner and the advanced practice registered nurse: Collaborative practice agreements include provisions addressing: Web some common elements in an np collaborative agreement can include:

Web Develop A Mechanism For Regular Communication And Review Between Nurse Practitioner And Collaborating Physician.

Web 3 examples of nurse practitioner collaborative agreement templates. However, you also can find many downloadable templates on the web, including the following examples: Reiteration of the np’s scope of practice.

List Of Specialties, Licenses, And Board Certifications Of The Np.

This agreement shall take effect as of (date). Web a collaborative practice agreement is a document outlining this joint practice relationship between the nurse practitioner and physician. Practice settings and patient populations covered by the agreement.

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).

Coverage for emergency absences of either the np or the collaborating physician. The collaborative practice agreement is not an employer contract (cpa). Contact information for both the np and the physician.

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Web each nurse practitioner (np) must enter into a written collaborative agreement with a physician in order to practice. 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. Web np agrees to perform service in accordance with this practice agreement and the practice protocols agreed upon between the np and collaborating physician, and approved by kaleida health;