Free Nurse Practitioner Collaborative Agreement Template

This Agreement Shall Take Effect As Of (Date).

Web develop a mechanism for regular communication and review between nurse practitioner and collaborating physician. A copy of such protocols are attached hereto and. Coverage for emergency absences of either the np or the collaborating physician.

Ensure Regular Communication And Review With Collaborating Physician.

Web unc school of medicine. Web each nurse practitioner (np) must enter into a written collaborative agreement with a physician in order to practice. Complete names, home and business addresses, zip codes, and telephone numbers of the licensed practitioner and the advanced practice registered nurse:

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). Contact information for both the np and the physician. List of specialties, licenses, and board certifications of the np.

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

Web some common elements in an np collaborative agreement can include: 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.

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In general, the document outlines the rights and responsibilities of each party involved, formalizing the relationship. Nyhus says the best resource for developing collaborative agreements is the nurse practitioner's business practice and legal guide by carolyn buppert. The collaborative practice agreement is not an employer contract (cpa).