+21 Tennessee Nurse Practitioner Collaborative Agreement Template. Easily sign the form with your finger. The physician’s name and contact information along with the nurse practitioner’s name and contact information (address and phone number) must be present on the prescription.
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Past recipients have included educators, legislators and physicians. The blank includes fillable areas where you can type your information. Collaboration of nurse practitioners with physicians.
Current Through November 7, 2023.
The transcript must be mailed directly from the educational institution to the board office located at 665 mainstream drive, nashville, tn 37243. Once you have selected a supervisee, you may run a report to see the relevant prescriptions. Open form follow the instructions.
List Of Specialties, Licenses, And Board Certifications Of The Np.
Web tennessee nurse practitioner recipient: Web 3 examples of nurse practitioner collaborative agreement templates. Aprn without certificate of fitness (cf).
The Physician’s Name And Contact Information Along With The Nurse Practitioner’s Name And Contact Information (Address And Phone Number) Must Be Present On The Prescription.
Current national certification (not state license; Easily sign the form with your finger. However, you also can find many downloadable templates on the web, including the following examples:
In General, The Document Outlines The Rights And Responsibilities Of Each Party Involved, Formalizing The Relationship.
Web this document has been created by the tennessee pharmacists association in an effort to facilitate the initiation of collaborative practice agreements between clinical pharmacists and prescribing clinicians with a focus on caring for patients receiving complex medication regimens. The advocate state award for excellence is given annually to an individual in each state who has made a significant contribution toward increasing awareness and recognition of nps. Collaboration of nurse practitioners with physicians.
Web This Task Involves Submitting The Finalized Collaborative Agreement To The State Nursing Board For Review And Approval.
Health care prescribers will be notified via the email address provided by the health care prescriber of the commissioner’s approval or denial of. The blank includes fillable areas where you can type your information. Ensure that all required documents, fees, and forms are included in the submission.
