Incredible Tennessee Nurse Practitioner Collaborative Agreement Template. Ensure that all required documents, fees, and forms are included in the submission. The desired outcome is an approved collaborative agreement that complies with state regulations.
Past recipients have included educators, legislators and physicians. In general, the document outlines the rights and responsibilities of each party involved, formalizing the relationship. Open form follow the instructions.
Protocols must also include a method of consultation and referral, prescriptive privileges and medication formulary, plans for coverage of the healthcare. When completing the application process below, you will be required to submit an official transcript from the institution where you completed your education. Health care prescribers will be notified via the email address provided by the health care prescriber of the commissioner’s approval or denial of.
If you are searching for an editable nurse practitioner collaborative agreement template template, you will be at the right place. A collaborative practice agreement typically contains the following information: Web in tennessee, nurse practitioners are allowed to prescribe medications with physician supervision.
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. The collaborative agreement must be in writing and include the level Current national certification (not state license;
Past recipients have included educators, legislators and physicians. Web the granting of this application provides a waiver from the electronic prescription requirement and is effective from january 1, 2024 until december 31, 2024. Easily sign the form with your finger.
Web use a nurse practitioner collaborative agreement template template to make your document workflow more streamlined. Aprn without certificate of fitness (cf). This agreement shall take effect as of (date).
