Medical
Nurse Practitioner Collaborative Agreement
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Nurse Practitioner Collaborative Agreement

1
Determine need for Nurse Practitioner Collaborative Agreement
2
Research and understand the Collaborative Agreement Laws per state law
3
Identify collaborating physician or Nurse Practitioner
4
Hold initial meeting with collaborating physician or Nurse Practitioner to discuss agreement
5
Review duties and responsibilities
6
Clarify terms and conditions of Collaborative Agreement
7
Draft the Collaborative Agreement
8
Review form and agreement language for up-to-date regulatory requirements
9
Approval: Collaborating Physician
10
Make necessary adjustments to the agreement based on feedback
11
Sign the Collaborative Agreement
12
Ensure the Collaborative Agreement is notarized if necessary
13
Submit the Collaborative Agreement to the state nursing board
14
Provide copies of the Agreement to all involved parties
15
Develop a mechanism for regular communication and review between Nurse Practitioner and collaborating physician
16
Keep a copy of the agreement on file at the practice location
17
Set a timeline for renewing or revising the agreement as necessary
18
Ensure regular communication and review with collaborating physician