Cool Nurse Practitioner Collaborative Agreement Template

In General, The Document Outlines The Rights And Responsibilities Of Each Party Involved, Formalizing The Relationship.

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).

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 a collaborative practice agreement is a document outlining this joint practice relationship between the nurse practitioner and physician. Ensure regular communication and review with collaborating physician. Collaborative practice agreements include provisions addressing:

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

Web develop a mechanism for regular communication and review between nurse practitioner and collaborating physician. Nyhus says the best resource for developing collaborative agreements is the nurse practitioner's business practice and legal guide by carolyn buppert. This agreement shall take effect as of (date).

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Reiteration of the np’s scope of practice. Contact information for both the np and the physician. Keep a copy of the agreement on file at the practice location.

A Copy Of Such Protocols Are Attached Hereto And.

Web 3 examples of nurse practitioner collaborative agreement templates. Coverage for emergency absences of either the np or the collaborating physician. 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;