NURSE PRACTITIONER PRACTICE AGREEMENT 2025

1. Click ‘Get Form’ to open the NURSE PRACTITIONER PRACTICE AGREEMENT in the editor.
2. Begin by filling in the introductory section with the names of the Nurse Practitioner and Collaborating Physician, along with their place of business.
3. In the Practice Agreement section, clearly outline the services that will be performed by the Nurse Practitioner as per the Scope of Services detailed in Paragraph III.
4. Review and confirm that both parties agree to the conditions and qualifications set forth in this agreement.
5. In the Scope of Practice section, ensure all guidelines are accurately reflected, including assessment capabilities and collaboration protocols.
6. Fill out details regarding Physician Consultation, ensuring availability for timely patient record reviews.
7. Address emergency coverage provisions by designating a backup physician if either party is absent.
8. Outline the process for resolving disagreements between parties as specified in Section VI.
9. Finally, review all sections for accuracy before signing. Use our platform’s signature feature to complete your agreement digitally.

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