Healthy arkansas imagesuploadsCollaborative Practice Agreement - Arkansas 2026

1. Click ‘Get Form’ to open the Collaborative Practice Agreement in the editor.
2. Begin by filling in the names of the APRN and MD/DO at the top of the form. Ensure that both parties' names are clearly printed.
3. In the section regarding prescriptive authority, carefully initial each category of controlled substances that the APRN is authorized to prescribe, as agreed upon with the collaborating physician.
4. Provide details for emergency coverage arrangements, including the name of the clinic or hospital providing services during any absence.
5. Attach a Quality Assurance Plan if required, ensuring it meets all necessary guidelines.
6. Both parties should sign and date the agreement at the bottom, along with printing their names and license numbers.
7. Review all entries for accuracy before saving or exporting your completed document.

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