Collaborative for Nurse Practitioners Agreement Template 2025

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The document is a Collaborative Practice Agreement between a physician and a nurse practitioner, outlining their roles, responsibilities, and the framework for providing patient care. It defines collaborative practice, specifies the scope of services offered, establishes communication protocols, and includes provisions for quality assurance, compliance with laws, dispute resolution, and termination of the agreement.
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(Sample) Collaborative Practice Agreement

This agreement sets forth the terms of the Collaborative Practice Agreement between (nurse practitioner and specialty as listed on the State issued

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Collaborative Practice Agreement

The Agreement must be reviewed at least annually, and an attachment shall be added to this Agreement, signed and dated by both the Primary Supervising Physician

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Credentialing Application Addendum for Nurse Practitioner

Each application must be accompanied by a collaborative Nurse Practitioner practice agreement with an EmblemHealth participating provider. Collaborative

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