Collaborating Physician Agreement Template 2025

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Writing a CPA According to the CDC, a collaborative practice agreement should include these parts: Explanation of the purpose of the agreement. A list of the parties to the agreement. The patients who are included in the agreement (either a specific list of patients or a group of patients)
A collaborating physician is a licensed medical doctor (MD/DO) who enters into an agreement with an advanced practice provider (APP)usually an NP or PAto consult, review cases, and ensure state regulatory compliance.
A Collaboration agreement is an agreement between at least two parties looking to work together on a commercial project on a collaborative or cooperative basis.
The collaborative practice agreement specifies the duties to be performed, how documentation and communication between practitioners will be handled, plans for quality assurance, and other details. A standard protocol and formulary outline the typical care and services that would be provided.
Collaboration is different from supervision, which historically implies some onsite or direct oversight, and conveys a more hierarchical relationship. Supervision does not, however, define the scope of practice for professionals in fields that have a specialized body of knowledge, skill, and competency.
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How to Create a Collaboration Agreement + Free Template Clearly state the goals and scope of the project. Include full legal names, addresses, and contact details of all parties involved (individuals or entities). Specify what each party contributes, such as funds, labor, equipment, intellectual property, or expertise.
Here are the typical sections to include in a collaborating physician contract. Section #1: Scope of Practice. Section #2: Practice Protocols. Section #3: Physician Consultation. Section #4: Record Review. Section #5: Resolution of Disagreements. Section #6: Alteration of Agreement. Section #7: Compensation.

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