*TEMPLATE* Collaborative Practice Agreement for Advanced ... - in 2025

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ing 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) Care functions authorized by the agreement.
You must hold an active, valid registered nurse license in Indiana and meet the requirements as detailed in 848 IAC 5-1-1 of the statutes and rules to qualify for Prescriptive Authority.
Most laws regulating nurse practitioner practice in Indiana center around prescribing. NPs must work within a collaborative arrangement with a physician in order to prescribe. Within this agreement, state law allows nurse practitioners to prescribe Schedule II to V controlled substances.
Advanced practice nurses (APNs) seeking employment are often presented with employment practice agreements. A collaborative practice agreement is a written statement that defines the joint practice of a physician and an APN in a collaborative and complementary working relationship.
New York regulations require nurse practitioners to form a collaborative agreement with a physician until the NP has 3,600 hours of experience.
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In Indiana, a nurse practitioner is required to have a collaborating physician. Indiana is classified as a Reduced Practice Authority state.

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