Get Collaborative Agreement Sample C - Michigan Nurses Association - Mmbaonline 2020-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Collaborative Agreement Sample C - Michigan Nurses Association - Mmbaonline online
Filling out the Collaborative Agreement Sample C is a crucial step for nurse practitioners and physicians looking to establish a collaborative practice. This guide will provide you with clear, step-by-step instructions to complete the form accurately and efficiently online.
Follow the steps to complete the Collaborative Agreement Sample C effectively.
- Press the ‘Get Form’ button to access the Collaborative Agreement Sample C. This will open the form in your online editor, allowing you to input the required information.
- Begin by entering the location and address where obstetrical and gynecological services will be provided. Ensure that the information is accurate to avoid any operational issues.
- In the section regarding services provided independently by the nurse practitioner, clearly list the services such as health maintenance, low-risk obstetrical care, well-woman gynecology, management of acute gynecological illnesses, and stable chronic gynecological illnesses.
- For the section on interdependent services, specify high-risk obstetrical care and gynecology surgical care. This delineates the services that will require mutual collaboration.
- Detail the agreement regarding periodic meetings, confirming that the collaborators will meet at least monthly to review cases and discuss management plans.
- List the reference texts that will be utilized for consultation and referral criteria. This ensures that both parties are aligned on available resources.
- Document scenarios for which consultation will occur, including non-stress tests, abnormal lab values, and any other relevant situations identified by the nurse practitioner. Clearly outline how this consultation will be reflected in the progress notes.
- Include the counter-signature clause, confirming that the physician will co-sign notes when prescriptions are written by the nurse practitioner.
- Complete the section regarding the annual review of mutual goals and objectives to ensure both parties remain accountable.
- Finally, each practitioner must sign and date the document, ensuring that both the nurse practitioner and physician provide their agreement to the contents.
- Once finished, you can save your changes, download the completed form, print it for physical records, or share it as needed.
Start filling out your Collaborative Agreement Sample C online today to establish your collaborative practice effectively.
Related links form
Writing a collaborative practice agreement involves outlining the roles and responsibilities of each party involved. You should clearly define operational protocols, consultation processes, and scope limitations. By using a well-structured document like the Collaborative Agreement Sample C - Michigan Nurses Association - Mmbaonline, you can ensure your agreement meets legal requirements and fosters effective collaboration.
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.