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  • Form To Terminate A Collaborative Practice Agreement It Is Important ... - Arsbn Arkansas

Get Form To Terminate A Collaborative Practice Agreement It Is Important ... - Arsbn Arkansas

Form to Terminate a Collaborative Practice Agreement It is important that the Arkansas State Board of Nursing (ASBN) have a copy of your current Collaborative Practice Agreement that identifies your.

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How to fill out the Form To Terminate A Collaborative Practice Agreement It Is Important ... - Arsbn Arkansas online

This guide provides clear instructions on how to complete the Form To Terminate A Collaborative Practice Agreement for the Arkansas State Board of Nursing. Properly filling out this form ensures effective communication regarding changes in your collaborative practice status.

Follow the steps to successfully complete the termination form.

  1. Press the ‘Get Form’ button to access the document and open it in the provided editor.
  2. Clearly print your first and last name along with your title in the designated space on the form.
  3. Enter your license number in the appropriate field.
  4. Indicate your intent to terminate the Collaborative Practice Agreement with the specified physician(s) by listing their names.
  5. Provide the effective date of the termination, filling the date on the line marked 'effective on'.
  6. If applicable, state that you are submitting a new Collaborative Practice Agreement and include the effective date for this new document.
  7. Understand that you cannot prescribe medications or therapeutic devices until the new agreement is submitted and approved.
  8. Sign the form where designated, and include the date of signing.
  9. Complete any additional required fields that may be present in the form.
  10. Once all fields are completed, save changes, and choose to download, print, or share the form as required.

Complete your termination form online to ensure a smooth transition.

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A collaboration agreement can be used to set out the expected ways of working, define the goals of the collaboration and codify how fees or charges will be handled. Entering into a well drafted collaboration agreement at the start of the project will help avoid disputes or disagreements later in the project.

A collaborative practice agreement is a written contract that establishes a working relationship between the nurse practitioner and the physician. Often this means that the physician will provide supervision and guidance, and be available for consultations with the NP.

What is a Collaboration Agreement? A collaboration agreement is a legally binding agreement between two or more parties that outlines how they will work together on a commercial project, the roles and responsibilities each during the project, and how each will benefit from the collaboration.

The collaboration agreement includes termination clauses that outline what happens if one or more parties want to stop working on the project. It can protect the other parties' interests, especially if they continue with the original plan and complete the project independently.

Required components of the CPA are: The drugs, devices, medical treatments, tests, and procedures that may be prescribed, ordered, and performed by the nurse practitioner.

Here are some important issues that should be addressed in a well drafted Collaboration Agreement. Define important terms used throughout the Agreement. Objective of the Agreement. Duties, Responsibilities and Expectations of each party.

Must be complete and legible and on the current, unmodified form. The collaborating physician must have a current AR license to practice under the Medical Practice Act, § 17-95-201. The collaborating physician must also have an unrestricted DEA registration number for APRNs who prescribe controlled substances.

Each nurse practitioner (NP) must enter into a written collaborative agreement with a physician in order to practice. Collaborative practice agreements include provisions addressing: Patient referral and consultation. Coverage for emergency absences of either the NP or the collaborating physician.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232