Loading
Get Form To Terminate A Collaborative Practice Agreement It Is Important ... - Arsbn Arkansas
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 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.
- Press the ‘Get Form’ button to access the document and open it in the provided editor.
- Clearly print your first and last name along with your title in the designated space on the form.
- Enter your license number in the appropriate field.
- Indicate your intent to terminate the Collaborative Practice Agreement with the specified physician(s) by listing their names.
- Provide the effective date of the termination, filling the date on the line marked 'effective on'.
- If applicable, state that you are submitting a new Collaborative Practice Agreement and include the effective date for this new document.
- Understand that you cannot prescribe medications or therapeutic devices until the new agreement is submitted and approved.
- Sign the form where designated, and include the date of signing.
- Complete any additional required fields that may be present in the form.
- 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.
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.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
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.