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COLLABORATIVE PRACTICE AGREEMENT/ARRANGEMENT CHANGE FORM Section 334.104.5 RSMo. requires each physician, within 30 days of any change in a collaborative practice agreement/arrangement, to report.

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To have a new Collaborating Physician for prescriptive authority, you MUST submit a new CRNP Application for Prescriptive Authority. The application is available at .dos.pa.gov/nurse, Once approved, you will then receive a new Prescriptive Authority Approval Number associated with the new Collaborating Physician.

Writing a CPA 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. Training and education requirements for the pharmacist.

What is a collaborative practice agreement? 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.

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.

Collaborative practice agreements include provisions addressing: Patient referral and consultation. Coverage for emergency absences of either the NP or the collaborating physician. Resolution of disagreements between the NP and the collaborating physician regarding diagnosis and treatment.

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.

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. It provides a mechanism for the legal protection of the APN and sets out the rights and responsibilities of each party involved.

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© Copyright 1997-2025
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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