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  • Alabama Board Of Nursing Standae Rd Protocol Collaborative Practice Form

Get Alabama Board Of Nursing Standae Rd Protocol Collaborative Practice Form

Ve Practice is the last page in this form. Send the single page to the Alabama Board of Medical Examiners with payment of the Physician s Collaborative Practice annual fee ($100.00). The physician is required to have an unencumbered Alabama medical license. 8. The CRNP/CNM applicant is responsible for the truth and accuracy of the completed application. Print legibly in black ink or type the required information on this form. Illegible or incomplete applications will be returned along with t.

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How to fill out the Alabama Board Of Nursing Standae Rd Protocol Collaborative Practice Form online

This guide provides a clear and supportive approach to completing the Alabama Board Of Nursing Standared Protocol Collaborative Practice Form online. By following these detailed instructions, users can efficiently navigate the form and ensure they include all necessary information.

Follow the steps to successfully complete the form online:

  1. To begin, click the ‘Get Form’ button to access the collaborative practice application form and open it for editing.
  2. Read the application instructions carefully to ensure that you understand the purpose of the form and the requirements for submission.
  3. Fill in your personal information, including your legal name, social security number, and Alabama RN license number.
  4. Indicate the specifics of your application type, including whether you are adding or modifying collaborating physicians, or changing protocols.
  5. In the physician information section, accurately enter the collaborating physician's details, including their license number and contact information.
  6. Complete the collaborative practice protocol section, clearly outlining the scope of practice, proposed functions, and collaborative site information.
  7. Review the standard formulary section carefully, ensuring you specify any restrictions related to the drug classifications relevant to your practice.
  8. Ensure the quality monitoring plan is in place, detailing how patient outcomes will be measured and the process for continuous quality assurance.
  9. Sign and date the application in the designated area. Remember that an original signature is required; photocopies or faxes will not be accepted.
  10. Finally, submit the signed original application along with the required fee to the Alabama Board of Nursing, and keep a copy for your records.

Start completing your Alabama Board Of Nursing Collaborative Practice Form online today!

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Florida's Nurse Practitioner Supervision Laws A physician may not oversee nurse practitioners at more than four offices in addition to his or her primary practice location. While the supervising physician does not need to be available to the NP in person he/she must be available by phone for consultation.

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.

You must hold a Clear, Active, Florida APRN License. You must have completed at least 3000 clinical hours under the supervision of an allopathic or osteopathic physician within the past 5 years.

“The physician shall not collaborate with or supervise any combination of certified registered nurse practitioners, certified nurse midwives and/or assistants to physicians exceeding one hundred and sixty ( 160 ) hours per week ( four full- time equivalent positions) unless an exemption is granted under Rule 610-X-5-.

Yes. The rules governing Collaborative Practice in AL do not prohibit a CRNP or CNM from owning a practice. However, CRNPs and CNMs who desire to practice are required to enter into a Collaborative Practice Agreement with a physician licensed in the state of Alabama.

Nurse practitioners across the nation are expertly trained to provide high-quality, patient-centered care that is grounded in national standards of excellence. But their ability to practice to the full extent of that training is limited in certain states, including Alabama.

Submit an online Add New Collaboration application. The application is available under the Advanced Practice section of the ABN website.

“The physician shall not collaborate with or supervise any combination of certified registered nurse practitioners, certified nurse midwives and/or assistants to physicians exceeding one hundred and sixty ( 160 ) hours per week ( four full- time equivalent positions) unless an exemption is granted under Rule 610-X-5-.

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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
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