Get Ar Collaborative Practice Agreement 2022-2025

Filling out the AR Collaborative Practice Agreement online is a crucial step in establishing a collaborative relationship between Advanced Practice Registered Nurses (APRNs) and physicians. This guide provides step-by-step instructions to help ensure that you complete the form accurately and effectively.

Follow the steps to effectively complete the AR Collaborative Practice Agreement online.

1. Click the ‘Get Form’ button to access the Collaborative Practice Agreement and open it in your editor.
2. Begin by entering the names of the APRN and the collaborating physician in the designated fields at the top of the form.
3. Indicate the availability of the physician for consultation with the APRN by checking the appropriate box regarding communication methods, such as in-person, electronic, or telephonic.
4. Complete the section regarding prescriptive authority by initialing the categories of controlled substances that the APRN is authorized to prescribe, marking the applicable options.
5. Include the name of the clinic or practice that provides emergency services, ensuring that it is clear which facility will offer coverage in case of absence of either the APRN or the physician.
6. Attach a Quality Assurance Plan as required and note that this agreement is not a business contract, but rather a legal fulfillment of requirements outlined in the Arkansas Nurse Practice Act.
7. Collect the signatures of both the APRN and collaborating physician, along with printing their names and license numbers in the designated areas.
8. If applicable, add additional physicians by repeating the signature section for each one agreeing to the collaborative practice.
9. Finally, review all entries for accuracy, save the changes, and choose to download, print, or share the completed form as needed.

Complete your documents online today to ensure a smooth collaborative practice agreement process.