Get Ny (sample) Collaborative Practice Agreement
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How to fill out the NY (Sample) Collaborative Practice Agreement online
The NY (Sample) Collaborative Practice Agreement is an essential document for establishing a collaborative relationship between a nurse practitioner and a collaborating physician. This guide will provide you with clear, step-by-step instructions on how to accurately complete the agreement online, ensuring compliance with New York State regulations.
Follow the steps to successfully complete the Collaborative Practice Agreement online.
- Press the ‘Get Form’ button to access the agreement and open it in your document editor.
- In the first section, enter the names and specialties of both the nurse practitioner and the collaborating physician as listed on their respective state-issued certificates. Ensure that you also include the name and address of the agency or entity where the practice will take place.
- Indicate the effective date of the agreement in the specified field.
- Fill out your qualifications and practice requirements, ensuring your name, license number, and certification are accurately documented.
- Define the scope of practice by detailing the practices and privileges allowed for the nurse practitioner, including the ability to prescribe medications as permitted by law.
- List any exceptions to the certified scope of practice that have been agreed upon by both parties.
- Identify the practice protocols by naming the approved protocol texts and any other relevant resources.
- Outline the procedures for physician consultation, including details on coverage and communication methods.
- Describe the record review process, specifying the frequency and nature of the record evaluations conducted by the collaborating physician.
- Provide information on how disagreements regarding patient management will be resolved, including the procedure for consensus agreements.
- Indicate how the agreement may be altered and the requirements for amendments.
- Both parties must sign and date the agreement, ensuring that names, license numbers, and any board certifications are correctly noted.
- After completing all sections, save your changes. You can then download, print, or share the completed form as needed.
Complete your Collaborative Practice Agreement online today to ensure a smooth collaborative process.
In New York, nurse practitioners cannot fully practice independently as they are required to have a collaborative practice agreement with a physician. This agreement facilitates a partnership that enhances patient safety while allowing nurse practitioners to deliver essential care. Crafting a solid NY (Sample) Collaborative Practice Agreement is crucial for navigating these regulations effectively. Explore effective templates on UsLegalForms to streamline this process.
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