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TEMPLATE COLLABORATIVE PRACTICE (Prescribing) AGREEMENT Elements Summary from the SUPP Framework for Developing a Safe and Functional Collaborative Practice Agreement: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
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Who needs template collaborative practice prescribing?

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Medical professionals who engage in collaborative practice prescribing.
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Pharmacists or pharmacy technicians involved in collaborative prescribing processes.
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Medical students or trainees learning about collaborative prescribing techniques.
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Researchers or individuals studying the effectiveness of collaborative prescribing models.
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Template collaborative practice prescribing is a standardized form used by healthcare providers to outline an agreement between a physician and a non-physician provider allowing the non-physician to prescribe medication under the physician's supervision.
Both the physician and the non-physician provider are required to file template collaborative practice prescribing.
To fill out the template collaborative practice prescribing, providers must include details such as the names of the parties involved, specific medications allowed to be prescribed, terms of supervision, and signature of both parties.
The purpose of template collaborative practice prescribing is to ensure safe and effective medication management by allowing non-physician providers to prescribe medications only under the supervision of a licensed physician.
Information such as the names and credentials of the providers, specific medications allowed to be prescribed, terms of supervision, and signatures of both parties must be reported on the template collaborative practice prescribing.
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