Form preview

Get the free Nurse Practitioner Collaborative Practice Agreement

Get Form
This document outlines the collaborative practice agreement between Nurse Practitioner Kelly Cobb and Supervising Physician Dr. John Sanchez, detailing the scope of psychiatric services, prescriptive authority, quality assurance provisions, and collaboration requirements in providing healthcare services at Telehealth Weight Loss NP, PLLC DBA Jumelle Health.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign nurse practitioner collaborative practice

Edit
Edit your nurse practitioner collaborative practice form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your nurse practitioner collaborative practice form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit nurse practitioner collaborative practice online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to use a professional PDF editor:
1
Check your account. In case you're new, it's time to start your free trial.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit nurse practitioner collaborative practice. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, it's always easy to deal with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out nurse practitioner collaborative practice

Illustration

How to fill out nurse practitioner collaborative practice

01
Step 1: Obtain the necessary paperwork from your state nursing board.
02
Step 2: Review the eligibility requirements for collaborative practice.
03
Step 3: Complete the application form with your personal and professional information.
04
Step 4: Include details about your educational background and licensure.
05
Step 5: Provide information about your collaborating physician(s) including their credentials.
06
Step 6: Outline your plan for collaboration, specifying the roles of both the nurse practitioner and the physician.
07
Step 7: Gather any necessary supporting documents, such as verification of your nursing license and proof of national certification.
08
Step 8: Review the application for completeness and accuracy.
09
Step 9: Submit the application along with any required fees to the appropriate licensing authority.
10
Step 10: Await confirmation and any additional steps required by the licensing board.

Who needs nurse practitioner collaborative practice?

01
Nurse practitioners seeking to expand their practice scope.
02
Healthcare facilities aiming to improve patient care through collaborative teams.
03
Patients who require accessible and comprehensive care.
04
Physicians looking to work alongside nurse practitioners for shared patient management.
05
Health organizations promoting team-based care models for better outcomes.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.5
Satisfied
35 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Using pdfFiller's Gmail add-on, you can edit, fill out, and sign your nurse practitioner collaborative practice and other papers directly in your email. You may get it through Google Workspace Marketplace. Make better use of your time by handling your papers and eSignatures.
It’s easy with pdfFiller, a comprehensive online solution for professional document management. Access our extensive library of online forms (over 25M fillable forms are available) and locate the nurse practitioner collaborative practice in a matter of seconds. Open it right away and start customizing it using advanced editing features.
Yes, you can. With the pdfFiller mobile app for Android, you can edit, sign, and share nurse practitioner collaborative practice on your mobile device from any location; only an internet connection is needed. Get the app and start to streamline your document workflow from anywhere.
Nurse practitioner collaborative practice refers to a structured partnership between nurse practitioners (NPs) and physicians, allowing NPs to provide a range of healthcare services with the support and supervision of a physician.
Nurse practitioners who are practicing in a collaborative agreement with a physician are typically required to file for nurse practitioner collaborative practice.
To fill out the nurse practitioner collaborative practice forms, NPs should provide their personal and professional details, outline the scope of practice, and include the supervising physician's information as required by the state or regulatory body.
The purpose of nurse practitioner collaborative practice is to enhance the delivery of healthcare by enabling NPs to work closely with physicians, ensuring comprehensive care for patients while adhering to state regulations.
Information that must be reported typically includes NP and physician credentials, details of the collaborative agreement, scope of practice, and any amendments or changes in the practice arrangement.
Fill out your nurse practitioner collaborative practice online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.