Sample) Collaborative Practice AgreementCollaborative Practice Agreement • March 18th, 2009
Contract Type FiledMarch 18th, 2009This agreement sets forth the terms of the Collaborative Practice Agreement between (nurse practitioner and specialty as listed on the State issued certificate) and (name of collaborating physician and specialty if any) at (name and address of agency or entity where practice takes place). This agreement shall take effect as of (date).