Physicians must notify the Board within 30 days of entering — or terminating — a supervisory relationship, standing orders, or ARNP protocol.
Nurse Practitioner: APRN/EMT/Paramedic Protocol form mailed to the Board of Medicine per §458.348, F.S.
Physician Assistant: PA Supervision Data Form filed within 30 days of employment or any change in supervising physician.
Nurse Protocol Agreements between APRNs and collaborating physicians must be submitted to the Georgia Composite Medical Board within 30 days of signing, before the APRN begins practicing.
Nurse Practitioner: $150 registration; Nurse Protocol Agreement covers delegated acts, scope, and prescriptive authority.
Physician Assistant: Add/Change Supervising Physician application, Basic Job Description, and Forms B/H/J as applicable, filed with GCMB.
A Verification – Supervising Physician form must be mailed to DCCA PVL Licensing Branch for each PA.
Physician Assistant: Verification – Supervising Physician form filed with DCCA.
The collaborating physician files Notice of Delegated Prescriptive Authority for Controlled Substances (APRN-CS or PHA-CS) with the Illinois Department of Financial and Professional Regulation.
Nurse Practitioner: APRN-CS notice filed by the collaborating physician when controlled-substance authority is delegated.
Physician Assistant: PHA-CS notice filed by the collaborating physician when controlled-substance authority is delegated.
PAs must submit a Physician Assistant Active Practice Request Form and Written Agreement to the board.
Physician Assistant: Active Practice Request Form + Written Agreement filed with the Kansas Board of Healing Arts.
APRNs must notify the Louisiana State Board of Nursing within 30 days of any prescriptive-authority change, submitting the collaboration agreement with the notice.
Nurse Practitioner: Written notice + collaboration agreement filed with LSBN.
Physician Assistant: PA Notice of Intent to Practice filed with the board.
PAs must inform the Maryland Board of Physicians about the executed Collaboration Agreement before starting practice, filed through the Licensed Practitioner Portal.
Physician Assistant: Collaboration Agreement filed via mbp.state.md.us Licensed Practitioner Portal.
Nurse practitioners must apply for prescriptive authority with the Massachusetts Board of Registration in Nursing.
Nurse Practitioner: Prescriptive-authority application filed with the Board.
Collaborating physicians must complete a Collaboration Information Form for each APRN and submit it through the MSBML online licensure gateway.
Nurse Practitioner: Collaboration Information Form filed via MSBML gateway.
Physician Assistant: PA registration required before practicing.
A physician intending to collaborate with an APRN must notify the Nevada State Board of Medical Examiners before collaboration begins.
Nurse Practitioner: Notification form signed by both parties filed with the Nevada Board of Medical Examiners.
NPs must update the Ohio Board of Nursing with the name and business address of each collaborating physician within 30 days.
Nurse Practitioner: Standard Care Arrangement update filed within 30 days.
APRNs seeking prescriptive authority must submit a notarized collaborative agreement to the board via the Nurse Portal for each supervising physician.
Nurse Practitioner: Notarized Agreement for Physician Supervision Advanced Practice Prescriptive Authority uploaded via Nurse Portal.
CRNPs file the prescriptive-authority collaborative agreement with the Bureau of Professional and Occupational Affairs and keep the original at the primary practice location.
Nurse Practitioner: Copy of collaborative agreement filed with the Bureau; Board notified in writing of changes.
APRNs must file an APRN Change of Practice Form for any new employment, practice change, or new collaborating physician, and mail an APRN Prescription Authority Application to the Board of Nursing.
Nurse Practitioner: Change of Practice Form + Prescription Authority Application mailed to the SC Board of Nursing.
Physician Assistant: PA registration and supervision documentation required with the Board of Medical Examiners.
Before prescribing, APRNs submit the Notice and Formulary form to the Tennessee Board of Nursing, signed by both the APRN and supervising physician.
Nurse Practitioner: Notice and Formulary form filed with the TN Board of Nursing.
Collaborative and supervision agreements are filed with the applicable West Virginia board before practice begins.
Nurse Practitioner: Collaborative agreement filed with the WV Board of Nursing (or Osteopathic/Medicine board as applicable).
Physician Assistant: Supervising physician application and PA registration filed with the board.
