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Psychiatric Aprn Collaborative Practice Agreement PMH-APRN Collaborating Physician Contract Template Mental Health NP Medical Director Forms

PrettyLegalForms  

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  • Digital download
  • Digital file type(s): 2 PDF, 1 other file

Psychiatric NP Collaborative Practice Agreement with Supervising Physician, MentaL Health Nurse Practitioner Medical Director Contract Template, PMH-APRN Supervising Physician Agreement, APRN Collaborating Doctor Contract Template

A collaborative practice agreement is a written contract between a psychiatric nurse practitioner and a supervising physician. The agreement details the parties' agreement to practice in a joint and collaborative manner to provide mental health and psychiatric treatment to patients. The agreement allows the PMH-APRN to perform certain treatments, procedures, and acts of prescriptive authority on patients under the legally required supervision and oversight of the physician.

A psychiatric collaborating physician agreement will detail the following:
- the mental health nurse practitioner's scope of practice
- the treatments and procedures the NP is able to perform, and the prescriptive authority delegated to the NP
- each parties' requisite training, licensing, and qualifications
- duties and responsibilities of each party
- supervising physician oversight, availability for consultation, and chart and document review
- requirements for established practice protocols, procedures, and clinical guidelines
- and much more

Don't trust your legal needs to a non-lawyer! This Psychiatric APRN Collaborative Practice Agreement is drafted from scratch by an attorney with an MBA. All of our templates are written in easy to use and easy to understand language with no complicated legalese! These are not generic forms available for free download elsewhere on the internet. You can rest assured that you are getting a high quality legal template without the expensive lawyer price tag.

* Please note that regulations regarding APRN scope of practice and collaborative arrangements/protocols vary from state to state. This form cannot address all aspects of varying states laws and is intended to be a DIY template only. Please consult the board of nursing and/or an attorney licensed in your state to verify current requirements and scope of practice limitations.

Easy to use and fully editable. Just print and fill in the blanks. Need to edit? No problem, use the Microsoft Word version to add, remove, or edit text.

WHAT YOU GET:

A thirteen (13) page Psychiatric APRN Collaborative Practice Agreement.
Instant digital download in PDF and Microsoft Word formats.
NO physical item will be shipped to you.

Easy to use and fully customizable. Just print and fill in the blanks. Need to edit? No problem, use the Microsoft Word version to make changes.

After purchasing this listing, go to your account, then to purchases and reviews, then to download. The PDF and Microsoft Word files will be available for you to download there. You will also receive an email from Etsy with a link to download your items.

~~ Check out some of our other listing here:

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https://www.etsy.com/listing/1821127565/psychiatric-pa-collaborative-practice

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DISCLAIMER:

***This is a generic template.*** Your jurisdiction may have specific, additional, and/or different legal requirements, including, without limitation, laws governing medical/psychiatric practices, collaborative arrangements and protocols, CPOM laws, and scope of practice laws, which may not be included in or may be different from what is included in this template.

Please check the requirements of your local jurisdiction prior to using this form. You are solely responsible for ensuring that your use of this template complies with the laws of your local jurisdiction. These forms are intended to be "do-it-yourself" (meaning you may need to edit to fit your specific business and/or jurisdictional needs) and are not a substitute for the advice of an attorney in your jurisdiction. If you have questions, please consult a lawyer licensed in your jurisdiction prior to using this form. The only way to be 100% sure you are in compliance with your local applicable laws is to consult a licensed attorney in your jurisdiction.

By purchasing this listing, you accept all terms and conditions in this listing and in the downloaded files. PrettyLegalForms is not responsible for publishing, completion, executions, or usage errors on your part.

The information in this form is for general information purposes only and may not reflect the current law in your jurisdiction. No information contained in this listing or the downloaded files should be construed as legal advice from PrettyLegalForms or the individual author, nor is it intended to be a substitute for legal counsel on any subject matter.

This template is not a substitute for the advice of an attorney. No attorney-client relationship is created by your purchase and use of this template. If you have legal questions or concerns, you should seek the advice of an attorney in your relevant jurisdiction.

These forms are created by PrettyLegalForms for your own personal use. You may not resell, redistribute, or share this template in whole or in part for any reason.

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Reviews for this item

5.0

We calculate this number using a recency-weighted average of all ratings, with a rating's value decreasing by half each year to best reflect the current experience.

(4 reviews)

5.0 Item quality
5.0 Shipping
5.0 Customer service
100% Buyers recommend
5 out of 5 stars 5 This item

Etsy buyer Sep 15, 2025

This was a very useful document for setting up my practice

Etsy buyer Sep 15, 2025

Response from Stephanie K.

I appreciate the great feedback, and best of luck with your practice :)

5 out of 5 stars 5 This item

sandra Nov 26, 2024

I will recommend using the template and form

sandra Nov 26, 2024

Response from Stephanie K.

Thank you again!!

5 out of 5 stars 5 This item

sandra Nov 26, 2024

I will recommend using the template and form

sandra Nov 26, 2024

Response from Stephanie K.

Thank you for the great feedback, Sandra!

5 out of 5 stars 5 This item

KayKay Sep 3, 2024

I asked Stephanie if she would please *create* a new collaborative agreement for a PMHNP, and she had it created and uploaded within just a few days. She is timely in her response and her product is great for a starting business! I like that I can edit the document to meet my state's needs. Thank you!!

KayKay Sep 3, 2024

Response from Stephanie K.

Thank you very much for taking the time to leave such a wonderful and detailed review. So happy to help! :)

PrettyLegalForms
PrettyLegalForms ·

Miami, Florida

We calculate this number using a recency-weighted average of all ratings, with a rating's value decreasing by half each year to best reflect the current experience. 4.9
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Stephanie
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Listed on Sep 7, 2026