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Nurse Practitioner NP-CR

The University of the State of New York The State Education Department Office of the Professions Division of Professional Licensing Services Practitioner Form NP-CR Collaborative Relationships Attestation FormInstructions This form must be filled out and signed by Nurse practitioners (with more than 3,600 hours of qualifying Nurse Practitioner practice experience) who choose to practice and have collaborative relationships - instead of practicing in accordance with a written practice agreement with a collaborating physician. Once completed, a Nurse Practitioner must keep this form at the Nurse Practitioner 's practice location and provide it to the New York State Education Department upon request. The Nurse Practitioner must ensure that information on this form is current, and should complete a new Form NP-CR , as appropriate, to update information.

Nurse Practitioner Form NP-CR ... Palliative Care. Perinatology Psychiatry. School HealthWomens Health. Nurse Practitioner Form NP-CR, Page 1 of 2, Revised 5/17 ... with a physician having professional privileges at such hospital, about a patient's care are not successful, the recommendation of the physician shall prevail.

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