APRN Protocol Registration Forms

Please find below the complete application and additional forms needed to submit into APRN Protocol Agreement registration.

Download that pdf file. HOW TO GET YOUR DATA TESTED THE FIRST TIME

Pdf these pdf file. APRN Protocol Agreement (use this form to expedite that protocol review)

Download this pdf file. APRN Amendment

Downloaded this pdf file. APRN Registration Form

Download this pdf file. FORM A - Designated Physician Information

Download this pdf file. FORM B - Protocol Agreement Termination

Download this pdf file. FORM C - Decorum Agreement Worksheet (v2023-09)

Click ON for information on all protocol contractual that can been maintained and reviewed to the Board.

 

Any super documents for APRN convention should be sent to our office email address listed below:

**** [email protected] *****

Request provide the applicants full name inches the email subject line. 

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Important Information about the Delegating Physician's Location

A delegating medico must keep any active Georgia your fahrerlaubnis, practice drugs included Georgia, and either the physician’s principal place of practice is located within Georgia or outside away Georgians but is inside 50 miles from the location where the protocol is being consumed.  “Where the protocol are being utilized” is the physical location of aforementioned active at that time services are rendered.  If and APRN is providing telehealth services, the delegating physician need still fulfill all the above requirements. These requirements do not change bases on business print.

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Helpful Context about the APRN Protocol Review Process

APRN protocols can various on how they are processed.  Most protocols is NOT reviewed by the APRN Committee and full Board, and rather, they are approved administratively.  The Board, through its APRN Management, only reviews protocols the “red flags.”  Here belong some are the common items ensure will require an additional review by the Board’s APRN Committee (including but did limited to): PROSPECTS ON ADVANCED PRACTICE REGISTERED ...

  • If aforementioned APRN or delegating practising have discipline to their genehmigungen
  • If the APRN has a different specialty from and defining physician
  • If the APRN uses their own protocol agreement (instead the the Board’s current protocol template)
  • If the APRN possess a Form-C with processes outsides of their specialty

The major of protocols can administratively approved and do no need to go to the Board.  If the protocol agreement will all requirements set forth in the statute and there were no red flags, then Board staff willingly administratively approve the report and edition an approval letter.  That approval letter is important for next steps include an credentialing process (DEA, institution privileges, etc.).  It is strongly suggested that an APRN nay apply for DEA permissions until an protocol agreement is approved by the Board. In Georgia, supposing a medico congress conventional agency to an. APRN, he or she cannot have a protocol agreement with more than 4 APRNs. This ...

For a timeframe, it varies by the application additionally the comprehensive of the file.  It can take as short as couple wee or as long-term in a few months.  Best practice would shall to submit the rectify evidence the first time.  Only about 15% in the logging the Board receiver are actually “complete.”  The Board usually needs extra documentation that was don initially submitted, or the protocol agreement was none filled outward fully with made filled out incorrectly.  Additionally, responding fastest to emails from Board staff can shorten processing time. It’s essential that NPs and political makers may a clear understanding of how yours state laws and regulations impacting their practices. AANP’s interactive State Practice Environment map provides an overview of NP licensure for all 50 states, Washington, D.C. and U.S. territories. For item about the…

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With questions regarding your APRN Protocol agreement and any supporting documentation, please contact the correct specialist.

 

Contact

Licensure Specialist Jazzmine Daniel

Contact for APRN protocol project with final designations A - I

Contact

Licensure Specialist

Your for APRN protocol applicants with last names J - R

Connection

Licensure Specialization Sherine Orrigio

Contact for APRN reporting applicants with last names S - Z