COLLABORATIVE PRACTICE TERMINATION PROCESS
It is the responsibility of each licensee to submit a written termination to their licensing Board to end a Collaborative Agreement.
The Collaborative Practice Rules state the following:
[Rule 540-X-8-.04] Qualifications for Physicians in Collaborative Practice with Certified Registered Nurse Practitioners.
(4) A physician entering into a collaborative practice arrangement with a certified registered nurse practitioner, including those who have been granted temporary approval to practice as a certified registered nurse practitioner under the provisions of Rule 540-X-8-.07, shall notify the State Board of Medical Examiners in writing of the following:
(b) The date on which the collaborative practice agreement between the collaborating physician and the certified registered nurse practitioner terminates. The “Notification of Termination” should be submitted within fourteen (14) days of the date of termination. The “Notification of Termination” shall be authorized by the collaborating physician and should include the name and license number of the collaborating physician and the name and license number of the Certified Registered Nurse Practitioner.
Terminations must be submitted in writing and can be done from the Board of Medical Examiners website as follows:
1. Go to www.albme.org
2. Click on the quick link FORMS in the middle of the home page
3. Scroll down to Collaborative Practice
4. Click on “Notification of Termination”
5. Complete all areas with a red*
6. Click on Submit—you should receive an automated reply. Keep this as your confirmation notice. If you do not receive this automated response call our office to make sure the termination was received.
Reminder: During license renewal a Collaborative Agreement must be either renewed or terminated before the next calendar year. Terminations can also be completed on the renewal site when it is activated. (October 1 through December 31)