As of 2026, approximately 30 states and Washington, D.C., grant nurse practitioners (NPs) full practice authority (FPA), allowing them to practice without a physician collaborative practice agreement. However, more than 20 states still require a formal collaborative practice agreement (CPA) or similar physician relationship for NPs to prescribe medications, operate clinics, or perform certain medical services. Even in FPA states, many NPs continue to need physician support for pharmacy approvals, supplier accounts, malpractice coverage requirements, and compliance in specialty settings such as medspas, weight loss clinics, and IV therapy practices.
The NP practice authority landscape changed significantly in 2025, with several states expanding pathways to independent practice and reducing physician oversight requirements. Additional updates in 2026, including New York’s temporary FPA framework and California’s transition-to-practice model, make state-specific compliance more important than ever.
This guide explains what a collaborative practice agreement is, who needs one, what it must include, how requirements vary by state, what it costs, and how to obtain one correctly.
What Is a Collaborative Practice Agreement?
Terminology Map: What Different States Call a Collaborative Practice Agreement
Regardless of the name, these agreements establish the legal framework that defines an NP’s or PA’s authorized clinical activities. They specify prescriptive authority, delegated procedures, chart review requirements, consultation expectations, and circumstances requiring physician involvement.
A CPA is not an employment contract, malpractice insurance policy, or physician ownership arrangement. In most states, it also does not require the physician to be physically present on-site. Instead, it creates the legal authorization structure that allows an NP or PA to practice within clearly defined clinical parameters while meeting state regulatory requirements.
A collaborative practice agreement (CPA) is a written, legally binding agreement between an advanced practice provider, most commonly a nurse practitioner (NP) or physician assistant (PA), and a licensed physician. The agreement establishes the provider’s authorized scope of practice, prescriptive authority, and clinical oversight framework. Depending on state law, it may define which medications the provider can prescribe, which procedures they can perform, how often patient charts are reviewed, when physician consultation is required, and how emergencies are handled.
A collaborative practice agreement often enables an NP or PA to prescribe medications, operate a clinic, perform delegated procedures, and obtain access to pharmacy, distributor, and supplier accounts. For medspas, weight loss clinics, IV hydration clinics, and other specialty practices, the agreement frequently serves as a foundational compliance document.
One source of confusion is that the same type of agreement is called different names across the country. While the underlying purpose remains similar, states use different terminology and regulatory frameworks.
Who Needs a Collaborative Practice Agreement in 2026?
Do Nurse Practitioners Need a Collaborative Practice Agreement?
In more than 20 states, nurse practitioners must maintain a collaborative practice agreement or similar physician relationship to prescribe medications, operate independently, or provide certain medical services. In the 30 states and Washington, D.C., that grant full practice authority (FPA), most NPs can practice without a formal CPA. However, many still benefit from physician collaboration.
Aesthetic distributors such as Allergan and Galderma may require a physician NPI for injectable accounts. Compounding pharmacies may require physician authorization for GLP-1 compounds, and some malpractice insurers request documentation of physician oversight for procedural practices.
The practice authority landscape expanded in 2025, with states including Michigan, Alabama, Louisiana, South Carolina, and Wisconsin adopting broader independent practice pathways. New York’s temporary FPA framework is also scheduled to expire on July 1, 2026, making compliance review especially important for affected NPs.
Do Physician Assistants Need a Collaborative Practice Agreement?
Physician assistants (PAs), also known in some jurisdictions as physician associates, operate under a separate but similar regulatory framework. All 50 states require some form of physician oversight, although terminology and requirements vary. Most states require a written supervision or collaborative agreement between the PA and a supervising physician.
Unlike NP agreements, PA agreements are generally governed by State Boards of Medicine rather than Boards of Nursing and typically require a specifically named supervising physician. While some states have expanded practice authority for experienced PAs, fully autonomous PA practice remains uncommon. For practices seeking physician oversight solutions, see our Medical Director for PA resource.
Do Pharmacists Need a Collaborative Practice Agreement?
Pharmacists may also work under collaborative practice agreements, but these arrangements are different from NP and PA agreements. In most states, pharmacist CPAs support Collaborative Drug Therapy Management (CDTM), allowing pharmacists to participate in medication management under physician-approved protocols.
These agreements are generally regulated by State Boards of Pharmacy and focus on drug therapy rather than broader clinical practice authority. This guide focuses primarily on NP and PA collaborative practice agreements for outpatient clinics, medspas, and wellness practices.
The 2026 NP Practice Authority Map: Which States Still Require a CPA?
2026 NP Practice Authority and CPA Requirements by State
As of 2026, nurse practitioner practice authority falls into three broad categories: full practice authority (FPA), reduced practice authority, and restricted practice authority. Approximately 30 states and Washington, D.C., now grant FPA, allowing qualifying NPs to practice without a physician collaborative practice agreement in most settings. Approximately 15 states maintain reduced practice authority, while roughly 11 states continue to require ongoing physician collaboration or supervision.
Several developments have reshaped the NP practice landscape since 2025. Michigan, Alabama, Louisiana, South Carolina, and Wisconsin expanded pathways toward greater NP independence, though some states continue to use transition-to-practice requirements. New York’s temporary FPA framework is scheduled to expire on July 1, 2026, creating a potential compliance issue for NPs who have not met the state’s qualifying experience requirements.
California continues implementing AB 890, which created a pathway to independent practice for experienced NPs, while Massachusetts maintains a transition-to-practice period before granting full authority.
Collaborative Practice Agreement Requirements in Texas
Texas uses a Practice Authority Agreement (PAA) rather than a traditional collaborative practice agreement. Governed by Texas Occupations Code §157, the PAA specifically delegates which medications, treatments, and procedures an NP may perform. Texas remains a reduced practice state and requires physician involvement through a formal delegation framework.
The supervising physician must maintain an approved Delegation Protocol, and state rules limit the number of NPs a physician may oversee. Following HB 3749 (Jenifer’s Law), medspas and IV hydration clinics face increased oversight requirements, making detailed procedure and medication delegation language particularly important.
Collaborative Practice Agreement Requirements in Florida
Florida uses a physician protocol rather than a collaborative practice agreement. Governed by Florida Statute 464 and overseen by the Florida Board of Medicine, the protocol must identify authorized medications, procedures, consultation requirements, and chart review expectations.
Florida offers an autonomous practice pathway for qualifying NPs who meet experience requirements, but this primarily applies to certain primary care settings. Medspas, weight loss clinics, and IV hydration practices generally continue to require physician involvement. Medical Director Co. assists Florida providers with physician protocols and physician placement statewide.
Collaborative Practice Agreement Requirements in California
California relies on a Standardized Procedure Agreement (SPA) under Business and Professions Code §2725. AB 890 created a pathway for experienced NPs to practice independently after completing required supervised clinical hours and meeting state qualifications.
Until those requirements are met, physician collaboration remains necessary. California’s corporate practice of medicine (CPOM) restrictions add another layer of complexity because many non-physician-owned clinics require a Management Services Organization (MSO) structure. For many California clinics, compliance involves both a properly drafted SPA and an appropriate ownership structure.
Collaborative Practice Agreement Requirements in New York
New York remains one of the most closely watched states in 2026. The state’s temporary FPA framework is scheduled to expire on July 1, 2026, meaning some NPs may need to return to a physician collaboration model if they do not meet qualifying experience requirements. NPs who launched practices under expanded authority should review their compliance status before the deadline.
New York also maintains strict corporate practice of medicine requirements, which often require an MSO structure for non-physician business owners. Medical Director Co. provides New York physician placement and state-specific collaboration agreements.
Collaborative Practice Agreement Requirements in Pennsylvania
Pennsylvania requires a board-filed collaborative practice agreement under Pa. Code §21.285. The agreement must include both parties’ signatures, define prescriptive authority, identify a substitute physician, and be reviewed at least every two years. Updates, changes, and terminations may trigger additional Board of Nursing filing requirements.
Pennsylvania is among the most detailed states regarding collaborative practice documentation, making state-specific drafting essential. Providers opening specialty practices should ensure their agreement accurately reflects their service offerings and prescribing authority.
Collaborative Practice Agreement Requirements in Georgia
Georgia uses a Nurse Protocol Agreement (NPA) under the Georgia Composite Medical Board. The NPA must be tailored to the provider’s actual practice setting and scope of services. A protocol designed for primary care may not satisfy requirements for a medspa, weight loss clinic, or IV hydration practice.
Depending on the practice type, physician site visits and additional oversight requirements may apply. Medical Director Co. prepares Georgia-specific NPA documentation for specialty clinics and outpatient practices.
Collaborative Practice Agreement Requirements in Illinois
Illinois allows NPs to transition toward independent practice after meeting specific clinical experience and continuing education requirements. Until those thresholds are met, a physician collaborative practice agreement remains necessary. Because many NPs practicing in Illinois are still within the transition framework, physician collaboration remains common across medspas, wellness clinics, and specialty practices. Medical Director Co. assists Illinois providers with physician placement and compliant collaborative agreements tailored to their services.
Collaborative Practice Agreement Requirements in North Carolina
North Carolina is a restricted practice state that requires ongoing physician supervision for nurse practitioners. Unlike some states that offer a pathway to independent practice, North Carolina maintains permanent physician oversight requirements. NPs must operate under a written agreement with a supervising physician who remains available for consultation. The North Carolina Board of Nursing oversees these requirements. Medical Director Co. provides physician matching and state-specific supervisory agreements for North Carolina practices.
What a Collaborative Practice Agreement Must Include: A Complete Checklist
CPA Compliance Checklist
Use the following checklist when reviewing an existing agreement or evaluating a collaborative practice agreement template:
☐ Party identification and backup physician ☐ Scope of practice definition ☐ Prescriptive authority and drug authorization ☐ Delegated procedures and services ☐ Physician availability and consultation terms ☐ Chart review requirements ☐ Emergency and adverse event protocol ☐ Controlled substance authorization ☐ Agreement review and renewal schedule ☐ Termination provisions
A well-drafted collaborative practice agreement does more than satisfy a state requirement. It defines how the NP and physician work together, establishes clinical authority, and helps protect the practice from compliance issues. Whether you’re opening a medspa, weight loss clinic, or IV hydration business, these 10 components should appear in every CPA.
Party Identification Include the full legal names, license numbers, NPI numbers, and contact information for both parties. Many states also require a backup or substitute physician to be identified.
Scope of Practice Definition The agreement should clearly describe the services the NP is authorized to provide. A medspa CPA should reference aesthetic procedures, while a weight loss clinic CPA should address obesity management services.
Prescriptive Authority and Drug Authorization List the medications and drug categories the NP may prescribe. For specialty clinics, this may include Botox® (onabotulinumtoxin A), semaglutide, tirzepatide, lidocaine, IV medications, and prescription skincare products.
Delegated Procedures and Services Identify the procedures the NP is authorized to perform. This may include injectables, laser treatments, IV therapy, hormone replacement services, or other clinic-specific offerings.
Physician Availability and Consultation Terms Define how the physician can be reached, expected response times, and when consultation is required. This section should also address clinical complications and unusual patient presentations.
Chart Review Requirements Specify how frequently charts are reviewed and which records require physician review. Some states mandate minimum review percentages or review schedules.
Emergency and Adverse Event Protocol Outline the steps the NP must follow during emergencies. For medspas and IV therapy clinics, this should include adverse injection reactions, allergic responses, and escalation procedures.
Controlled Substance Authorization If controlled substances are prescribed, the agreement should identify the authorized schedules and document the physician’s DEA-related authority where required by state law.
Agreement Review and Renewal Schedule Most states require periodic review of the CPA. Annual or biennial updates help ensure the agreement reflects current laws, clinic services, and prescribing practices.
Termination Provisions The agreement should explain how either party may terminate the relationship, required notice periods, and what happens to the NP’s authority if physician coverage ends.
Collaborative Practice Agreement vs. Supervisory Agreement vs. Delegation Agreement: What's the Difference?
The terms used for NP-physician agreements vary by state, which often creates confusion for clinic owners and advanced practice providers. While these documents serve a similar purpose, they differ in structure, scope, and regulatory requirements.
Collaborative Practice Agreement (CPA): The most common and broadly used term. A CPA establishes an ongoing professional relationship between an NP and physician and defines the NP’s authorized scope of practice, prescribing authority, and clinical responsibilities. It is generally associated with a collaborative rather than supervisory model.
Supervisory Agreement: More common in restricted-practice states, a supervisory agreement gives the physician a greater degree of oversight and responsibility. In some states, the physician must remain immediately available for consultation during patient care activities.
Delegation Agreement / Practice Authority Agreement (PAA): Used in Texas, this model requires the physician to specifically delegate each medication category, procedure, and clinical activity the NP may perform. Texas Occupations Code §157 governs these agreements.
Physician Protocol / Standardized Procedure Agreement (SPA): Florida uses physician protocols, while California uses SPAs. These documents authorize specific clinical procedures and treatment protocols rather than defining a broad scope of practice.
Nurse Protocol Agreement (NPA): Used in Georgia, the NPA authorizes physician-delegated activities within a specific practice setting. The agreement must be updated when the clinic’s services or scope of care change.
Why a Generic CPA Template Won't Work — And What Happens When You Use One
Many NPs begin their search with a free collaborative practice agreement template. While templates may appear convenient, they often create compliance gaps that become expensive to fix later.
They’re not state-specific. Requirements vary significantly across states. Pennsylvania requires board filings and substitute physician provisions, Texas requires PAA-specific delegation language, and Florida relies on physician protocols. A template designed for one state may be non-compliant in another.
They don’t include specialty-specific language. Most generic templates are written for primary care. A medspa, weight loss clinic, or IV hydration practice requires detailed authorization for procedures, medications, and services. Without that language, distributor applications, pharmacy approvals, and compliance reviews may be delayed or denied.
They often omit backup physician provisions. Many states require a substitute physician to be identified when the primary physician is unavailable. This requirement is frequently missing from downloadable templates.
They don’t solve the physician problem. A template is only a document. It does not provide a collaborating physician, a physician signature, standing orders, or ongoing compliance support. Medical Director Co. provides both the state-specific agreement and the physician relationship needed to make the document operational.
Collaborative Practice Agreement Cost: What to Expect in 2026
Option 1: Healthcare Attorney-Drafted CPA
A healthcare attorney typically charges $2,000–$5,000 for a state-specific agreement, or $300–$600 per hour. While you receive professionally drafted legal language, the attorney cannot provide a collaborating physician. Most projects take two to six weeks to complete.
The cost of obtaining a collaborative practice agreement depends largely on how you choose to secure physician coverage and documentation.
Option 2: Free CPA Template
Free templates cost nothing upfront, but they often lack state-specific requirements, specialty-clinic language, backup-physician provisions, and physician signatures. A non-compliant agreement can lead to pharmacy rejections, distributor denials, or regulatory issues.
Option 3: Medical Director Co. Placement
Medical Director Co. provides physician placement, a state-specific CPA drafted by Bolton Harris, J.D., standing orders, and MSO documentation when needed. The cost is $799 per month with no document drafting fees or placement fees. Most providers receive a physician match within 24 hours and a completed agreement within 24–48 hours.
CPA Cost Comparison
How to Get a Collaborative Practice Agreement: Step-by-Step
Obtaining a collaborative practice agreement is usually a straightforward process when you understand your state’s requirements and work with qualified legal and physician partners.
Step 1: Confirm Your State’s Requirements Determine whether your state requires a CPA, Practice Authority Agreement (PAA), physician protocol, Standardized Procedure Agreement (SPA), or another form of physician collaboration. Review any filing requirements, supervision rules, and specialty-clinic regulations that apply to your practice.
Step 2: Find a Qualified Collaborating Physician The physician should hold an active, unrestricted license in your state and be willing to participate in chart review and clinical oversight. Medical Director Co. matches providers with qualified physicians in all 50 states, often within 24 hours.
Step 3: Have the Agreement Drafted Your agreement should be tailored to both your state and your clinic type. Medical Director Co.’s in-house legal team prepares state-specific agreements that address specialty services such as aesthetics, weight loss, IV therapy, and telehealth.
Step 4: Execute the Agreement Both the provider and physician must sign the document. Some states require filing with the Board of Nursing or another regulatory agency.
Step 5: Obtain Supporting Documents Depending on your state, you may also need standing orders, physician protocols, MSO agreements, or board notification forms.
Step 6: Maintain the Agreement Review and update the agreement regularly. Changes to services, medications, ownership structure, or state law may require revisions or additional filings.
Collaborative Practice Agreements for Specific Clinic Types
CPA for Medspas and Aesthetic Clinics
A collaborative practice agreement for a medspa should specifically authorize Botox® (onabotulinumtoxin A), dermal fillers, chemical peels, prescription skincare products, and laser procedures when applicable. Generic primary care language is often insufficient for distributor applications, supplier approvals, and regulatory reviews. The physician’s NPI is commonly tied to injectable accounts and purchasing arrangements. Medical Director Co. prepares aesthetics-specific agreements designed for medspa operations.
CPA for Weight Loss and GLP-1 Clinics
Weight loss clinics require detailed authorization language covering semaglutide, tirzepatide, vitamin B12 injections, and any controlled substances such as phentermine. State-specific prescribing standards may apply, particularly in Florida and Texas. Compounded GLP-1 products can introduce additional documentation requirements depending on the pharmacy and product involved. Medical Director Co. prepares weight-loss-specific agreements that align with current prescribing requirements.
CPA for IV Hydration Clinics
IV therapy agreements should specifically authorize every formulation offered, including saline, lactated Ringer’s, ondansetron, ketorolac, glutathione, NAD+, magnesium, amino acid blends, and other additives. Texas and Florida have additional operational requirements that may affect documentation and administration protocols. Medical Director Co. provides IV-specific standing orders and physician oversight documentation.
CPA for Telehealth Practices
Telehealth practices face additional complexity because the agreement may need to address multiple states. The collaborating physician must generally hold licenses in every state where patients are treated, and controlled-substance prescribing remains subject to federal telemedicine requirements. Multi-state telehealth arrangements often require more extensive documentation and ongoing compliance monitoring. Medical Director Co. supports multi-state physician placements and telehealth-specific agreements.
CPA for Hormone and Peptide Therapy Clinics
Hormone and peptide clinics require authorization for testosterone replacement therapy, hormone management medications, and any peptide compounds offered by the practice. Because testosterone is a Schedule III controlled substance, DEA-related requirements may apply. Certain peptide products have also received increased regulatory scrutiny in recent years. Medical Director Co. prepares specialty-specific agreements that reflect the clinic’s actual treatment protocols and prescribing activities.
Common Collaborative Practice Agreement Mistakes (And How to Avoid Them)
Not updating the agreement when services change. An NP may start with injectable aesthetics and later add semaglutide weight loss services. If the CPA doesn’t authorize GLP-1 medications, pharmacy approvals and compliance reviews can become problematic. Update the agreement whenever new services, medications, or procedures are introduced.
Using a physician who isn’t licensed in the clinic’s state. A collaborating physician generally must hold an active license in the state where the practice operates. For telehealth and multi-state practices, additional state licenses may be necessary.
Overlooking the backup physician requirement. Many states require a substitute physician to be identified within the agreement. Failing to include one can create compliance issues during audits or physician absences.
Missing required board filings. Certain states require agreements or agreement changes to be filed with the appropriate licensing board. Skipping this step may create regulatory problems even when the agreement itself is properly drafted.
Treating the CPA as a one-time document. State laws, clinic services, and prescribing practices evolve over time. An outdated agreement may no longer reflect the clinic’s operations or current regulatory requirements. Regular review helps keep the practice compliant.
How Medical Director Co. Gets Your CPA Right the First Time
Most CPA providers can help with the paperwork or help you find a physician. Medical Director Co. is designed to solve both problems through a single, coordinated process.
We place licensed collaborating physicians in all 50 states, often within 24 hours. Every client receives a state-specific agreement prepared for their jurisdiction, whether that means a collaborative practice agreement (CPA), Practice Authority Agreement (PAA), physician protocol, Standardized Procedure Agreement (SPA), or Nurse Protocol Agreement (NPA). Agreements are drafted by Bolton Harris, J.D., Medical Director Co.’s in-house healthcare attorney, and customized to the clinic’s actual services.
That includes specialty-specific language for medspas, weight loss clinics, IV hydration businesses, telehealth practices, and hormone therapy clinics. Every agreement includes backup physician provisions where required, standing orders and protocol templates, and MSO documentation in CPOM states when needed.
Medical Director Co. also provides board filing guidance, ongoing compliance support, and agreement updates when laws change or your service menu expands. The entire package is available for $799 per month with no setup fees, no document drafting fees, no placement fees, and no long-term contracts.
Frequently Asked Questions About Collaborative Practice Agreements
What is a collaborative practice agreement?
A collaborative practice agreement (CPA) is a written, legally binding agreement between an advanced practice provider, most commonly a nurse practitioner (NP) or physician assistant (PA), and a licensed physician. The agreement defines the provider’s authorized scope of practice, including prescribing authority, delegated procedures, chart review requirements, and physician consultation expectations. In states that require physician collaboration, a CPA is a regulatory requirement that allows the provider to practice within defined legal parameters.
Which states require a collaborative practice agreement in 2026?
As of 2026, approximately 20 states require NPs to maintain a collaborative practice agreement or similar physician relationship to prescribe medications and practice independently. Examples include Texas, Florida, Georgia, Pennsylvania, North Carolina, Mississippi, Missouri, and Tennessee. New York’s temporary full practice authority framework is also scheduled to expire on July 1, 2026. States with full practice authority, such as Arizona, Colorado, Oregon, and Washington, generally do not require a CPA for routine NP practice.
What is the difference between a collaborative practice agreement and a supervisory agreement?
Both documents define the relationship between a physician and an advanced practice provider, but the level of physician involvement differs. A collaborative practice agreement generally reflects a professional partnership with defined consultation and oversight requirements. A supervisory agreement typically requires greater physician involvement and may mandate that the physician remain immediately available for consultation. The terminology often depends on state law, even when the documents serve similar functions.
How much does a collaborative practice agreement cost?
Costs vary depending on how the agreement is obtained. Healthcare attorneys commonly charge between $2,000 and $5,000 to draft a state-specific agreement, and that fee does not include a collaborating physician. Free templates are available but may lack state-specific requirements and physician signatures. Medical Director Co. provides physician placement, legal drafting, and compliance support starting at $799 per month, with no separate placement or document fees.
Does a collaborative practice agreement need to be filed with the state board?
It depends on the state. Pennsylvania requires filing and notification procedures when collaborative agreements are created, modified, or terminated. Several other states have similar reporting obligations. Many states do not require proactive filing but expect practices to maintain a current agreement and make it available during inspections or audits. Providers should always verify filing requirements with their state’s nursing or medical board.
Can a collaborative practice agreement cover Botox and aesthetic procedures?
Yes, but the agreement must specifically authorize those services. Generic language stating that an NP may prescribe medications within their scope of practice is often insufficient for medspa operations. A properly drafted agreement should identify Botox® (onabotulinumtoxin A), dermal fillers, prescription topicals, and other aesthetic procedures offered by the clinic. This level of detail is often necessary for distributor approvals, supplier accounts, and regulatory compliance.
What happens if an NP practices without a required collaborative practice agreement?
Practicing without a required CPA can expose an NP to significant regulatory and operational risks. Potential consequences include disciplinary action by the Board of Nursing, limitations on prescribing authority, denial of distributor accounts, pharmacy rejections, and increased liability exposure. In some jurisdictions, operating without required physician collaboration may also trigger allegations of practicing beyond authorized scope. Maintaining a compliant agreement helps avoid these risks.
Do NPs in full practice authority states need a collaborative practice agreement?
Legally, many do not. In full practice authority states, qualified NPs can generally diagnose, treat, and prescribe without physician collaboration. However, practical considerations still arise. Certain distributors, pharmacies, insurers, and specialty practice models may require physician involvement, even in FPA states. Medspas, wellness clinics, and practices using compounded medications often maintain physician relationships to satisfy operational and compliance requirements.
How long does it take to get a collaborative practice agreement?
The timeline depends on how the agreement is obtained. Traditional attorney-drafted agreements can take several weeks, particularly when physician recruitment is handled separately. Medical Director Co. typically places a physician within 24 hours and prepares a state-specific agreement within 24 to 48 hours. This accelerated process helps providers meet clinic launch schedules, distributor deadlines, and licensing requirements.
Does New York still require a collaborative practice agreement in 2026?
New York’s regulatory framework remains in transition. The state’s temporary full practice authority provisions are scheduled to expire on July 1, 2026, which may affect NPs who have not met qualifying experience requirements. Those providers could return to a reduced-practice framework requiring physician collaboration. Because the rules are evolving, New York NPs should review their current status carefully and confirm whether a collaborative agreement will be required for their practice model.
Get Your State-Specific CPA Drafted and Signed in 24 Hours
If you’re an NP or PA practicing in a state that requires physician collaboration, Medical Director Co. provides a complete solution: physician placement, a state-specific CPA (or equivalent agreement), standing orders, and ongoing compliance support. Every agreement is tailored to your specialty and prepared without separate document drafting fees, starting at $799 per month.
If you practice in a full practice authority state, you may still need a physician relationship for supplier accounts, pharmacy approvals, malpractice coverage, or specialty clinic compliance. Medical Director Co. helps bridge those operational requirements with experienced collaborating physicians and specialty-specific documentation.
Apply today and get matched with a collaborating physician in your state within 24 hours.
Blaz Korosec is the CEO and co-founder of Medical Director Co., a nationwide platform that connects aesthetic and wellness professionals with licensed physicians for medical oversight, supervision, and compliance support. With a background that bridges healthcare operations, regulatory compliance, and entrepreneurial growth, Blaz has worked closely with hundreds of nurses, physician assistants, and clinic owners to help them legally launch and scale medical spas, telehealth weight loss clinics, IV hydration businesses, and aesthetic practices.
Blaz holds a degree in finance from Southern Methodist University (SMU) and has built a diverse portfolio of businesses ranging from healthcare to hospitality, including a national network of RV parks and medical clinics. Through MedicalDirector.CO, he’s developed a deep understanding of the state-by-state rules that govern collaborative agreements, PC/MSO structures, telemedicine protocols, and injectable treatments—translating complex legal frameworks into easy-to-implement solutions for clinicians and business owners.
Blaz is particularly passionate about helping nurses and mid-level providers unlock business ownership opportunities, and he’s known for designing systems that streamline operations, boost revenue, and ensure long-term legal protection. His team includes former prosecutors, senior RNs, and physicians who together support a growing number of clinics across all 50 states.
When he’s not working, Blaz enjoys mountain biking, restoring properties, and exploring the outdoors with his wife. He’s based in Texas but works with clients nationwide.
