![Nurse Practitioner Collaborative Agreement Template [Free with Medical Director Placement]](https://medicaldirectorco.b-cdn.net/wp-content/uploads/2025/09/focus-on-the-female-doctor-doing-a-handshake-with-2025-09-09-20-06-32-utc.jpg)
If you’re a nurse practitioner (NP) planning to launch a medspa, IV hydration clinic, or weight loss program, you’ve probably Googled:
- “Nurse Practitioner collaborative agreement template”
- “collaborative practice agreement PDF”
- “sample NP physician contract”
It’s a natural first step. But here’s the truth.
Every state has its own collaborative agreement requirements.
What works in Texas won’t fly in Florida. What’s valid in California won’t pass in New York. Even within full practice authority states, many pharmacies and insurers still require physician collaboration to approve semaglutide, Botox, or IV therapy accounts.
That’s why a generic template is risky.
At Medical Director Co., we handle this complexity for you. Our in-house legal team prepares collaborative agreements tailored for all 50 states, free with every medical director placement.
Agreements are customized, physician-signed, and delivered within 24 hours so that you can launch your clinic legally and quickly.
What Is a Collaborative Agreement?
A collaborative practice agreement (CPA) is a written contract between an NP and a physician. It defines:
- Scope of practice: Which medications/treatments the NP may perform
- Delegation rules: Which procedures require MD oversight
- Chart review schedule: How often the MD reviews the NP’s records
- Prescriptive authority: Which drugs can be prescribed (Botox, semaglutide, IV meds, etc.)
- Emergency protocols: Steps for adverse reactions
Without this, many NPs cannot legally prescribe or operate clinics.
Why You Can’t Rely on Free Templates
Free downloads online may look professional, but they:
- Are not state-specific: One-size-fits-all doesn’t work.
- Are often outdated: Laws evolve every year.
- Lack injectables/GLP-1s: Many skip aesthetics/weight loss language.
- Miss some signatures: you still need a physician willing to sign.
Bottom line: A generic template can sink your launch.
The True Cost of Attorney-Drafted Collaborative Agreements
Some NPs think: “I’ll just hire a healthcare attorney to draft my collaborative agreement.”
It makes sense—attorneys know state law.
But here’s the reality:
- Most attorneys charge hourly. At $300–$600/hour, even a “simple” CPA can cost $2,000+.
- Flat-fee agreements are often $2,000–$5,000, depending on the state.
- Many don’t provide a physician. You still need to go find an MD willing to sign.
- Agreements aren’t clinical. Attorneys write legal boilerplate, but they don’t include practical medical delegation language for Botox, IV therapy, or GLP-1 weight loss meds.
In short: You’ll spend thousands, and you’ll still need us.
Examples of Attorney Pricing (2025)
Fenton Law Group
- Healthcare-focused law firm in California
- CPAs typically cost $2,500–$5,000, sometimes higher with complex delegation language.
Petrillo Law
- Bills hourly at $300–$600/hour. Even “basic” agreements can run $3,000+.
Cohen Healthcare Law Group
- Specializes in medspa compliance
- CPA packages start around $3,500–$4,500, not including ongoing physician support.
Nelson Hardiman
- National healthcare law firm
- Collaborative agreements are bundled into “compliance packages” that run $5,000+.
Harris Bricken Healthcare Attorneys
- Known for cannabis + healthcare law
- Charge hourly (often $400–$650/hour)
If you add it up:
- A single collaborative agreement from an attorney often costs $3,000–$5,000 upfront.
- If laws change or you expand to another state, you’ll pay again.
- None of these firms provide the medical director relationship, which is the most important part.
Why Medical Director Co. Is Different
At Medical Director Co., our model is simple.
- Free collaborative agreements with every placement
- Customized for all 50 states by our in-house legal team
- Signed by your medical director within 24 hours
- No setup fees. No equity. No “document prep” charges.
- $799/month, not $3,000–$5,000 upfront
In many states, you also need an MSO (Management Services Organization) agreement for ownership compliance. Most firms charge thousands for this paperwork. We prepare your MSO free of charge as part of your medical director placement.
We’ve already prepared agreements for NPs in all 50 states—from Texas to California, Florida, Alaska, New York, and Hawaii.
State-by-State Collaborative Agreement Requirements
Here’s a snapshot of how rules vary nationwide.
| State | NP Prescriptive Authority | Collaborative Agreement Required? |
| Texas | No | Yes, a delegation agreement. |
| Florida | No | Yes, a physician protocol |
| California | No | Yes, plus MSO for ownership |
| New York | Partial | Yes, unless NP is fully credentialed |
| Georgia | No | Yes |
| North Carolina | No | Yes |
| Illinois | No | Yes |
| Washington | Yes (full practice authority) | Not legally, but often required by pharmacies |
All 50 States Covered
Our in-house legal team prepares collaborative agreements for all 50 states.
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Every state is different. Some require chart review ratios. Others mandate board filings. Many CPOM states also require MSO structures. Our legal team ensures your CPA and MSO are drafted correctly the first time.
What Our Agreements Cover
- Botox & filler prescribing
- Semaglutide/tirzepatide delegation
- IV hydration protocols
- Controlled substances (e.g., phentermine)
- Chart review requirements
- State-specific compliance language
Case Studies
Case 1
A Texas NP downloaded a generic PDF.
The pharmacy rejected their semaglutide prescription; it’s missing delegation language.
With us, they got placed with an MD and a state-specific CPA prepared for free. Their clinic launched in 5 days.
Case 2
A Florida NP-owned IV hydration tried a DIY template.
Their saline order from a supplier was denied.
We placed an MD and drafted a CPA for free. Their account was approved in 72 hours.
Case 3
An attorney quoted a California entrepreneur with an NP partner $3,500 for a CPA.
With us, they got an MD placement, plus a CPA and an MSO for free. They had a compliant launch for $799/month.
5 Steps to Get Your Collaborative Agreement
- Apply online.
- Get a physician placed within 24 hours.
- Get a state-specific CPA prepared free by our legal team.
- The physician signs and activates the agreement.
- Your clinic launches legally.
FAQs
Can I use a free template online?
Not safely. State boards & pharmacies may reject it.
Do you charge for agreements?
No, they’re included free with placement.
How fast can I get one?
Usually within 24 hours.
Which states do you cover?
All 50 states. Each CPA and MSO is customized by our in-house legal team.
Takeaway
If you’re searching for a collaborative agreement template, here’s the truth:
- Templates alone aren’t compliant.
- Attorneys will charge thousands, often hourly.
- You still need a physician to sign.
- In many states, you also need an MSO agreement.
At Medical Director Co., we make it simple.
- Collaborative agreements prepared free for all 50 states
- MSO agreements included free in CPOM states
- Customized by our in-house legal team
- Physicians placed within 24 hours
- Just $799/month
Get your collaborative agreement today and launch your clinic the right way.
Bolton M. Harris, J.D., is a seasoned attorney with a formidable background in criminal law and a focus on healthcare law and compliance. As the in-house legal counsel at Medical Director Co., Harris brings a unique blend of prosecutorial experience and regulatory expertise to support healthcare professionals across Texas. Her career spans roles as a prosecutor in multiple counties and now as a trusted advisor on the legal intricacies of medical practice operations.
Education & Early Career
Bolton Harris completed her undergraduate studies at Southern Methodist University (SMU) in 2013. During her time at SMU, she was not only a dedicated student but also a competitive athlete on the university’s women’s swimming team. She went on to earn her Juris Doctor from Texas A&M University School of Law in 2016 and became a member of the Texas Bar that same year. Armed with a strong academic foundation and discipline honed as a student-athlete, Harris embarked on a career in criminal law immediately after law school.
Prosecutorial Experience in Texas
Bolton Harris began her legal career in public service as a criminal prosecutor. She served as an Assistant District Attorney in multiple jurisdictions, where she quickly rose through the ranks and handled a broad spectrum of cases. Some highlights of her prosecutorial career include:
- Assistant District Attorney, Dallas County, Texas: Prosecuted a high volume of criminal cases in one of the state’s busiest DA offices, gaining extensive trial experience in both misdemeanor and felony courts.
- Assistant District Attorney, Ellis County, Texas: Continued to hone her courtroom advocacy skills, known for meticulous case preparation and a tenacious pursuit of justice on behalf of the community.
- Assistant District Attorney, Navarro County, Texas: Broadened her legal expertise by handling diverse criminal matters in a smaller county, working closely with law enforcement and community leaders to uphold the law.
Through these roles, Harris built a reputation for being a tough but fair advocate. She brought numerous cases to trial and developed an in-depth understanding of the criminal justice system. This distinguished prosecutorial background laid a strong foundation for the next phase of her career in the private sector.
Healthcare Law & Compliance at Medical Director Co.
After her tenure as a prosecutor, Harris shifted her focus to healthcare law, applying her legal acumen to the medical field. She recognized that the same attention to detail and tenacity that served her in criminal law could benefit healthcare providers navigating complex regulations. Embracing this new direction, Harris became well-versed in the intricate laws governing medical practices – from licensing requirements to patient safety and privacy standards – and is passionate about helping practitioners stay compliant.
In her current role as the in-house attorney for Medical Director Co., Bolton Harris oversees all legal and compliance matters for the organization and its clients. Medical Director Co. is a nurse-owned firm that connects nurse practitioners (NPs), physician assistants (PAs), and registered nurses with qualified medical directors and collaborating physicians, offering fast placements and comprehensive compliance support for healthcare practices. Harris ensures that each of these partnerships and clinical ventures adheres to all applicable state and federal laws. She is responsible for drafting and reviewing collaborative practice agreements, advising on regulatory requirements, and providing ongoing legal counsel as clients establish and grow their clinics. Drawing on her prosecutorial eye for risk management, Harris proactively identifies potential legal issues and addresses them before they escalate, giving healthcare professionals peace of mind.
Bolton M. Harris’s multifaceted expertise – spanning high-stakes courtroom litigation to detailed healthcare compliance – makes her a formidable legal ally. Whether advocating in front of a jury or guiding a medical practice through regulatory hurdles, she remains committed to the highest standards of the legal profession. Her blend of courtroom-tested skill and healthcare law knowledge ensures that clients of Medical Director Co. receive elite-level counsel and steadfast protection in an ever-evolving legal landscape.
