Georgia NP collaboration is documented through a nurse protocol agreement between the APRN and a delegating physician. Georgia rules require the protocol to identify the parties, practice sites, APRN specialty area, delegated medical acts, immediate-consultation process, patient-record review schedule, prescriptive-authority details when applicable, emergency plan, direct-evaluation triggers, review date, and amendment dates.1
The Georgia Composite Medical Board's APRN Protocol Registration page and Gateway application guide are the practical starting points. The existing Georgia template page also links the Board's protocol agreement form and related registration instructions for building the agreement package.
Citations
1. Georgia Composite Medical Board Rule 360-32-.02.
In Georgia, the delegating physician files the nurse protocol agreement through the Georgia Composite Medical Board Licensing Gateway. Protocol agreements must be received by the Board within 30 days of execution, and the current online process requires the physician to start the application and pay the non-refundable $150 fee online.
After the physician submits, the APRN completes their portion through the unique link sent by the Board, uploads required documentation, and signs electronically. The Board reviews the application, and both parties should monitor Gateway status for approval, denial, or missing-document notices.

⚠️ Special Note: High-complexity Georgia protocols Georgia's four-APRN cap, physician location rule, Board filing/review process, annual onsite observation, and quarterly medical-record review can push collaborating physician fees above the national range.
