Texas

Are there any proximity or in-person requirements between an NP and collaborating physician in Texas?

Chris Turitzin
Updated
December 9, 2025

There are no proximity or in-person requirements between an NP and the collaborating physician in Texas. A physician does not need to be physically present at all times for supervision to be considered adequate1.

However, the prescriptive authority agreement must require the physician and APRN to meet at least monthly—in a manner determined by the parties—to discuss patient care and related issues, and each meeting should be documented2. The agreement must also outline how the physician and APRN will communicate and share information, but the statute does not mandate that these meetings be in person2.

Citations

  1. Prescriptive Authority FAQs prepared by the Texas Board of Nursing (last visited July 28, 2025)
  2. Texas Occupations Code §157.0512 (Prescriptive Authority Agreement)
Chris, founded Single Aim Health in 2024 to provide clinicians, especially NPs and PAs, with essential services for launching and growing their practices. A Stanford graduate in Product Design, Chris co-founded Momentus Media, which was acquired by Facebook, and worked as a Product Manager there. He later gained expertise in digital health through leadership roles at Bicycle Health, Virta Health, and founding Wink Health. Now, he is using his experience to help clinicians through Single Aim Health.
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