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How often does a collaborative agreement need to be reviewed in Texas?
Texas
Nurse Practitioner Collaboration

How often does a collaborative agreement need to be reviewed in Texas?

Chris Turitzin
•
Updated
December 9, 2025

A collaborative prescriptive authority agreement must be reviewed at least annually in Texas. The agreement and any amendments must be dated and signed by both parties and, upon request by the Texas Medical Board or Texas Board of Nursing, made available no later than the third business day after the request1.

Separate from the annual review, the physician and APRN must meet at least once a month to discuss patient care and related issues, with each meeting should be documented1.

Citations

  1. Tex. Occ. Code §157.0512, Prescriptive Authority Agreement
Chris Turitzin
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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Disclaimer: The regulatory research, summaries, and tools provided by Single Aim, LLC are for informational and educational purposes only and do not constitute legal advice. While we strive to ensure accuracy, healthcare laws vary by state and may change over time. You should always consult a licensed attorney familiar with healthcare regulations in your specific state before making decisions related to you clinical and operational needs for compliance. Single Aim is not a law firm and does not provide legal representation. Use of our materials does not create an attorney-client relationship.

Need legal guidance? We recommend contacting a licensed healthcare attorney in your state or using professional associations such as the American Health Law Association (AHLA) or your state’s medical or nursing board for referrals.