Ohio

What are the requirements for terminating a collaborative agreement in Ohio?

Chris Turitzin
Updated
December 9, 2025

In Ohio, terminating a collaborative standard care arrangement requires specific steps. A collaborating physician must give the APRN written or electronic notice of termination, and once the APRN receives that notice, the APRN must notify the Board as soon as practicable by submitting a copy of the physician’s termination notice12.

Ohio also requires APRNs to report additions or deletions of collaborating physicians to the Board within 30 days, and to retain copies of previously effective standard care arrangements for at least three years34. These requirements help ensure continuity of care and proper documentation during and after termination.

If the collaboration ends because of the collaborating physician’s death, the APRN must notify the Board as soon as practicable. In this circumstance, the APRN may continue practicing for no more than 120 days before establishing a new collaboration5.

Citations

  1. 2024 Ohio Revised Code §4723.431 (D)(1)(a)
  2. 2024 Ohio Revised Code §4723.431 (D)(1)(b)
  3. 2024 Ohio Revised Code §4723.431 (A)(1)
  4. Ohio Board of Nursing Rule 4723-8-04 (F)
  5. 2024 Ohio Revised Code §4723.431 (D)(2)
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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