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What are the requirements for terminating a collaborative agreement in Texas?
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Nurse Practitioner Collaboration

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

Chris Turitzin
•
Updated
December 9, 2025

Terminating a collaborative prescriptive authority agreement in Texas requires the delegating physician to notify the Texas Medical Board in writing within 30 days of termination1. This written notice is the primary formal requirement for ending the agreement.

As context, prescriptive authority agreements must be registered with the TMB within 30 days of execution2 and be made available to the Texas Medical Board or Texas Board of Nursing within three business days upon request3. Maintaining accurate registration information and retaining a signed, dated agreement and amendments helps ensure compliance during transitions.

Citations

  1. TMB Rule §193.10, Registration of Delegation and Prescriptive Authority Agreements
  2. Tex. Occ. Code §157.0511, Delegation of Prescribing and Ordering Drugs and Devices
  3. 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.