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What is a collaborative practice agreement called in North Carolina?
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Nurse Practitioner Collaboration

What is a collaborative practice agreement called in North Carolina?

Chris Turitzin
•
Updated
March 6, 2026

In North Carolina, the NP–physician collaborative practice agreement is simply called a collaborative practice agreement, and it must be in place with a primary supervising physician for an NP to perform medical acts12.

By rule, the collaborative practice agreement is the arrangement that ensures continuous availability for supervision, consultation, collaboration, referral, and evaluation of care between the NP and physician1. It must, at minimum, include the following3:

  • A list of the drugs, devices, medical treatments, tests, and procedures the NP may prescribe, order, and perform at each practice site.
  • A predetermined plan for emergency services.

Citations

  1. North Carolina Administrative Code §36.0801 (4)
  2. North Carolina Administrative Code §36.0804 (a)(4)
  3. North Carolina Administrative Code §36.0810 (2)(c–d)
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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