ALBME|MLC • Collaborative practice applications

Collaborative practice applications

Application for CRNP/CNM license

Licenses to practice as a nurse practitioner are issued by the Alabama Board of Nursing
Please see Alabama Board of Nursing.

Application for collaborative practice agreement

Please carefully review Board of Medical Examiners Rules, Chapter 8, Advanced Practice Nurses: Collaborative Practice
Application forms are provided by the Board of Nursing

Collaborative practice registrations

There is a $100 annual registration fee payable by the physician for each collaborative practice.
A form to submit with the initial registration fee is provided by the Board of Nursing.
The $100 annual registration fee is renewable by Dec. 31 of each year.
Annual renewal may be accomplished online by the physician during the license renewal process.
Collaborative practices that are not renewed by Dec. 31 automatically become non-approved on January 1, and the physician should cease and desist the collaboration until the fee is paid.
The physician is responsible for notifying the Board of Medical Examiners when a collaborative practice is terminated. Using the online notification of termination form is a quick and simple way to do this.
Physicians who neither renew nor terminate a collaborative practice by Jan. 1 may receive a permanent letter of concern from the Board.