Collaborative practice applications

NEW: Effective 9/4/2018, CP renewals discontinued and commencement fee for new collaborative agreements increased to $200. This does not affect existing collaborative practices.

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

Collaborative practice registrations

  • There is a $200 initial registration fee payable by the physician for each collaborative practice.
  • Click here for the Commencement Form (may require downloading to enable fillable features) with instructions on how to submit with the initial $200 registration fee.
  • Temporary approval will not be issued by the Board of Nursing nor will the collaborative practice be submitted for approval until the initial commencement form is received and the $200 registration fee has been paid to the Board of Medical Examiners.
  • Collaborative practices No Longer renew annually.
  • The physician is responsible for notifying the Board of Medical Examiners within fourteen (14) days when a collaborative practice is terminated. Using the online notification of termination process is a quick and simple way to do this.

Also see collaborative practice information

Qualified Alabama Controlled Substances Certificate

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