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Sample Protocol

This is a model for the document that is required by Texas law when a physician delegates prescriptive authority and other aspects of medical care to an advanced practice nurse (APN). A more descriptive term is “practice agreement." However, “protocol” is the term used for this document in Texas law. This document does not contain any treatment guidelines for specific diseases. It contains the delegation statements that have to be included and has many explanatory notes and citations to help APNs and physicians understand the law.

The sample protocol is in a Microsoft Word (.doc) file.
     NOTE: After placing order, you will receive an email with the link to download the Sample Protocol. 

Do I qualify for Texas sales tax exemption?
 If yes, please read this before placing your order.

Purchaser
click link to purchase online
Texas Sales Tax
      .0825%           
Total
Individual APN....$60.00 plus tax $4.95 $64.95
     
TAX EXEMPT: Individual APN....$60.00 -0- $60.00
     

Physician, local APN group, school of nursing, or health care facility....$200.00 plus tax

Note: Distribution rights limited to members of the group. For instance, purchase
by a school of nursing would include distribution to current students and faculty;
purchase by a group practice would include distribution to all partners and
employees; purchase by a local group of APNs would allow the organization to
distribute to all members.

$16.50 $216.50
     

TAX EXEMPT: Physician, local APN group, school of nursing, or health care facility....$200.00

Note: Distribution rights limited to members of the group. For instance, purchase
by a school of nursing would include distribution to current students and faculty;
purchase by a group practice would include distribution to all partners and
employees; purchase by a local group of APNs would allow the organization to
distribute to all members.

-0- $200.00
     


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