I have reviewed the advanced practice nurse's request for general areas of practice, core privileges, special procedure privileges, and prescribing authority privileges. Based on the supporting documents, I consider this individual qualified to perform the requested privileges at the level indicated and recommend approval. I agree to participate in a collaborative relationship. This relationship is a process in which the advanced practice nurse prescriber is working collaboratively to deliver health care services within the privileges granted by the institution and licensure.

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Collaborating Physician