Kentucky Nurse Practitioner Collaborative Agreement Templates

Research & Editorial Team
Kentucky Nurse Practitioner Collaborative Agreement Templates

The Kentucky Board of Nursing outlines the process for developing a collaborative practice relationship, specifically designed for Nurse Practitioners (NPs) seeking prescriptive authority. This guidance can be found here.

In Kentucky, there are two distinct types of Collaborative Agreement for Prescriptive Authority (CAPA) that enable an NP to prescribe both non-controlled and controlled medications: CAPA-NS for Nonscheduled Legend Drugs and CAPA-CS for Controlled Substances.

Collaborative Agreements of Nonscheduled Drugs (CAPA-NS)

Kentucky CAPA-NS Template

A Collaborative Agreement Template for nonscheduled drugs is available here.

Kentucky CAPA-NS Board Notification Template

A document to notify the board of a CAPA-NS form can be found here.

Collaborative Agreements of Controlled Substances (CAPA-CS)

Kentucky CAPA-CS Template

A Collaborative Agreement Template for controlled substances is available here.

Kentucky CAPA-CS Board Notification Template

A document to notify the board of a CAPA-NS form can be found here.

Is a collaborative practice agreement required in Kentucky?

Yes, Kentucky requires that a nurse practitioner with less than 4 years of clinical experience must have a collaborative practice agreement with a physician licensed in Kentucky. 201 KAR 20:057

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