Certified Registered Nurse Practitioner 

The Bureau of Professional and Occupational Affairs offers prospective licensees the opportunity to apply for initial licensure online via our secure PALS website.   Apply Online

   
CRNP Application for Prescriptive Authority(PDF)

CRNP Prescriptive Authority Change Forms

• Change of Prescriptive Authority Collaborative Agreement:  Termination 
• Change of Prescriptive Authority Collaborative Agreement:  Add/Delete Substitute Physician(s) 
• Change of Prescriptive Authority Collaborative Agreement:  Controlled Substances
• Change of Prescriptive Authority Collaborative Agreement:  Drug Categories
• Change of Prescriptive Authority Collaborative Agreement:  Circumstances and How Often the Collaborating Physician Will Personally See the Patient