The Official Portal for the State of Georgia

Nurse Protocol Registration Forms

APRN Nurse Protocol Registration Packet

APRN DEA Information Form

Form A - Designated Physician Information

Form B - Nurse Protocol Agreement Termination Form

Form C - Nurse Protocol Agreement Worksheet

SAMPLE NP Agreement for a Family Practice Location

Rule 360-32 "Nurse Protocol Agreements Pursuant to OCGA 43-34-26.3"