APRN Protocol Registration

Register or amend an APRN–Physician Protocol Agreement, pay the $150 fee, and upload forms electronically via our gateway portal. Please do not mail any forms.

Please See Our Press Release on the New APRN Protocol Application Process for Additional Context and Guidance

Important Information about the Delegating Physician's Location

Both delegating and designated physicians in Georgia must have an active state license and practice within the state or within 50 miles of where the patient is located when receiving services. This applies to both in-person and telehealth services provided by an APRN and is independent of the business model.  See. O.C.G.A. § 43-34-25(a)(12).

 

Download this pdf file. APRN Procedure Log.pdf

  Download this pdf file. EXAMPLE

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For questions regarding your APRN Protocol agreement and any supporting documentation, please contact the correct specialist.

 

Contact

Licensure Specialist Corelle Hill

Contact for APRN protocol applicants with last names J - R

Contact

Licensure Specialist Sherine Orrigio

Contact for APRN protocol applicants with last names S - Z