A summary of New Hampshire’s collaboration, agreement, filing, supervision, prescribing, and specialty rules for NPs and the physicians who collaborate with them.
Collaborating Physician Required? No
Agreement Name: N/A
On-Site Requirements: N/A
Chart Review: N/A
Controlled Substances: N/A
New Hampshire NP Collaboration Requirements Summary
Nurse practitioners in New Hampshire are not required to have a collaborating physician.
New Hampshire grants NPs full practice authority: they may evaluate patients, diagnose, order and interpret tests, and start and manage treatment under their own license with no collaborative agreement, no board filing rules, and no physician supervision.
Because New Hampshire sets no collaboration requirement, there is no agreement to write or sign, and no ongoing chart review or oversight obligations tied to a physician.
Type of Collaborative Relationship
New Hampshire does not require nurse practitioners to work with a collaborating physician. NPs have full practice authority and may evaluate, diagnose, order and interpret tests, and manage treatment under their own license. There is no supervising or collaborating physician, no oversight ratio, and no proximity requirement.
What is an NP’s scope of practice in New Hampshire?
New Hampshire nurse practitioners have full practice authority. They can evaluate patients, diagnose, order and interpret tests, and start and manage treatment under their own license, without physician oversight.
Do NPs need a collaborating physician in New Hampshire?
No. New Hampshire does not require NPs to have a collaborating physician.
Can NPs practice independently in New Hampshire?
Yes. New Hampshire grants NPs full practice authority, so they may practice without a collaborating or supervising physician.
How many NPs can a physician supervise in New Hampshire?
Not applicable. New Hampshire does not require physician supervision of NPs, so there is no supervision ratio.
Who can be a collaborating physician in New Hampshire?
Not applicable. New Hampshire does not require a collaborating physician, so there are no physician qualifications to meet.
Are there proximity or in-person requirements in New Hampshire?
No. Because New Hampshire does not require a collaborating or supervising physician, there are no proximity, distance, or in-person presence requirements.
Collaboration Agreement Requirements
New Hampshire does not require a written collaborative agreement for NPs. Because no agreement exists, there is no required content, no signatures, no renewal cycle, and no backup-physician requirement.
What must be included in an NP collaborative agreement in New Hampshire?
Not applicable. New Hampshire does not require a collaborative agreement, so there is no required content.
What is the collaborative agreement called in New Hampshire?
Not applicable. New Hampshire does not use or require a collaborative agreement for NPs.
Who has to sign the collaborative agreement in New Hampshire?
Not applicable. No collaborative agreement is required, so no signatures are required.
How often must the agreement be reviewed or renewed in New Hampshire?
Not applicable. No collaborative agreement is required, so there is nothing to review or renew.
Is a backup physician required in New Hampshire?
No. New Hampshire does not require a backup or covering physician.
Board Filing Requirements
New Hampshire does not require NPs to file a collaborative agreement or any physician-linked documentation to practice. An NP with an active New Hampshire license may practice on their own authority.
Do you have to file the collaborative agreement with the board in New Hampshire?
No. New Hampshire does not require a collaborative agreement, so there is nothing to file.
Can an NP start practicing as soon as they file in New Hampshire?
Yes. There is no physician-related filing to complete first — an NP with an active New Hampshire NP license may begin practicing on their own authority.
What are the termination and notice requirements in New Hampshire?
Not applicable. Because there is no collaborative relationship to end, New Hampshire sets no termination or notice requirements tied to a collaborating physician.
Collaboration Compliance
New Hampshire imposes no ongoing physician-oversight obligations on NPs — no required meetings, no chart review, and no collaboration recordkeeping.
How many charts must a collaborating physician review in New Hampshire?
None. New Hampshire does not require physician chart review of NP care.
How often must an NP and collaborating physician meet in New Hampshire?
Not applicable. New Hampshire does not require meetings between an NP and a physician.
How long must collaboration records be kept in New Hampshire?
Not applicable. Because no collaboration is required, New Hampshire sets no collaboration-record retention requirement.
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