The ARNP Florida Protocol Form formalizes a supervisory arrangement between a licensed physician and an Advanced Registered Nurse Practitioner (ARNP), Emergency Medical Technician (EMT), or Paramedic in Florida. Under Florida Statutes § 458.348(1)(a), the agreement must specify which medical acts the ARNP, EMT, or Paramedic is authorized to perform, as approved by a joint committee pursuant to s. 464.003(3)(c) and acts set forth in s. 464.012(3) and (4).
Physicians must submit the form within 30 days of entering the supervisory relationship, modifying the protocol, or terminating the arrangement. The form captures the names and license numbers of both parties, the effective date, and any standing orders granted. No additional documentation is required. The completed form is filed with the Department of Health, Board of Medicine, Tallahassee, FL, by mail or fax.
For physicians managing multiple supervisory arrangements, the ARNP Protocol Form provides an alternative format recognized by the Florida Board of Nursing. The strict 30-day filing deadline applies to all protocol changes, reflecting the Board’s requirement for timely compliance and accurate record-keeping.
| Question | Answer |
|---|---|
| Form Name | Arnp Florida Protocol Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | board medicine protocol, florida protocol form, board medicine arnp, florida protocol |