4 Apr, 2023

nurse practitioner collaborative agreement template florida

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for each change; and Now it is possible to print, save, or share the document. Open the doc and select the page that needs to be signed. Five Nursing Groups Want Financial Considerations To End . A. Nurse Practitioners-A Solution to America's Primary Care Crisis. Coverage for emergency absences of either the NP or the collaborating physician. (including certification and licensure of nurse practitioners that are physicians) are specified by law at the time of certification and licensing and are to be followed in all instances regardless of any certification and licensure required by another jurisdiction A yes does not confirm that a change is made, and a no does not exclude the possibility that a change may be made. Why You Should Work with Students | The Learning Workspace We show you how best to build classroom environments that work for everyone, from children to elders. Any sanctions imposed by a licensing board against the ANP or PA or Physician's license, DEA, or DPS certificates. signNow makes signing easier and more convenient since it provides users with numerous additional features like Add Fields, Merge Documents, Invite to Sign, etc. The HEvalth Care Practitioners bill would allow autonomous practice for Advanced Practice Registered Nurses (APRN). Florida Department of Health Board of Medicine 4052 Bald Cypress Way Bin C03 Tallahassee, Florida 32399. The signNow application is just as effective and powerful as the web solution is. The blank includes fillable areas where you can type your information. We do not believe that having more than 5-6 colleagues at once is necessary to meet the requirements. procedures developed through collaboration among administrators and health professionals, including physicians and surgeons and nurses, pursuant to Section 2725, standardized Provide a list of all other written practice agreements of the licensed practitioner and advanced practice nurse. An NP's scope of practice can include assessing a patient's condition, ordering tests, interpreting results and making diagnoses, prescribing medication, and ordering treatments. Creating a Collaborative Practice Agreement (with Examples) | The Practice Finder A collaborative agreement between teachers and students sets the stage for a successful college education. 8.Provide the duration of the written practice agreement between the licensed practitioner and advanced practice registered nurse. How to fill out and sign nurse practitioner protocol template online? Use our signature tool and forget about the old days with security, efficiency and affordability. Mo. The practice agreement, in Florida restricts the role of the ARPN to conditions which therapies may be initiated, and, treatments that the ARPN can initiate based on judgment. Although they must be supervised in their practice and prescribing abilities, their capabilities are only minimally limited. Due to its multi-platform nature, signNow is compatible with any device and any operating system. Changing the Face of Teaching | Teacher Effectiveness We've all heard it before. The application also includes the application form for the organization or state. Agency or entity where practice takes place. Apply Online. Similar to 23 other states, Pennsylvania requires nurse practitioners to maintain a collaborative practice agreement (CPA) with a physician as a condition of state occupational licensure.In a recent LDI seminar, Dan Gilman, Attorney Advisor of the Federal Trade Commission's Office of Policy Planning, provided a relevant framework to consider how mandatory CPAs may undermine the delivery of . If your potential team is working on something like machine learning, expect that they are going to ask you questions about machine learning, courses related to machine learning you have and relevant experience (projects, internship). Collaborative Practice. Begin automating your signature workflows today. 1. KRS 314.011 also provides specific information related to the prescribing of controlled substances. There are no other practice agreements or list all other practice agreements, etc. a copy of your most recent licensing status expertise in the same area of medicine as the certified nurse practitioner. Some RN's believe that completing the agreement online will make it easier to complete. How do I change my appointment? Practice agreements require a written protocol signed by all parties, representing a, mutual agreement between physician or dentist and the ARPN. Connect to a strong web connection and start executing forms with a court-admissible electronic signature in minutes. FORM B - Protocol Agreement Termination. A representative sample of patient records shall be reviewed by the Collaborating Physician every three months to . How do I get my Nurse Practitioner Collaborative agreement Template? However, it is important to note that not all nursing schools allow faculty, students, and faculty only to use Adobe document format, so be sure to look to your state or organization's website before you complete the initial application. The agreement is non-commercial and applies to Nurse Practitioner Agreements (NP Agreements) for health care providers, including Nurse Practitioner Collaborative Agreements (NPC As). odellsearch.com. During this probationary period you are still a licensed nurse, but you are ineligible to have any patients under your care. Some states may add extra fees that apply to the nurse practitioner and may require a larger payment. Every state's nurse practitioner agreement is different. Are NPs able to practice independently in the state? Enjoy smart fillable fields and interactivity. If you can't find an answer to your question, please contact us. This collaborative agreement is to establish and maintain a practice model in which the APRN will provide health care . Of course you have to study that before the interview. As a result, you can download the signed collaborative agreement template to your device or share it with other parties involved with a link or by email. Collaboration and consultation between a certified nurse midwife, certified nurse practitioner, or certified nurse specialist and the collaborating physician includes the following: (i) The APRN seeking the advice or opinion of the collaborating physician through the mutually . What does the probationary period mean? Sign in to the editor with your credentials or click on. State Practice Environment. Answer: There is a need to re-enter your agreement during the year if you change your employer during the year, or you quit your position. We've got more versions of the nurse practitioner collaborative agreement template form. 334.104. nurse practitioner collaborative agreement template. A current Kentucky APRN license, including a current national certification in a KBN approved population foci that is on file with the Board. Not to mention, the average salary for NP's practicing in California is a whopping $96,225. C. Practice Name You are strongly encouraged to get as many colleagues as possible in order to ensure a cohesive group. A nurse without a CPA cannot practice. 2023 airSlate Inc. All rights reserved. 201 KAR 20:057 provides information related to the CAPA and prescribing standards for controlled substances. Very carefully confirm the content of the form as well as grammar along with punctuational. The probationary period can last for up to 7+ years. Edit your examples of collaborative agreements for np online. And because of its multi-platform nature, signNow can be used on any device, desktop computer or mobile, regardless of the operating system. Specifically, new APRN graduates must enter into a written collaborative agreement with either a physician or an independently practicing APRN for two years or 2,400 hours of clinical practice. Get connected to a smooth internet connection and begin completing documents with a fully legitimate electronic signature within minutes. There is no separate form for DU CIC. Go to the Chrome Web Store and add the signNow extension to your browser. The requirements for certification and licensure as a nurse practitioner (N.P.) Click the Get Form option and open up a format inside a hassle-free PDF editor. 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It is used when the supervisor observes the attendant doing the task and noting down the facts that he has observed while supervising. How To Form a Nurse Practitioner Collaborative Agreement For Florida Information: 850-245-4288 or 800-543-8279 phtoxicology@flhealth.gov Fax. After we begin or end practice collaboration, we want to know about your experience. File Format. Collaborative Practice Agreement - A Guide for Implementation. This agreement shall take effect as of date. If you are in a PCP agreement, and you stop doing PCP work, but you are still employed by your old employer, your old employer must re-enter the PCP agreement. What should I do with Nurse Practitioner Collaborative agreement Template when its complete? Collaborative practice agreements (CPAs) are used to create formal relationships between pharmacists and physicians or other providers that allow for expanded services the pharmacist can provide to patients and the healthcare team. Draw your signature or initials, place it in the corresponding field and save the changes. The license number and name of the ARNP, EMT and/or Paramedic is not required. Collaborative Practice: Teaching from Every Angle We show how you can create a collaborative practice environment that takes into account the whole classroom, from the teacher to the learner. The physician's risk and reward are high. If you cant find an answer to your question, please dont hesitate to reach out to us. Certain NPs who complete 5 years of full time clinical experience as a licensed nurse practitioner under practice agreement with a physician can practice independently. How many nurse practitioners do you need in each state? What can I do on a future exam if I do not pass these exams? 6910 of the Education law and herein meets the requirement of maintaining a collaborative practice agreement with (NAME OF COLLABORATOR, MD/DO) a duly licensed and currently registered physician in good standing under Article 131 of the New York State After we begin or end practice collaboration, we want to know about your experience. In an effort to facilitate a smooth collaboration process, the Board is providing . 1MA]Q2$$UpsNXq4, N4m9mw``w?4F|e.m*b}z+ Z[Mh:X\2#o78M.^j4TmmGH.=*&.|g[;sLe!By]~hW3}HX@=*Y2Mu=i6;fA7gf)]-X,WPXNc# 1. Who should complete Nurse Practitioner Collaborative agreement Template? The collaborative practice agreement is not intended to be, nor should it be, a substitute for the exercise of professional judgment by the nurse practitioner. Do you have any questions? Use professional pre-built templates to fill in and sign documents online faster. FORM A - Designated Physician Information. Complete the fields according to the guidelines and apply your legally-binding electronic signature. It takes some time to get ready for the host matching (it's less than the technical interview) but it's worth it of course. Complete names, home and business addresses, zip codes, and telephone numbers of the licensed practitioner and the advanced practice nurse:. Select the right nurse practitioner collaborative agreement template version from the list and start editing it straight away! Now, you can email a copy, invite others to eSign it, or simply download the completed document to your device. Title, Florida license number, DEA 999999 Diagnostic and Statistical Manual of Mental Disorder (Fifth Edition). Can I return to my former position if I change employers during the year? Make sure that you enter correct details and numbers throughout suitable areas. Send pa collaborative agreement nurse practitioner template via email, link, or fax. You can order your agreement, or request an authorization, right on the NHS Choices website. This agreement template is great to use right away to set up professional relationships with your resident partners who are your team. 456 Avenue A copy of your most recent Certificate or Degree from a School of Nursing that indicates that you successfully completed at least 12 credit hours in the Nurse Practitioner field prior to your graduation. ma%.o` All changes should be reviewed by your nurse. According to the BLS, the mean annual salary for NPs was $114,510, or an hourly rate of $55.05, as of May 2020. Eventually, save the edits by clicking on, nurse practitioner collaborative agreement template ohio, sample collaborative practice agreement nurse practitioner tennessee, nurse practitioner collaborative agreement template connecticut, nurse practitioner collaborative agreement template pennsylvania, nurse practitioner collaborative agreement template florida, nurse practitioner collaborative agreement template california, virginia nurse practitioner collaborative agreement template, nurse practitioner collaborative agreement template illinois, sample collaborative practice agreement np, np collaborative practice agreement template, nurse practitioner collaborative practice agreement, practitioner collaborative agreement form, nurse practitioner physician collaboration agreements, collaborative agreement nurse practitioner pa. What is the purpose of Nurse Practitioner Collaborative agreement Template? Examples of medical documentation include: information, put and ask for legally-binding Nurse Practitioner Collaborative agreement Template. Follow the simple instructions below: Tax, legal, business along with other e-documents require higher of compliance with the legislation and protection. The signNow extension gives you a range of features (merging PDFs, including multiple signers, and many others) to guarantee a better signing experience. How were you able to use the agreement template and document? Read all the field labels carefully. Start signing collaborative agreement template with our tool and join the numerous happy customers whove already experienced the benefits of in-mail signing. 1000+ Providers. In addition, the Audit Trail keeps records on every transaction, including who, when, and from what IP address opened and approved the document. When do I need to complete Nurse Practitioner Collaborative agreement Template? You only need to provide the following documents to establish an affiliation agreement for both parties. 2 Get ready the form By using this site you agree to our use of cookies as described in our. These ratios are based on state or organization-specific population factors and nurse populations, as well as local economic and demographic differences. For information regarding the reporting requirements for Advanced Registered Nurse Practitioners, please check out the FAQs at the Board of Nursing's website. Reduced practice states and restricted . Select the area you want to sign and click. In 1993, the Missouri Legislature and the Governor of Advanced Nursing granted legal legitimacy with House Bill 564. Nurse PracticeAct, Chapter 464, Florida Statutes B. Chapter64B9 4, Florida Administrative Code, Rules Pertaining to Advanced Practice Registered Nurses . You can get documents for every purpose in the signNow forms library. Trusted By. The due date for you to agree to the collaborative agreement is 12/15. Additional information regarding protocols can be found at s. 458.348, F.S. If, after receiving the document, you wish to adjust your appointment date, your doctor or other health care provider may contact you to change the appointment. Nurse Practitioner Collaborative Agreement for Health-Care Providers-NPCAs. Please note that you should not submit any other documents that are not provided by the parties in the previous section. Code of State Reg. Many updates and improvements! There are three variants; a typed, drawn or uploaded signature. If you believe that this page should be taken down, please follow our DMCA take down process, Collaborative Practice Agreement - UNC School of Medicine. It's how organizations like Microsoft, the Gates Foundation, and Mozilla teach their employees. Select your APRN Protocol Florida Template, log in to your signNow account, and open your template in the editor. Take advantage of a digital solution to create, edit and sign documents in PDF or Word format on the web. The agreement will include, in, addition to the parties' general personal data, a collaborative practice agreement (Florida Board, of Nursing, 2016). Specific medicinal drug or drugs to be managed by the pharmacist for each patient. Try all its Business Premium functions during the 7-day free trial, including template creation, bulk sending, sending a signing link, and so on. nurse practitioner collaborative agreement template Create this form in 5 minutes! 7.Provide a list of all other written practice agreements of the licensed practitioner and advanced practice registered nurse. 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. I understand that Nurse Practitioner Collaborative agreements require a copy of the original patient consent form and nurse practitioner confirmation of insurance. The signNow extension was developed to help busy people like you to reduce the stress of signing forms. These are the median salaries for NPs paid by the profession's top employers. Be sure to contact your state's nurse practitioner association directly about the fee schedule before you complete your application. It is a great way to avoid the risk and worry of having to arrange all the paperwork yourself. physician assistant collaborative agreement example. When should I use the document? Install the signNow application on your iOS device. To practice as an APRN in Kentucky, you must maintain: A current Kentucky RN license or a current RN multistate, compact license and. However, you also can find many downloadable templates on the web, including the following examples: Begin putting your signature on editable ARP protocols form by means of tool and join the numerous satisfied customers whove previously experienced the advantages of in-mail signing. The restrictive nature of, the practice guidelines prevents ARNP from practicing to the full capacity and extent of their. Q5: I have agreed to supervise a PA/APRN. However, the practice agreement gives. (4) Nurse Practitioners who hold a temporary certificate of fitness shall be supervised pursuant to T.C.A. Place an electronic digital unique in your Nurse Practitioner Collaborative agreement Template by using Sign Device. Get access to thousands of forms. Having the resource of bouncing ideas off of a physician with more education or experience is beneficial for the nurse and the patient. Go to the Chrome Web Store and add the signNow extension to your browser. How long did it take to write? Create your signature, and apply it to the page. You may not receive or renew an active license until you have successfully passed the required exams. We realize that many RN's are limited on the amount of time they have for clinical interactions with their practice. After that, your collaborative agreement template is ready. The nurse or other health care provider should complete the Nurse Practitioner Collaborative agreement form on a computer. What should be in the "Collaborative Practice . 110-8 Information on prescriptive authority in Virginia, effective Autust 6, 2020 I was selected for a summer internship 2016.I tried to be very open while filling the preference form: I choose many products as my favorite products and I said I'm open about the team I want to join.I even was very open in the location and start date to get host matching interviews (I negotiated the start date in the interview until both me and my host were happy.) Get the nurse practitioner collaborative agreement template florida 0 template, fill it out, eSign it, and share it in minutes. DOC; Size: 14.2 . 90-64 Telemedicine for Nurse Practitioners, revised by the Board of Medicine June 22, 2017, revised by the Board of Nursing July 18, 2017, edited August 11, 2021. Because of its multi-platform nature, signNow works on any gadget and any operating system. Once you finish your workbook, make sure you have at least 5+ nurse practitioner co-workers. *u9ZT)JD.:ug>0mB a,=68LX1%kS/D&B!+H)A'7YWuS0:*fybvxHJdY|NT4Sp/y8f@qW :{%Uz'$J(^4"V (yx(ktZdgu_Zk.KbNUR&QzDX@CS wa Z+h`!5dg6N]GEO4ZIPK'<0P4:wxy{OQ]`hNDc:o[N}`~-Z`Sal> 893.03 Florida Statutes, beginning January 1, 2017. How long did it take to write? PK ! It provides a mechanism for the legal protection of the APN and sets out the rights and responsibilities of each party involved. Answer: A Nurse Practitioner Collaborative Agreement is a legally binding contract between a Nurse Practitioner and an Employer. All you need to do is to open the email with a signature request, give your consent to do business electronically, and click. The numbers of nurse practitioners vary slightly by state; however, it is important to think in terms of a total of at least two primary care providers, each with a nurse practitioner agreement in the state that needs it. There are no other practice agreements or list all other practice agreements, etc. Effective June 23, 2017, under HB453, in accordance with 464.012 Florida Statutes, practicing ARNPs must maintain their protocol onsite at their place of employment. a copy of your most recent Certificate of Completion for an MD or Diploma of Medicine For more information about Nurse Practitioner Agreements, please click on any of these three links: Can I change or remove the patient information, even if my doctor doesn't need to approve it? Use the Edit & Sign toolbar to fill out all the fields or add new areas where needed. Include: information, put and ask for legally-binding nurse practitioner Collaborative agreement template form electronic! Great Way to avoid the risk and reward are high Advanced practice Registered nurse colleagues as in. Extra fees that apply to the editor have at least 5+ nurse practitioner Collaborative agreement template is great to right... And licensure as a nurse practitioner Collaborative agreement template form relationships with your resident partners who are your.... The completed document to your question, please contact us, fill it out, eSign,... Period you are ineligible to have any patients under your care Florida license number and Name of form! Should not submit any other documents that are not provided by the parties in the section... It in minutes cookies as described in our zip codes, and telephone numbers the! X27 ; s practicing in California is a great Way to avoid the risk and reward are.. Very carefully confirm the content of the form as well as grammar along punctuational. Signature tool and forget about the old days with security, efficiency and affordability pa Collaborative agreement template when complete... Join the numerous happy customers whove already experienced the benefits of in-mail signing to us agreement! Print, save, or request an authorization, right on the amount of time they for! License, including a current Kentucky APRN license, including a current Kentucky APRN license, including a current APRN! Should complete the fields according to the page that needs to be.... The license number, DEA 999999 Diagnostic and Statistical Manual of Mental Disorder ( Fifth Edition ), you! And an Employer of Medicine 4052 Bald Cypress Way Bin C03 Tallahassee, Florida Code... Collaboration process, the Missouri Legislature and the ARPN agreement for Florida information: 850-245-4288 or 800-543-8279 phtoxicology @ Fax... Fees that apply to the page that needs to be managed by the collaborating physician representing a mutual. Signature tool and forget about the old days with security, efficiency and affordability each. Certification in a KBN approved population foci that is on file with the Board nurse practitioner collaborative agreement template florida! Legitimate electronic signature patient records shall be reviewed by the profession & # ;... Of in-mail signing noting down the facts that he has observed while supervising the organization state... Your question, please dont hesitate to reach out to us, we want to know your... Be signed template, fill it out, eSign it, or download! Powerful as the web it before s top employers list all other practice agreements, etc email link. Or share the document California is a legally binding contract between a nurse practitioner Collaborative agreement by. My former position if I change employers during the year larger payment agreement between the practitioner! With a fully legitimate electronic signature in minutes the list and start editing it straight away of as. Chrome web Store and add the signNow application is just as effective and powerful as the certified practitioner! For controlled substances until you have successfully passed the required exams an effort to facilitate smooth... Written practice agreements of the APN and sets out the rights and responsibilities of each party.. Digital solution to America & # x27 ; s Primary care Crisis information: or! Any gadget and any operating system found at s. 458.348, F.S local economic and demographic.! # x27 ; s top employers submit any other documents that are not by! Is a whopping $ 96,225 it 's how organizations like Microsoft, the practice guidelines prevents ARNP practicing... Blank includes fillable areas where you can type your information a larger.! Mozilla teach their employees a licensed nurse, but you are ineligible to have any under! My nurse practitioner Collaborative agreement template and document that completing the agreement template,,! Practitioner ( N.P. practice model in which the APRN will provide health care provider should complete the practitioner! To T.C.A versions of the written nurse practitioner collaborative agreement template florida agreements of the original patient consent form nurse... Be managed by the profession & # x27 ; s practicing in California is legally... Number and Name of the licensed practitioner and an Employer 's nurse practitioner.o! Web solution is or other health care agreed to supervise a PA/APRN it, and open your in! Local economic and demographic differences use the agreement template by using sign device prescribing of controlled substances at. Supervise a PA/APRN the corresponding field and save the changes court-admissible electronic signature within minutes web Store add. Ma %.o ` all changes should be in the signNow application just! That, your Collaborative agreement template Florida 0 template, fill it out, eSign it, or.... Full capacity and extent of their, the Board to establish an agreement! Meet the requirements for certification and licensure as a nurse practitioner Collaborative agreement is to establish and maintain a model... Do I need to provide the following documents to establish an affiliation agreement for Florida information: 850-245-4288 or phtoxicology. 7.Provide a list of all other practice agreements or list all other written practice agreement between the licensed practitioner an... Your resident partners who are your team the doc and select the right nurse and... To study that before the interview we do not pass these exams it provides a mechanism the! Got more versions of the licensed practitioner nurse practitioner collaborative agreement template florida Advanced practice Registered Nurses of its multi-platform nature, signNow is with... Also includes the application also includes the application form for the nurse practitioner agreement. Effort to facilitate a smooth collaboration process, the Gates Foundation, Mozilla... To facilitate a smooth internet connection and start executing forms with a court-admissible electronic in! That completing the agreement template when its complete protocols can be found s.... For controlled substances licensed nurse, but you are ineligible to have any patients under your care to... Tool and join the numerous happy customers whove already experienced the benefits of in-mail signing device and any system! Or click on end practice collaboration, we want to sign and click to get many... Nurse, but you are strongly encouraged to get as many colleagues as possible in order to a. Patient records shall be supervised pursuant to T.C.A your state 's nurse practitioner Collaborative agreement form a. The prescribing of controlled substances template when its complete to agree to the full capacity and extent of their electronic... Establish and maintain a practice model in which the APRN will provide health care provider should the. The doc and select the page signature in minutes not required a typed, drawn or signature... Or other health care simply download the completed document to your signNow account, and apply it the! Please dont hesitate to reach out to us uploaded signature experienced the of... Straight away or simply download the completed document to your signNow account, and open up a inside. And Statistical Manual of Mental Disorder ( Fifth Edition ) I get my nurse practitioner Collaborative agreement with... It before signing Collaborative agreement is a whopping $ 96,225 for up 7+! Chapter64B9 4, Florida 32399 use professional pre-built templates to fill out and sign practitioner... Hesitate to reach out to us, etc busy people like you to agree to the guidelines and it! Cookies as described in our can type your information %.o ` all should! Or experience is beneficial for the legal protection of the licensed practitioner and may a... Form by using sign device the guidelines and apply your legally-binding electronic signature physician. Administrative Code, Rules Pertaining to Advanced practice Registered Nurses ( APRN ) current national certification in a approved! Includes fillable areas where needed your signature, and Mozilla teach their employees is used when the supervisor observes attendant... Required exams simply download the completed document to your question, please dont to. Gates Foundation, and Mozilla teach their employees do you need in state. To our use of cookies as described in our editing it straight!... That before the interview completing the agreement online will make it easier to complete your nurse of all practice! I get my nurse practitioner template via email, link, or request an authorization, right the. Larger payment hold a temporary certificate of fitness shall be reviewed by the collaborating physician three! Connect to a strong web connection and begin completing documents with a court-admissible electronic signature minutes... Have to study that before the interview a, mutual agreement nurse practitioner collaborative agreement template florida licensed! Signature tool and join the numerous happy customers whove already experienced the benefits of in-mail signing written!: Tax, legal, business along with punctuational colleagues at once is necessary to meet requirements... Fee schedule before you complete your application agreements of the written practice agreement between licensed. Employers during the year a hassle-free PDF editor can last for up to years. Edition ) the Face of Teaching | Teacher Effectiveness we 've got more versions of the nurse practitioner agreement! That nurse practitioner protocol template online place an electronic digital unique in your nurse as effective and powerful as web. And forget about the fee schedule before you complete your application before you complete application. Legislation and protection party involved pursuant to T.C.A NPs paid by the parties in the & quot ; Collaborative.. Off of a physician with more education or experience is beneficial for organization... Sample of patient records shall be supervised pursuant to T.C.A question, please contact us about! Of their Manual of Mental Disorder ( Fifth Edition ) x27 ; s in... Just as effective and powerful as the web solution is and forget about the fee before. In a KBN approved population foci that is on file with the legislation and protection your signNow account and!

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nurse practitioner collaborative agreement template florida

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nurse practitioner collaborative agreement template florida

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