The right physician beside you.
Looking for a collaborating physician for a nurse practitioner practice? Cosign matches NPs and PAs with physicians in their specialty, prepares the state-specific agreement, and tracks chart reviews each month.
Why Cosign
Finding a collaborating physician is slow and personal, and most matching services treat psychiatric NPs like primary care. Psych NPs need psychiatrists who are comfortable overseeing controlled-substance prescribing, and groups need one relationship that covers several states.
Built for psychiatric NPs and other NPs and PAs in reduced or restricted practice states, and the telehealth groups that employ them.
How it works
- 1
Tell us where you practice
State, specialty, prescribing scope and how many charts you see.
- 2
Meet your match
We introduce a vetted physician in your specialty. You talk before anything is signed.
- 3
Sign and practice
We prepare the state-specific agreement and track chart reviews and check-ins each month.
What's included
- Physicians matched by specialty and state
- State-specific collaborative practice agreements
- Monthly chart-review tracking
- Free rematch if the fit is not right
- Ratio and supervision rules tracked by state (see physician to NP ratio limits)
Pricing
Clear prices, published up front. Comparing options? Read what drives collaborating physician cost.
Match
$750 one time
Introduction, agreement preparation and onboarding.
Collaboration
$800 to $1,200 per month
Physician time, chart reviews and compliance tracking. Psychiatry at the higher end.
Guides for NPs and PAs
Plain answers on finding a collaborating physician and setting up the agreement.
- How to find a collaborating physician as a nurse practitioner, state by stateGuide
State rules, cost ranges, and what psychiatric NPs should ask before signing.
- Finding a collaborating psychiatrist as a PMHNP: controlled substances and telehealthGuide
What PMHNPs need from a psychiatrist match across prescribing and multi-state telehealth.
- Collaborative practice agreement template and checklistTemplate
Sections to include and an ordered checklist before counsel reviews your agreement.
Questions
What is a collaborating physician?
A collaborating physician is a licensed MD or DO who signs a written agreement with a nurse practitioner to provide the oversight, consultation or supervision that state law requires. Whether you need one, and what the agreement must include, depends on the state where you practice. Read how to find a collaborating physician as a nurse practitioner.
How does Cosign work?
Tell us your state, specialty, prescribing scope and how many charts you see. We introduce a vetted physician in your specialty, and you talk before anything is signed. Then we prepare the state-specific agreement and track chart reviews and check-ins each month.
Who is Cosign for?
Psychiatric NPs and other NPs and PAs in reduced or restricted practice states, and the telehealth groups that employ them.
Do you work with psychiatric NPs?
Yes. Psychiatry is our focus. We match psychiatric NPs with psychiatrists who are comfortable overseeing controlled-substance prescribing, and we help groups keep one relationship that covers several states.
What does Cosign handle for me?
Matching by specialty and state, the state-specific collaborative practice agreement, monthly chart-review tracking, and a free rematch if the fit is not right.
How much does Cosign cost?
Match is $750 one time and covers the introduction, agreement preparation and onboarding. Collaboration is $800 to $1,200 per month for physician time, chart reviews and compliance tracking, with psychiatry at the higher end.
What affects the cost of a collaborating physician?
Price rises with chart review volume, controlled-substance prescribing, specialty and the number of states involved. Cosign Collaboration is $800 to $1,200 per month, with psychiatry at the higher end. See what collaborating physicians typically charge.
What is a collaborative practice agreement?
It is the written agreement between an NP and a collaborating physician. It usually covers scope of practice, prescriptive authority, how the physician is available for consultation, chart review, meetings, and how the agreement ends. Use our collaborative practice agreement checklist before you sign.
Which states do you cover?
We start with states that require collaboration or supervision for NPs and add physicians state by state.
Who pays the physician?
Cosign charges a platform fee for matching and tracking. The physician is paid for their services. How that is structured can vary by state.
Can I switch physicians?
Yes. Rematches are free.
Do you practice medicine?
No. Physicians provide clinical oversight; we handle matching, agreements and tracking.
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