Nurse Practitioner Agreement - Modester Colab

Nurse Practitioner Agreement

Please review and sign the agreement below to continue with the onboarding process

  • You are requesting to proceed with NP–MD collaboration screening.
  • You authorize us to verify your credentials and licenses.
  • You understand there is a one-time onboarding fee that will be collected before placement.
  • This is not a collaboration contract, but a preliminary step before matching with an MD.

Digital Signature

Type your full name here to serve as your digital signature
Submit Agreement

By clicking Submit Agreement, you acknowledge that you have read and agree to the terms outlined above.