For nurse practitioners · Connecticut

Independence by letter.

An APRN who has practiced in collaboration with a physician for at least 3 years and at least 2,000 hours may thereafter practice alone, with prescriptive authority, after notifying the Department of Public Health in writing.

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Every state with a pathway

The moment

The transition, and the moment it ends

Connecticut’s transition ends with a letter, not a license: after at least three years and 2,000 hours in collaboration with a licensed physician, an APRN files written notice with the Department of Public Health and thereafter practices alone, prescribing included. No new credential is issued and no board adjudicates the change.

The transition

3 years and 2,000 hours in collaboration with a licensed physician

The moment it ends

Written notice to the Department of Public Health of intent to practice without a collaborative agreement, submitted after completing the 3-year/2,000-hour period and before practicing independently

The timeline

P.A. 14-12 (2014; provisions effective July 1, 2014)

The statute

Conn. Gen. Stat. §20-87a(b)

The receipt

Other platforms would show a testimonial here. Gale has no Connecticut NPs to quote, and we do not invent people — so here is the dated, sourced fact instead.

Since P.A. 14-12 (2014), Connecticut independence is triggered by a letter, not a license: after 3 years and 2,000 collaborative hours, the APRN simply files written notice with DPH — no new credential is issued.

Conn. Gen. Stat. §20-87a(b)

Scope and carve-outs

The grant and the strings, at equal weight

Full scope once independent — the APRN may practice alone or collaborate voluntarily with any licensed provider, including prescribing. During the transition period the written collaborative agreement must specifically address the level of Schedule II and III controlled substances the APRN may prescribe.

What Gale runs

The inventory, split honestly. Nothing dark is dressed as live.

In the product today

  • Scheduling and the calendar.
  • Notes, with a scribe that drafts during the visit — you stay the final editor of every note.
  • Telehealth where the chart lives.
  • The patient record — see a sample chart, no signup.
  • Superbills for the patient who wants to claim out-of-network benefits.
  • The Fee Schedule — the one Gale document that states the fee.
  • Your practice page, in the public directory compiled from the NPPES registry.

Opening with the founding cohort

  • Concierge memberships — a monthly plan your practice sells on its own terms. Not sellable yet: enrollment fails closed behind a legal switch until counsel clears it. No countdown — when it clears, it clears.
  • The loop tracker — every referral, lab, and question a visible loop with an owner, a state, and a promised window. Closing one requires an outcome note; nothing silently expires.
  • The guided founding sequence — practice setup walked step by step with the first cohort: entity, posted prices, the practice page, the first visit.
The economics

During the transition, someone signs — and the signature is a cost line, in money or in kind. Independence retires it. What Gale adds is built to stay just as legible.

Gale’s side of the ledger is deliberately short. The software is free, and Gale earns one flat all-in fee on a transaction — charged only when your practice is actually paid, never as a subscription, never with per-feature line items, never a spread on your rate. The number itself lives in exactly one document, on purpose, so it can never quietly say two different things in two places: the Fee Schedule states it.
The playbook

The deepest state cluster we have built is California’s — eight guides on the 103/104 ladder, cited to the statute and the board’s own filings. They are California’s rules, not Connecticut’s; the same treatment is coming state by state. Until then, they show the depth of homework to expect from us.

The California playbook →
Questions with citable answers
The written agreement must specifically address the level of Schedule II and III controlled substances you may prescribe during the collaborative period. After the 3-year/2,000-hour threshold and your written notice to DPH, the agreement falls away entirely.
No. The mechanism is a written notice of intent to the Department of Public Health, filed after the threshold is met and before you practice without the agreement. Independence attaches by operation of the statute — collaboration afterward is voluntary.
Where to start

Your page may already exist

Gale publishes a public directory compiled from the NPPES registry. Find your listing, claim it, and see how you rank for your own name — that page is the front door your independent practice will be found through.

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