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Virginia Physician Collaboration

Find a collaborating physician in Virginia

GuardianMD matches nurse practitioners and physician assistants with physicians licensed in Virginia, and supports the agreement and oversight their role requires.


Licensed in Virginia

Agreements built around state requirements

Talk with a specialist

Get matched

Fast physician matching in Virginia

Virginia nurse practitioners need a practice agreement with a patient care team physician, Virginia’s term for a collaborating physician, until they qualify for autonomous practice. GuardianMD helps eligible Virginia NPs find a patient care team physician based on specialty, patient population, clinical experience, and practice plans. Read Virginia nurse practitioner practice law.


Getting started in Virginia

Everything your Virginia practice needs to get started

Getting started in Virginia involves the practice agreement, periodic chart review, physician input for complex cases, and referrals. If you plan to seek autonomous practice later, keep records of your clinical hours as you go. Ask about GuardianMD support organizing onboarding documents and recurring activities. Read Virginia practice agreement requirements.


Who we serve

Collaboration for every practice type in Virginia

We welcome Virginia NPs starting a clinic, changing patient care team physicians, or practicing toward eligibility for autonomous practice. Share your plans for primary care, behavioral health, medical weight management, or other care. Eligibility depends on your qualifications, current authorization, services, and physician fit. NPs already authorized for autonomous practice can discuss whether optional physician support fits their needs. Support is available to licensed, eligible NPs who meet GuardianMD requirements. Services may be limited or adjusted by jurisdiction and plan.

How it works

From the first call to ongoing support

Tell us about your practice

Share your license type, service lines, and where you plan to operate in Virginia

Get matched to a physician

We identify a physician licensed in Virginia whose specialty aligns with the care you deliver.

Review the agreement

Your agreement is built around state requirements and walked through with you before signing.

Stay supported

Coordinated chart reviews, protocol updates, and physician access continue through the platform.

State Resources

Helpful links to Virginia’s licensing boards

This reference outlines the essential state medical compliance regulations that guide daily clinical practice and patient care. It serves as a quick-reference tool to help maintain the highest standards of legal and professional compliance.

The resources below link to the state’s official licensing boards.

Because healthcare regulations are frequently updated, please use this reference as a general guide and always defer to the current mandates of your State Boards of Medicine, Nursing, and Pharmacy.


Common questions

Collaboration in Virginia

How do I find a patient care team physician in Virginia?

NPs in Virginia can find a patient care team physician through a physician collaboration service such as GuardianMD, an employer or health system, or a physician they already know. With GuardianMD, share your specialty, patient population, practice locations, and license status so we can discuss physician fit. Learn how GuardianMD helps NPs find a collaborating physician.

Do all Virginia nurse practitioners need a collaborating physician?

No. Virginia NPs with an autonomous practice designation can practice without a practice agreement. Other NPs must practice under an agreement with a patient care team physician. Read Virginia nurse practitioner practice law.

When can a Virginia NP qualify for autonomous practice?

Virginia NPs can apply for autonomous practice after the equivalent of three years of full-time clinical experience. The designation requires an application to the Boards of Medicine and Nursing. Read Virginia autonomous practice regulation.

What does a Virginia practice agreement include?

A Virginia practice agreement describes the services provided, periodic review of patient records, how the physician gives input on complex cases and emergencies, and referrals. Read Virginia practice agreement requirements.

Does a Virginia patient care team physician need to be on site?

No. Virginia leaves the frequency and manner of any physician site visits to the patient care team. Read Virginia practice agreement requirements.

What happens if a Virginia patient care team physician leaves?

Virginia has a temporary process that lets an NP keep practicing for a limited time, after notifying the Boards, while finding a new patient care team physician. Read Virginia nurse practitioner practice law.

How does GuardianMD support NPs in Virginia?

GuardianMD offers eligible Virginia NPs physician matching, onboarding support, document organization, and ongoing communication with their collaborating physician through DocTalk, depending on the plan. Collaborating physician fees are included in the monthly plan price. The NP and physician remain responsible for clinical decisions.

Last updated: October 25, 2026

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