The College has received reports that certain physicians are declining to accept consultation requests directly from nurse practitioners.  This is to advise that this approach is improper.  Such requests from a nurse practitioner should be handled identically to a request from any physician.  Furthermore, any consultation report should be forwarded directly to the requesting practitioner.  Failure to do so makes the consultation, by definition, incomplete.  Physicians should also note that the same policies will eventually apply to mid-wives as well.

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