Spring Arbor clinicals in Missouri
Missouri works for Spring Arbor clinicals. SAU authorizes it, compact licenses are honored, and no Missouri rule we found makes out-of-state schools ask permission first. The part to understand before you call practices is how tightly Missouri binds NPs to their physicians.
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Tell us your Spring Arbor track and where you live. A placement advisor replies with what your preceptor and site need to look like for Spring Arbor to approve them.

01Missouri for each SAU track
SAU authorizes nursing in Missouri, and approval happens preceptor by preceptor. Faculty review each proposed clinician and site before every rotation, and under the 2023-24 catalog your forms are due four weeks or more ahead. Our clinical paperwork page lists the pieces.
| SAU program group | Clinicals in Missouri? | Missouri angle |
|---|---|---|
| NP tracks: FNP, AGPCNP, PMHNP, PNP-PC | Yes | NP, physician or PA preceptors; restricted-practice state |
| Nurse Educator and MSN/MBA | Yes | NUR 780B, 125 hours |
| Post-master's certificates | Yes | Hours vary; four-week paperwork rule |
| DNP (Strategic Leadership) | Yes | NUR 880 for entrants with under 500 hours |
| RN-to-BSN | No outside preceptor | Nothing to place |
02Collaborative practice and your preceptor
AANP files Missouri under restricted practice. An NP here never outgrows the need for a collaborating physician, and the state limits how many NPs a physician may collaborate with, how charts get reviewed and how controlled substances are prescribed. None of that stops an NP from precepting you, but it means the practice's physician is part of the picture.
The 2023-24 catalog lets a physician or a PA precept SAU's NP students, not only a certified NP. In a Missouri clinic, the collaborating physician may be as good a lead as the NP, so ask about both when you call.
03Rules for schools from other states
We found no Missouri State Board of Nursing requirement that out-of-state programs register or give notice before students train here. Its program rules, found at 20 CSR 2200-2, concern schools the Board itself approves. Under RSMo 335.081(6)(a), supervised students enrolled in approved nursing schools may practice without a Missouri license, yet the statute never says how programs from other states fit. SAU's online students are licensed RNs already, which makes the license question the one that counts.
04Where Missouri students look
Four metros carry most of the search: St. Louis, Kansas City, Springfield and Columbia. Systems to approach include CoxHealth in Springfield, MU Health Care in Columbia, SSM Health, Mercy and BJC HealthCare. Ask SAU which sites already hold an affiliation agreement before you cold-call a large system.
Both big metros cross state lines. A clinic on the Kansas side of Kansas City or the Illinois side of St. Louis is in a different state, with its own rules and license questions. Kansas and Illinois are both on SAU's authorized list, but talk to your program director before proposing a site outside Missouri.
05Licensing for Missouri clinicals
Missouri wrote the compact into law at RSMo 335.360 and following sections, effective July 20, 2017, and began honoring multistate licenses in January 2018. If Missouri is your primary residence, a Missouri multistate license covers you; if you live in another compact state, that state's multistate license does. RN license for clinicals has more.
06Why Spring Arbor students in Missouri choose us
We search Missouri for NP, physician and PA preceptors who fit your SAU track, including collaborating physicians who may take a student, and prepare the documents SAU faculty review. Our leads add to SAU's own help, the program director's volunteer list and your Student Success Coach, so you have more options sooner. Tell us your start term.
Questions Spring Arbor students ask
Can I do Spring Arbor PMHNP clinicals in Missouri?
Yes. Missouri is authorized, so a PMHNP student living there can propose Missouri preceptors. The PMHNP needs 500 hours, and SAU's 2023-24 catalog asks students to plan on several placements across the practicum, so line up more than one psychiatric site if you can. Our PMHNP page covers the track.
Does Missouri's preceptor tax credit help my NP preceptor?
No. Missouri's preceptor tax credit under RSMo 135.690 rewards Missouri-licensed physicians and PAs who take the state's own medical and PA students without being paid for it. NPs, APRNs and nursing students are left out, so it doesn't apply to an SAU rotation, whoever precepts.
Can I use a clinic on the Kansas side of Kansas City?
Possibly. Kansas is on SAU's authorized list, but the site is then in Kansas, with Kansas rules and a license that must be valid there. Because SAU's FAQ says you choose a preceptor in your home state, get your program director's agreement before you propose it.
Does SAU need Missouri Board approval before I start?
No such step turned up. The Missouri State Board of Nursing's program rules cover the programs it approves, and nothing we found asks out-of-state graduate programs to register before students train in Missouri. Individual sites may still require an affiliation agreement with SAU.
Related pages
Last checked 2026-09-24
We check these pages against Spring Arbor's own published sources. SAU's nursing faculty and current catalog have the final word.
More preceptor leads, sooner, for your SAU clinicals.
Tell us your Spring Arbor track, where you live and when your clinical course starts. We look for a preceptor and site that fit SAU's rules for your track and help you get the paperwork in on time.
- Matched to your track: FNP, AGPCNP, PMHNP, PNP, Nurse Educator or DNP
- Clinical agreement, affiliation and preceptor verification forms ready early
- In your home state, near where you live
Start your placement plan
A placement advisor replies with what an SAU-ready preceptor and site look like for you.