If you're a physician and you will EVER be called upon to sign a death certificate, state law requires you to register with the Texas Department of State Health Services (DSHS) to file the certificate electronically.
You cannot wait until a death has occurred in order to register; that’s too late, because it takes DSHS seven to ten business days to process new enrollments.
If you end up having to complete a paper death certificate because you didn’t timely register for electronic filing, the Texas Medical Board may take action based on the violation.
To register for electronic filing, follow this link to Texas Electronic Registrar (TER) Death Registration: https://ter2.dshs.state.tx.us/edeath/
If you have problems registering, send an email to Help-TER@TexasVSU.org or call the TER Help Desk line at (512) 776-3490 or 1-888-963-7111 ext 3490.
See Tex. Health and Safety Code, §193.005: