The fingerprint background check is required prior to the completion of your initial TMB registration/renewal, per the new statutory requirement set out in Texas Occupations Code, Sec 602.2101.

No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA.  Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician.  A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine. 

To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request.  If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board.  Please contact the Registration department for information on the approval procedure.

Yes, if you are a physician or a physician assistant. 

Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them.  If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.

PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement.  They are also required to notify the Board within 30 days of any change to the scope of the delegation. 

APRNs should look to guidance provided by the Texas Board of Nursing for how to register their delegating physicians, as the Medical Board does not have licensing authority for nurses.

To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request.  Please contact the Registration department for information on the approval procedure.

If the request is granted, it may be granted without conditions or subject to such conditions which the board determines are necessary to adequately protect the public.  Requests are reviewed on a case by case basis.

Below are some examples of conditions that may be required (alone or in combination) to return a retired license to an active status:

• limitation of the practice of the requestor to specified activities of medicine and/or exclusion of specified activities of medicine;
• passage of the Special Purpose Examination (SPEX);
• remedial education, including but not limited to a mini-residency, fellowship or other structured program;
• passage of the Medical Jurisprudence Examination; and/or
• such other remedial or restrictive conditions or requirements which, in the discretion of the board, are necessary to ensure protection of the public and minimal competency of the applicant to safely practice medicine.

As with all medical records documentation, the notation must be contemporaneous, legible and provide complete information.  In this case, complete information would include the date of the review and the identity of the provider who reviewed the information.

Yes. A patient, the patient’s parent or legal guardian if the patient is a minor, or the patient’s legal guardian if the patient is an incapacitated person, may receive a copy of the patient’s PMP record, including a list of who has accessed that record.

For more information on how to submit a request, please review the Pharmacy Board’s Patient Access Program page, found here: https://www.pharmacy.texas.gov/patient-access/

If you are granted a waiver, it will be displayed on your public physician profile.  This alone will serve as proof of your waiver.  Generally, waiver requests are determined within 2-3 business days.  You are encouraged to check your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile.

Currently, each individual physician who needs a waiver will have to apply for their own individual waiver. Although this may change in the future, TMB is currently unable to track waivers by group.      

There is currently no limit to the number of waivers you may request.

Not at this time. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee, payable directly to IdentoGo. Results of the fingerprinting will be sent directly to TMB from both the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.

Yes, you can complete the fingerprint requirement at any point prior to your license expiration date. You do not need to wait for your expiration date. If you wish to submit your fingerprints early, please contact us at Registrations@tmb.state.tx.us and request your 6 digit ID number and instructions for your fingerprint submission.

*Please note that completing your fingerprints prior to your renewal period will NOT enable you to renew your license early. Your registration window will only open within 60-90 days of your license expiration date.