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“... urrent.
Because this form must be received by our office before the expiration date of the current certificate, completed and bearing original signatures, as well as bearing an original seal of notary public, it cannot be faxed back to our office.
RCP Voluntary Charity Care Request form ... ”
“... made.
Because this form must be received by our office before the expiration date of the current certificate, completed and bearing original signatures, as well as bearing an original seal of notary public, it cannot be faxed back to our office.
If you have any questions, please contact th ... ”
“...
Because this form must be received by our office before the expiration date of the current certificate, completed and bearing original signatures, as well as bearing an original seal of notary public, it cannot be faxed back to our office.
MRT/LMRT Retirement Request Form - ... ”
“... e made.
Because this form must be received by our office before the expiration date of the current license, completed and bearing original signatures, as well as bearing an original seal of notary public, it cannot be faxed back to our office.
PA Inactive Request Form
Please read ... ”
“... ams from the Department of State Health Services (DSHS) to the Texas Medical Board (TMB). Medical Physicists, Medical Radiologic Technologists, Perfusionists, and Respiratory Care Practitioners are now regulated by the TMB and each occupation’s respective board/advisory committee.
... ”
“...
Because this form must be received by our office before the expiration date of the current certificate, completed and bearing original signatures, as well as bearing an original seal of notary public, it cannot be faxed back to our office.
RCP Retirement Request Form - click her ... ”
“... physician and initiated and filed with the State Office of Administrative Hearings under 164.005 of the Act and the status of the complaint;(24) A description of a maximum of five awards, honors, publications or academic appointments submitted by the physician, each no longer than 120 characters; a ... ”
“... ated to licensure contested matters, at the State Office of Administrative Hearings.) “None” indicates that there are no actions to report. ”
“... e made.
Because this form must be received by our office before the expiration date of the current license, completed and bearing original signatures, as well as bearing an original seal of notary public, it cannot be faxed back to our office.
Acupuncture Inactive Request form
Pl ... ”
“... es that primarily relate to business practices or office administration
Approved courses are:
courses approved by the board;
courses offered by board approved CAE providers;
NCCAOM professional development activity credits; and
CAE providers who are formally approved b ... ”
“... conspicuous location in the physician's/practice office and on the practice website at least 30 days prior to the termination, leaving, or sale or relocation of practice.
”
“... :
posting visible notice in physician's/practice office, if accessible;
posting notice on a physician or practice website, if accessible; or
posting notice in a newspaper of greatest general circulation in county where physician practice was located.
retain the medical records in accordance wit ... ”
“...
Because this form must be received by our office completed and bearing original signatures, as well as bearing an original seal of notary public, it cannot be faxed back to our office.
MRT-RA Conversion Request Form
Information on the Medical Radiologist Assistant registr ... ”
“... on this requirement, visit: https://www.tmb.state.tx.us/page/supervision-and-prescriptive-delegation
Limits on Number of Delegates: waived the delegate limit of seven PAs or APRNs that a physician could supervise and delegate to regardless of location or setting.
PITs: allow ... ”
“... as one packet directly to the Texas Medical Board office via email to registrations@tmb.state.tx.us.
Upon receipt of the request with the required documentation, TMB staff will evaluate the documentation and contact the clinic about the initial audit.
Pain Management Gold Designat ... ”