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Search Term: 'affidavit for medical records form'

Physician Fingerprint info - Tab A

“... Code, Sec 156.0015, unless you were fingerprinted for your Physician licensure application after 1/15/2018.  Please note that if you were issued a license through the IMLCC, you will need to be printed for the TMB at your first renewal.  We are not able to access fingerprint results t ... ”

This content is located on the following page(s): Renewals Physicians

Coronavirus Disease (COVID-19) Response

“... s Emergency Rules Disaster Licensing Info for Current Licensees State/Federal COVID-19 Info   Statewide COVID-19 Disaster Expiration Governor Abbott’s statewide disaster declaration related to the COVID-19 pandemic expired on June 15, 2023. As a result, ALL rule waivers are ... ”

This content is located on the following page(s): Agency - Coronavirus Response

IMLC Renewal FAQ - Tab #1

“... to submit a renewal to IMLC and to TMB? The Texas Medical Board is statutorily required to have certain information for our online public profile. For this reason, physicians must fill out our renewal form in order to provide this information. The IMLC has their own renewal questions/information tha ... ”

This content is located on the following page(s): IMLC Renewal FAQs

Board Action Search

“... link below will allow a search of any Texas Medical Board action issued (Board order, remedial plan, cease and desist, etc.), issued to physicians, physician assistants, acupuncturists, medical radiologic technologists, non-certified radiologic technicians, respiratory care practitioners, medi ... ”

This content is located on the following page(s): Board Action Search

Verified Information

“... the licensee. License Number: License number for the licensee. Issuance Date: Date the license was originally issued. Expiration Date: Current expiration date of the license. Current Status: Status of the license (Active, Delinquent, Suspended, Cancelled, Retired, etc.) and the d ... ”

This content is located on the following page(s): Physician Profile Descriptions

IMLC FAQ - Tab #1 General

“How do I apply for Texas licensure or a Letter Of Qualification (LOQ) through the IMLCC? All applications are submitted through the IMLCC website at https://www.imlcc.org/.   Are there any reduced IMLCC application fees? There are no reduced application fees paid to the IMLCC. However, a refund ... ”

This content is located on the following page(s): IMLC FAQs

CME - MD - NEW CME Requirements - Tab 5

“... mplete certain specific opioid related continuing medical education.  These new CME requirements outlined above apply to the renewal of a license on or after September 1, 2020.     New Human Trafficking Prevention CME Requirements House Bill 2059 (2019) requires physicians, physi ... ”

This content is located on the following page(s): Resources - CME for MD/DOs

Education

“... eported name, location and graduation date of all medical schools attended by the physician.   Also displayed is the physician reported graduate medical education taken in the US or Canada, including the following: Program name, Location, begin and end date, Type of program (residency, fellowsh ... ”

This content is located on the following page(s): Physician Profile Descriptions

Interstate Medical Licensure Compact

“The Interstate Medical Licensure Compact (IMLC) is a voluntary, expedited pathway to licensure for qualifying physicians who wish to practice in multiple states. On June 7, 2021, Governor Greg Abbott signed into law House Bill 1616 which was passed by the 87th Texas Legislature, making Texas the 33r ... ”

This content is located on the following page(s): Interstate Medical Licensure Compact

E-Prescribing Waiver

“... §§481.0755 requires that prescriptions for controlled substances to be issued electronically, except in limited circumstances, or unless a waiver has been granted by the appropriate agency.  A prescription for a controlled substance is not required to be issued electronically and may ... ”

This content is located on the following page(s): Renewal - Electronic Prescribing Waiver

Specialty Board Certification

“... a board that is a member of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists. ”

This content is located on the following page(s): Physician Profile Descriptions

Medical Physicist Quick Links

“Before you apply Medical Physicist Sample Application ”

This content is located on the following page(s): Medical Physicist

Renewal Fingerprinting information

“... censees are required to submit their fingerprints for state and national criminal history background checks prior to renewal, per statutory requirements. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee (see the Fingerprinting FAQs be ... ”

This content is located on the following page(s): Renewals Physicians

Expert Consultants

“DIRECT DEPOSIT FORM 74-176 PAYEE CHANGE FORM 74-157 APPLICATION FOR TX ID NUMBER ”

This content is located on the following page(s): Expert Consultants

CE for AD Tab 2 - Exemptions

“... : A licensee may request in writing an exemption* for the following reasons:        the licensee's catastrophic illness;        the licensee's military service of longer than one year's duration; *Exemptions are reviewed on a case-by-case ... ”

This content is located on the following page(s): CAE for Acudetox Specialists