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Search Term: 'authorization and release form'

E-Prescribing Waiver

“... quirement Effective January 1, 2021, Texas Health and Safety Code, §§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 contro ... ”

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

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

“... *Exemptions are reviewed on a case-by-case basis and must be requested in writing at least 30 days prior to the expiration date of the license.  An exemption may not exceed one registration period, but may be renewed, subject to approval.   Acudetox Continuing Education Exemption Request ... ”

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

LMRT Exam FAQs

“... ication to take the LMRT Exam? In order to obtain authorization to attempt passage of the exam, an individual must provide the following documentation:        evidence of current enrollment in an approved limited program and an attestation stating that the individual h ... ”

This content is located on the following page(s): Renewal - LMRT Exams

Gold Designated Practice Status

“A pain management clinic is defined in statute and rule as a publicly or privately-owned facility for which a majority of patients are issued, on a monthly basis, a prescription for opioids, benzodiazepines, barbiturates, or carisoprodol, but not including suboxone.   A pain management clinic m ... ”

This content is located on the following page(s): Gold Designated Practice

Title: Acupuncture 2010 May, Full Board Minutes

Description: Acupuncture 2010 May, Full Board Minutes

Document: ... ng; Karen Siegel, L.Ac.; Rachelle L. Webb, L.Ac.; and Reynaldo Ximenes, M.D. Linda Drain was not in attendance. Staff members present were Mari Robinson, Executive Director; Jaime Garanflo, Director of Licensure; Jennifer Kaufman, Assistant General Counsel; and various other staff. Agenda item #2, B ...

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Title: Acupuncture 2010 November, Education

Description: Acupuncture 2010 November, Education

Document: ... resent were Allen Cline, L.Ac., Linda Wynn Drain, and Raymond J. Graham. Agenda Item 2 Discussion, recommendation, and possible action regarding requests to become approved providers. Mr. Graham moved to recommend to the full board that Neonpinktiger Healthworks be accepted as an approved provider ...

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Title: Acupuncture 2011 January, CPT Coding

Description: Acupuncture 2011 January, CPT Coding

Document: ... were Allen Cline, L.Ac.; Rachelle L. Webb, L.Ac.; and Raymond J. Graham.. Other board members present were Terry Glenn Rascoe, M.D.; Chung-Hwei Chernly, L.Ac; and Karen Siegel, L.Ac. Staff members present were Mari Robinson, Executive Director; Jaime Garanflo, Director of Licensure; Jennifer Kaufman ...

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Title: Acupuncture 2012 October, Board Minutes

Description: Acupuncture 2012 October, Board Minutes

Document: ... ; Karen Siegel, L.Ac.; Rachelle L. Webb, L.Ac.; L and Re eynaldo Xim menes, M.D. Suehing Y Yee Chiang a and Linda Dr rain were not present. Sta aff members s present wer re Mari Rob binson, Execu utive Director; Robert B Bredt, ctor; Tonie Knight, K Mana ager of Licen nsure; Jennifer Kaufman n, Assi ...

Click to view in browser - ACC-2012-Oct-Board-Minutes.pdf
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Title: Medical Board 2006 - April - Full board

Description: Medical Board 2006 April Full board

Document: ... ce, D.O.; Annette P. Raggette; Paulette Southard; and Timothy J. Turner. Board staff present were Donald W. Patrick, M.D., J.D., Executive Director; Jerry T. Walker, M.P.H., Deputy Executive Director; Michele Shackelford, J.D., General Counsel; Robert Simpson, J.D., Assistant General Counsel; and va ...

Click to view in browser - MB-2006-April-fullboardApril06.pdf
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Title: Medical Board 2006 - April - PIPC

Description: Medical Board 2006 April PIPC

Document: ... lackwell, David Garza, D.O., Mr. Eddie Miles Jr., and John W. Pate Jr., M.D. Other board members present were Ms. Annette Raggette and Jos M. Benavides, M.D. Staff members present were Jill Wiggins and Robert Simpson. Agenda item #2, Discussion, recommendation and possible action regarding proposed ...

Click to view in browser - MB-2006-April-pipc.pdf
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Title: Medical Board 2006 - August - Full Board

Description: Medical Board 2006 August TEXAS MEDICAL BOARD BOARD MEETING MINUTES August 25, 2006 

Document: ... r., M.D.; Annette P. Raggette; Paulette Southard; and Timothy J. Turner. Board staff present were Donald W. Patrick, M.D., J.D., Executive Director; Michele Shackelford, J.D., General Counsel; Jane McFarland, Chief of Staff; Robert Simpson, J.D., Assistant General Counsel; and various other staff. A ...

Click to view in browser - MB-2006-Aug-fullboardAugust24.pdf
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Title: Medical Board 2006 - August - Licensure

Description: Medical Board 2006 - August - Licensure Committee Meeting Minutes August 26, 2006

Document: ... s, M.D., Charles Oswalt, M.D., Larry Price, D.O., and Annette P. Raggette. Agenda Item 3 Discussion, recommendation, and possible action regarding applicants appearing for rehearing concerning eligibility There were none. Agenda Item 4 Discussion, recommendation and possible action regarding applica ...

Click to view in browser - MB-2006-Aug-licensure.pdf
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Title: Medical Board 2006 - December - Full board

Description: Medical Board 2006 - December - Full board Committee Meeting Minutes December 7, 2006

Document: ... ice, D.O. Annette P. Raggette; Timothy J. Turner; and Irvin E. Zeitler, Jr., D.O. Board staff present were Donald W. Patrick, M.D., J.D., Executive Director; Michele Shackelford, J.D., General Counsel; Jane McFarland, Chief of Staff; Robert Simpson, J.D., Assistant General Counsel; and various other ...

Click to view in browser - MB-2006-Dec-fullboardDecember7.pdf
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Title: Medical Board 2006 - February - Executive

Description: Medical Board 2006 - February - Executive Committee February 2, 2006

Document: ... mmittee members present were Eddie J. Miles, Jr., and John W. Pate, Jr., M.D. Larry Price, D.O., arrived after roll call. Other Board members present were Larry Anderson, M.D.; Julie Attebury; Jose M. Benavides, M.D.; Blackwell; Melinda S. Fredricks; David E. Garza, D.O.; Manuel G. Guajardo, M.D.; A ...

Click to view in browser - MB-2006-Feb-executive.pdf
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Title: Medical Board 2006 - February - Full board

Description: Medical Board 2006 - February - Full board Committee Meeting Minutes February 2, 2006

Document: ... ce, D.O.; Annette P. Raggette; Paulette Southard; and Timothy J. Turner. Board staff present were Donald W. Patrick, M.D., J.D., Executive Director; Jerry T. Walker, M.P.H., Deputy Executive Director; Michele Shackelford, J.D., General Counsel; Robert Simpson, J.D., Assistant General Counsel; and va ...

Click to view in browser - MB-2006-Feb-fullboardFeb03.pdf
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Title: Medical Board 2006 - June - Executive

Description: Medical Board 2006 - June - Executive Committee June 1, 2006

Document: ... mmittee members present were Eddie J. Miles, Jr., and John W. Pate, Jr., M.D. Larry Price, D.O., arrived after roll call. Other Board members present were Julie Attebury; Jose M. Benavides, M.D.; Patricia S. Blackwell; Melinda S. Fredricks; David E. Garza, D.O.; Manuel G. Guajardo, M.D.; Margaret C. ...

Click to view in browser - MB-2006-June-executive.pdf
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Title: Medical Board 2006 - June - Full board

Description: Medical Board 2006 - June - Full board Committee Meeting Minutes June 1, 2006

Document: ... ce, D.O.; Annette P. Raggette; Paulette Southard; and Timothy J. Turner. Board staff present were Donald W. Patrick, M.D., J.D., Executive Director; Jerry T. Walker, M.P.H., Deputy Executive Director; Michele Shackelford, J.D., General Counsel; Robert Simpson, J.D., Assistant General Counsel; and va ...

Click to view in browser - MB-2006-June-fullboardJune01.pdf
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Title: Medical Board 2006 - October - Dprc

Description: Medical Board 2006 - October - Minutes of the Diciplinary Process Review Committee October 5, 2006

Document: ... vin E. Zeitler, Jr., D.O., Patricia S. Blackwell, and Timothy Turner. Amanullah Khan, M.D. arrived after the meeting started. Paulette Southard was not in attendance. Staff members present were Mari Robinson, Director of Enforcement, Nancy Leshikar, Manager of the Litigation Department, and various ...

Click to view in browser - MB-2006-Oct-dprc.pdf
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Title: Medical Board 2007 - April - Licensure

Description: Medical Board 2007 - April - Licensure Committee Meeting Minutes April 12, 2007

Document: ... es, Jr., Charles Oswalt, M.D., Larry Price, D.O., and Timothy J. Turner. Agenda Item 3 Discussion, recommendation, and possible action regarding applicants appearing for rehearing concerning eligibility: Item 3a Physician licensure and physician in training permit There were none. Item 3b Acudeto ...

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How do I qualify for the waiver?

“... pact of compliance on profitability or viability; and the availability of measures that would mitigate the economic impact of complying. If your practice has technological limitations not reasonably within your control.    Other exceptional circumstances that would lead to you or your pr ... ”