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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: Legislative Update – 85th Legislature (2017, Regular & 1st Called Sessions)

Description: Legislative Update – 85th Legislature (2017, Regular & 1st Called Sessions)

Document: ... SB 20 (Taylor , V. ) Sunset Continues TMB and relevant statutes until 2019. 08/11/17 SB 60 (Taylor , V. ) Sunset T echnical clean - up to General Appropriations Act to address funding based on continuation . 08/11/17 SB 11 (Perry) Do Not Resusc ...

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Title: Surgical Assistant - Change of Address Form

Description: ... able to use the online Change of Address option, and will be required to submit a hard copy form.In order to assure that you receive all communications from this office, please notify us of all address changes.

Document: 7 H[DV 0HGLFDO %RDUG 0 $,/,1* $ ''5(66  32 % 2;  ‡ $ 867,1 7;  3 +21(   ...

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Title: Press Release May 8, 2020

Description: Waiver for Chronic Pain Patients Extended by Governor Abbott  

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE May 8 , 2020 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 Waiver for Chronic Pain Patients Extended by Governor Abbott Governor Greg Abbott today appr ...

Click to view in browser - pr-20200508.pdf
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Title: Press Release October 29, 2021

Description: TMB disciplines 16 physicians at October meeting

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE October 29 , 2021 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 TMB disciplines 16 physicians at October meeting At its October 15 , 202 1 meetin ...

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Title: Press Release October 16, 2014

Description: Texas Physician Assistant Board suspends Houston physician assistant

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE October 16 , 2014 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 Texas Physician Assistant Board suspends Houston physician assistant On October 14 , 2014, a ...

Click to view in browser - pr-20141016.pdf
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Title: Press Release April 17, 2014

Description: Texas Physician Assistant Board suspends Bryan physician assistant

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE April 17, 2014 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 Texas Physician Assistant Board suspends Bryan physician assistant On April 16, 2014, a disciplin ...

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Title: Form R - Arrest/Criminal History

Description: Yes response to any of the questions in the Arrest/Criminal History section

Document: FORM R “Yes” Response to Questions in Arrest/Criminal History Section Full disclosure: It is imperative that you honestly and fully answer all questions, regardless of whether you believe the information requested is relevant. Your responses on your application are evaluated as evid ...

Click to view in browser - Form R Criminal History 01.2025.pdf
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Title: Authorization and Release Form

Description: Release of application information to a third party.

Document: Authorization and Release Form Applicant must submit the completed form directly to the Texas Medical Board. I, , certify that Applicant Name Name of Third - Party Staff has authorization to discuss my permit and/or licensure application ...

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Title: Press Release February 10, 2014

Description: TMB suspends Austin psychiatrist

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE February 10, 2014 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 TMB suspends Austin psychiatrist On February 6, 2014, a disciplinary panel of the Texas Medi ...

Click to view in browser - pr-021014.pdf
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Title: Press Release February 14, 2014

Description: TMB suspends Houston physician

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE February 14 , 2014 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 TMB suspends Houston physician On February 13 , 2014, a disciplinary panel of the Texas Medi ...

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Title: Medical Board 2014 - February - DPRC - Agenda Item 02 - TX PHP Report

Description: Medical Board 2014 - February - DPRC - Agenda Item 02 - TX PHP Report

Document: ... F0B7; Drug(s) of Choice: Alcohol , Marijuana and Lunesta Issue(s) : 11/13 /2013: “Positive” PEth test result (55 ng/mL). 11/22/2013: Participant submitted the following response: Rosalind, There are two things I need to tell you. First, I have to test today ...

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Title: Medical Board 2014 - February - DPRC - Agenda Item 03 - Impairment Report

Description: Medical Board 2014 - February - DPRC - Agenda Item 03 - Impairment Report

Document: ... ologist, seeing patients for histories, physicals and follow - up exams. 05/20/2013 : TMB requested letter from licensee’s treating physician. 05/24/2013 : TMB sent licensee follow - up letter. 06/07/2013 : TMB received a letter from licensee’s treatin g physici ...

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Title: Medical Board 2013 - December- Full Board Minutes

Description: Medical Board 2013 - December- Full Board Minutes

Document: ... , were present at roll call. Paulette Southard and George Willeford III, M.D., arrived a few minutes after roll call. Stanley Wang, M.D., arrived at 10:00 a.m. Manuel G. Guajardo, M.D.; J. Scott Holliday, D.O.; A llan Shulkin, M.D.; and Robert B. Sim onson, D.O., were not present . ...

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Title: Press Release February 21, 2014

Description: TMB disciplines 42 physicians at February meeting, adopts rule changes

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE February 21, 2014 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 TMB disciplines 42 physicians at February meeting , adopts rule changes At its February ...

Click to view in browser - pr-022114.pdf
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Title: Rule Changes November 7, 2013

Description: Rule Changes Effective November 7, 2013

Document: ... tac$ext.ViewTAC?tac_view=4&ti=22&pt=9&ch=193&rl=Y and limits the combined number of advanced practice registered nurses and physician assistants with whom a physician may enter into a prescriptive authority agreement to se ven. The section sets forth an exclusion to the limit of seven prescriptive ...

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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 ... ”