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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: Medical Board 2016 - October - Executive Committee Minutes

Description: Medical Board 2016 - October - Executive Committee Minutes

Document: ... Chair, Michael Arambula, M.D., PharmD. Freshour and Ms. Yvette Yarbrough, Assistant General Counsel,presented concernsregarding the misuse and release of investigative information. After discussion,Dr. Willeford moved, Mr. Webb seconded, and the motion passed to go into Executive Session at 10:32 ...

Click to view in browser - MB-2016-October-Executive-Minutes.pdf
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Title: Press Release May 20, 2024-1

Description: TMB suspends Beaumont physician (Salem)

Document: Texas Medical Board Press ReleaseFOR IMMEDIATE RELEASEMay, 2024 Customer service: 5123057030 or 8004062

Click to view in browser - pr-20240520-1.pdf
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Title: PA Cancellation By Request

Description: ... ysician assistant must submit a notarized request form.

Document: 7 (;$6 3 +

Click to view in browser - CANCELLATION BY REQ-PA 10-2022.pdf
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Title: Press Release November 22, 2016

Description: Texas State Board of Acupuncture Examiners suspends Conroe acupuncturist (Dreyhaupt)

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE November 22 , 2016 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 Texas State Board of Acupuncture Examiners suspends Conroe acupuncturist On No vember 21 ...

Click to view in browser - pr-20161122.pdf
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Title: Medical Board 2016 - October - Full Board Minutes

Description: Medical Board 2016 - October - Full Board Minutes

Document: ... 0 ;&#x/MCI; 0 ; Agenda item #15,Consideration and approval of Proposal for Decisions at 10:00 a.m.Mark Henry, M.D., SOAH #503.MD. Mr. Freshour gave a brief procedural background. Michelle A. McFaddin, J.D., staff attorney, was present. Dr. Henry was not present.Timothy A. Hootman, J.D., was p ...

Click to view in browser - MB-2016-Oct-Full-Board-Minutes.pdf
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Title: Press Release December 15, 2016

Description: TMB disciplines 25 physicians at December meeting

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE December 1 5 , 2016 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 TMB disciplines 25 physicians at December meeting At its December 2, 201 6 meet ...

Click to view in browser - pr-20161215.pdf
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Title: Press Release December 21, 2016

Description: Texas Board of Medical Radiologic Technology suspends Daingerfield MRT (Stricklin)

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE December 21 , 2016 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 Texas Board of Medical Radiologic Technology suspends Daingerfield MRT On December 1 ...

Click to view in browser - pr-20161221.pdf
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Title: Press Release December 30, 2016

Description: TMB suspends Yoakum physician (Moehlman)

Document: ... nel found thatdue to Dr. Moehlman’s behavior and impaired status, he is unable to safely practice medicine at this time.A temporary suspension hearing with notice will be held as soon as practicable with 10 days' notice to Dr. Moehlman, unless the hearing is specifically waived by Dr. MoehlmanT ...

Click to view in browser - pr-20161230.pdf
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Title: Press Release July 21, 2017-2

Description: TMB suspends Sherman physician (Diamond)

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE July 21 , 2017 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 TMB suspends Sherman physician On July 20 , 2017, a disciplinary panel of the Texas Medical ...

Click to view in browser - pr-20170721-2.pdf
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Title: Press Release March 2, 2017-3

Description: Texas Board of Medical Radiologic Technology suspends San Antonio NCR (Trevino)

Document: ... ce Department after he went to a house with a gun and told the victim to let him into the house. Mr. Trevino told the victim he was there to kill him and struck the victim in the h ead several times. Mr. Trevino was trying to stop the victim/family from testifying against him on a charge of child ...

Click to view in browser - pr-20170302-3.pdf
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Title: Press Release March 2, 2017-2

Description: Texas Board of Medical Radiologic Technology suspends San Antonio MRT (Martinez)

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE March 2 , 2017 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 Texas Board of Medical Radiologic Technology suspends San Antonio MRT (Martinez) On ...

Click to view in browser - pr-20170302-2.pdf
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Title: Press Release March 2, 2017-1

Description: Texas Board of Medical Radiologic Technology suspends San Antonio MRT (Abrams)

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE March 2 , 2017 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 Texas Board of Medical Radiologic Technology suspends San Antonio MRT (Abrams) On Ma ...

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Title: PA Board 2017 March - Full Board Minutes

Description: PA Board 2017 March - Full Board Minutes

Document: ... ode gave a brief report on the LegislativeSession and the submitted FY1819 Legislative Appropriations Request (LAR). The LAR provides budget, revenue, and performance measure information for five years. Ms. Goode reported the FY1819 base request is approximately $13.6 million per year that used th ...

Click to view in browser - PA-2017-March-Full-Board-Minutes.pdf
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Title: Chief Medical Officer Designation/Contact Form

Description: ... g physicians must appoint a chief medical officer and put in place policies to ensure that a physician employed by the hospital exercises the physician's independent medical judgment in providing care to patients

Document: 7 (;$6 0 (',&$/ % 2$5' ‡˜Ǥ ͳͲȀʹͲȀʹͲʹʹ  ‡•‹‰ƒ–‹‘Ȁ‘–ƒ…– ‘”  ...

Click to view in browser - CMO_Designation_Contact_Form_10-2022.pdf
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Title: Press Release March 17, 2017

Description: TMB disciplines 59 physicians at March meeting, adopts rule changes

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE March 17 , 2017 Media contact: Jarrett Schneider , 512 - 305 - 7018 Customer service: 512 - 305 - 7030 or 800 - 248 - 4062 TMB disciplines 59 physicians at March meeting , adopts rule changes At its March 3, ...

Click to view in browser - pr-20170317.pdf
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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 ... ”