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Search Term: 'authorization and release form'

Physician Additional Registration Fees

“... ncludes funds that support the ongoing operations and enhancements of Texas.gov, which is provided by a third party in partnership with the State. Texas.gov will remit the amount paid to the Texas Medical Board on your behalf.   Please note that as of 9/1/2015 Texas.gov will charge a ... ”

This content is located on the following page(s): Renewals Physicians | Physician Application and Registration Fees

Servicemember and Spouse Professional License Recognition

“... rently licensed in good standing in another state and has current orders assigning the servicemember to Texas. The recognition, once approved, is only the ability to practice while in Texas on assignment, but it is not a Texas license.   The law includes the following definitions:   Servic ... ”

This content is located on the following page(s): Servicemember and Spouse Professional License Recognition

Join E-mail Lists

“... receive TMB publications, including news releases and other notices, please enter your email address below. All releases and publications are also available under the News Publications link. After entering your email address below and clicking “Join Now,” you will be prompted to joi ... ”

This content is located on the following page(s): Join Our Email List

Full Texas Medical License Overview

“... f Texas by upholding the standards set in statute and Board Rule, and by efficiently processing licensure applications. Before You Apply Individuals considering applying for a full medical license should use the links to the left to for more information about eligibility, the application process, a ... ”

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

Licensee Forms

“... mmonly requested licensee forms, required posters and notices. All of these are also included under the Forms section of the website.   Complaint Notice Poster Change of Address - now avaliable online click here   Name Change Request Form   Verification Request ... ”

This content is located on the following page(s): Resources - License Forms

Physician Licensure Forms

“... ation checklist, or licensure staff. Although the form may be designed for your license type, it may not be required.  Adobe Acrobat Reader is needed to view PDF files.   Additional Licensure forms are available under Forms. ”

This content is located on the following page(s): Physician Licensure Forms

Physician Assistant License Overview

“... upervision of one or more supervising physicians, and if prescribing drugs, must have a prescriptive delegation agreement with their supervising physician(s).  The Licensure Department of the Texas Physician Assistant Board is committed to furthering the mission of the Board by ensuring quality ... ”

This content is located on the following page(s): Licensing - Physician Assistants | Licensing-PA Overview

Chief Medical Officer (CMO) Designation

“...   Chief Medical Officer Designation/Contact Form Compromise of Medical Judgement Report Form   The bill requires that a hospital directly hiring physicians appoint a chief medical officer and put in place policies to ensure that a physician employed by the hospital exercises the physicia ... ”

This content is located on the following page(s): Renewal Chief Medical Officer Designation

Consent Form - Abortion Procedure on a Minor

“This Form has been adopted by the Texas Medical Board in accordance with the requirements of §164.052(c), Texas Occupations Code (enacted by SB 419, 79th Legislature, 2005) and is published in 22 Texas Administrative Code §165.6(f). The purpose of this Form is to allow the physician to obt ... ”

This content is located on the following page(s): Consent form for abortion procedure on a minor

Physician Assistant Documentation Checklist

“... e processes.  Note: The list is general and should in no way be considered a complete list for any one individual applicant.  It is advisable that all documentation be collected and submitted in one packet; however, the Board realizes that some examination entities and state licensing ... ”

This content is located on the following page(s): PA Checklist of Supplemental Documentation

PA Additional Fees

“... ncludes funds that support the ongoing operations and enhancements of Texas.gov, which is provided by a third party in partnership with the State. Texas.gov will remit the amount paid to the Texas Physician Assistant Board on your behalf.   Please note that as of 9/1/2015 Texas.gov will charge ... ”

This content is located on the following page(s): Physician Assistant Application and Registration Fees | Renewal Physician Assistant

Physician Cancellation by Request

“... hysician must file an application for relicensure and meet all requirements for licensure in effect at that time (including post graduate training requirements, exam attempt limits, etc.). To request cancellation of a license, complete and return the cancellation request form (link below) to the Boa ... ”

This content is located on the following page(s): Renewal - Physician - Cancellation by Request

Physician in Training (PIT)

“... iew the Eligibility Checklist, Sample Application and Supplemental Forms before submitting their application.  In addition, an applicant must obtain a TMB personal ID# and 3rd party payor ID#, if applicable, from their GME office or residency training program coordinator.  The 3rd&nbs ... ”

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

PIT - Eligibility Checklist

“... Have you been accepted into a training program and issued an ID number?   If you have any of the following you are NOT eligible: Character          a medical license, permit, or other authority to practice medicine that is currently restricted f ... ”

This content is located on the following page(s): PIT Eligibility Checklist

Medical License Limited to Underserved Areas

“... e requirements to obtain a license limited solely and exclusively to practice in a medically underserved or health professional shortage area. The holder of a Medical License Limited to Underserved Area is subject to the Medical Practice Act and the same Rules of the board as a person holding a ... ”

This content is located on the following page(s): Medical License Limited to Underserved Areas

Title: Press Release February 11, 2004

Description: Press Release February 11, 2004 (PDF File)

Document: ... /revocations, with one stayed under certain terms and conditions; five suspensions, with three stayed under certain terms and conditions; four restrictions; nine public reprimands; and 12 administrative penalties, totaling $56,000. New Licenses Issued During its February 5-7 Board meeting, the Board ...

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Title: Press Release February 11, 1999

Description: Press Release February 11, 1999 (PDF File)

Document: ... cation; five suspensions, of which one was stayed and probated under various terms and conditions; two public reprimands; and two administrative penalties totaling $5,100 were assessed. The Board also canceled the licenses of six acupuncturists. Proposed and Adopted Rules The Board proposed the foll ...

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Title: Press Release February 13, 2001

Description: Press Release February 13, 2001 (PDF File)

Document: ... ations; five suspensions, of which one was stayed and probated under various terms and conditions; five restrictions; two public reprimands; in addition, five administrative penalties totaling $4,850 were assessed. The Texas State Board of Physician Assistant Examiners, at its January 19 meeting, di ...

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Title: Press Release February 13, 2003

Description: Press Release February 13, 2003 (PDF File)

Document: ... tions; three suspensions, of which one was stayed and probated under various terms and conditions; four restrictions; and eight public reprimands. Eighteen administrative penalties tot aling $45,500 were assessed. New Licenses Issued During its February 6-7 Board meeting, the Board approved the lic ...

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Title: Press Release February 13, 2004

Description: Press Release February 13, 2004 (PDF File)

Document: ... immediately. The panel, composed of one physician and two public members, determined that Dr. Liegel violated the Medical Practice Act by borrowing money from a patient and inviting another patient and her husband to live with her, showing she lacked an understanding of proper boundaries between phy ...

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Title: Press Release February 14, 2002

Description: Press Release February 14, 2002 (PDF File)

Document: ... cation; four suspensions, of which one was stayed and probated under various terms and conditions; one restriction; and one public reprimand. In addition, three administrative penalties totaling $8,500 were assessed. Governor Appoints New Board Members Governor Rick Perry has appointed four new boa ...

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Title: Press Release February 15, 2007

Description: Press Release February 15, 2007 A (PDF File)

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE Thursday, February 15, 2007 Media contact Public Information Officer Jill Wiggins at jill.wiggins@tmb.state.tx.us or (512) 305-7018 Non-media contact: (512) 305-7030 or (800) 248-4062 Medical Board Suspends License of Ronald Salmond, M.D., of ...

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Title: Press Release February 15, 2008

Description: Press Release February 15, 2008 A (PDF File)

Document: Texas Medical Board News Release FOR IMMEDIATE RELEASE Friday, February 15, 2008 Media contact: Public Information Officer Jill Wiggins at jill.wiggins@tmb.state.tx.us or (512) 305-7018. Non-media contact: (512) 305-7030 or (800) 248-4062. Medical Board issues 672 physician licenses while reducing l ...

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Title: Press Release February 16, 2011

Description: Press Release February 16, 2011 (PDF File)

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE Wednesday, February 16, 2011 Media contact: Leigh Hopper, 512-305-7018 Customer service: 512-305-7030 or 800-248-4062 Medical Board Disciplines 129 Physicians The Texas Medical Board approved 129 disciplinary actions against physicians at its ...

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Title: Press Release February 17, 2010

Description: Press Release February 17, 2010 (PDF File)

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE Wednesday, February 17, 2010 Media contact: Public Information Officer Leigh Hopper, 512-305-7018 or leigh.hopper@tmb.state.tx.us. Non-media contact: (512) 305-7030 or (800) 248-4062 Medical Board Disciplines 70 Doctors and Issues 671 Licenses ...

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Title: Press Release February 18, 2005

Description: Press Release February 18, 2005 (PDF File)

Document: ... Collins, D.O., license number F6538, of Granbury; and Francisco B. Sauceda, M.D., license number H8375, of San Antonio, after determining that their continuation in the practice of medicine presents a continuing threat to the public welfare. The temporary suspension hearings took place yesterday (Th ...

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Title: Press Release February 18, 1998

Description: Press Release February 18, 1998 (PDF File)

Document: ... tions; four suspensions, of which two were stayed and probated under various terms and conditions; six restrictions with various terms and conditions; one public reprimand; and three administrative penalties of $7,000 were assessed. Board Adopts New Rules The Board adopted the following proposed rul ...

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Title: Press Release February 20, 2008

Description: Press Release February 20, 2008 A (PDF File)

Document: Texas Medical Board News Release FOR IMMEDIATE RELEASE Wednesday, February 20, 2008 Media contact: Public Information Officer Jill Wiggins at jill.wiggins@tmb.state.tx.us or (512) 305-7018. Non-media contact: (512) 305-7030 or (800) 248-4062. Medical Board Adopts Rules Changes, Including New Adminis ...

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Title: Press Release February 21, 2007

Description: Press Release February 21, 2007 A (PDF File)

Document: Texas Medical Board News Release FOR IMMEDIATE RELEASE Wednesday, February 21, 2007 Media contact: Public Information Officer Jill Wiggins at jill.wiggins@tmb.state.tx.us or (512) 305-7018. Non-media contact: (512) 305-7030 or (800) 248-4062. Medical Board Disciplines 41 Doctors At its February 15 ...

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Title: Press Release February 22, 2011

Description: Press Release February 22, 2011 (PDF File) Medical Board suspends license of doctor in Forney

Document: Texas Medical Board Press Release FOR IMMEDIATE RELEASE February 22, 2011 Media contact: Leigh Hopper, 512-305-7018 Customer service: 512-305-7030 or 800-248-4062 Medical Board suspends license of doctor in Forney On February 18, 2011, a disciplinary panel of the Board temporarily suspended, withou ...

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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 ... ”