“... courses shall be made available to the Board upon request but should not be submitted with the registration. Random audits will be made to assure compliance.
If you have any questions regarding continuing education requirements, please email us at registrations@tmb.state.tx.us .
The ... ”
“... prescribing requirement by:
submitting a waiver request to the TMB and providing required information, and
demonstrating circumstances necessitating a waiver from the requirement, including
economic hardship, including:
any special situational factors affecting either the cost of compliance or a ... ”
“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 ca ... ”
“... tions@tmb.state.tx.us.
Upon receipt of the request with the required documentation, TMB staff will evaluate the documentation and contact the clinic about the initial audit.
Pain Management Gold Designated Application Form
Gold Designated Practice - Approved Clinics ... ”
Description: PA Board 2006 February, Full Board
Document: ... Non-Public Rehabilitation Orders and Modification Request/Termination Request of Non-Public Rehabilitation Orders. Ms. Clark moved, Ms. Bentley seconded, and the motion passed to go into executive session at 2:45 p.m. for consideration of possible rehabilitation orders under the authority of the Ope ...
Description: PA Board 2008 February, Full Board Minutes
Document: ... Non-Public Rehabilitation Orders and Modification Request/Termination Request of Non-Public Rehabilitation Orders. After discussion, Mr. Reyna moved, Ms. Chapman seconded and the motion passed to approve NonPublic Rehabilitation Order # 25. Agenda item #6, Consideration and Approval of Agreed Board ...
Description: PA Board 2010 February, Full Board
Document: ... em #8, Consideration and Approval of Modification Request/Termination Request Orders. After discussion, Ms. Jones moved, Mr. Reyna seconded, and the motion passed to approve the Order Denying Termination and Granting Modification for Michael Paul Fichter, P.A. There were no items for agenda items # ...
Description: PA Board 2011 February, Full Board
Document: ... am. After discussion, the Board directed staff to request a status update from any licensee who was granted a license from an unaccredited physician assistant program. The Board directed staff to revise the application form for future applicants to confirm that the physician assistant program is acc ...
Description: PA Board 2002 January, Full Board Min
Document: ... blication of the proposed rule change relating to delegation of prescriptive authority at alternate sites and stated that the comments had been reviewed by the Long Range Planning Committee. Based on the comments, staff recommended incorporating additional amendments to the rule. Dr. Patrick and Ms. ...
Description: PA Board 2002 January, Long Range Plan Min
Document: ... blication of the proposed rule change relating to delegation of prescriptive authority at alternate sites. Based on the comments, staff recommended incorporating additional amendments to the rule. Dr. Patrick and Ms. Shackelford explained that this was an informational item only and that the rule wo ...
Description: PA Board 2009 July, Action Item Apllicant 771
Document: ... pondent regarding physical or mental condition on request [e11] [NO UNILATERAL WITHDRAWAL] Shall not withdraw from care, or treatment [e12] PROBATION APPEARANCES 27. [ON REQUEST & NOTICE] Anytime on request & 10 days notice [l02]
Note: Others standard closing paragraphs will be included in the Order ...
Description: PA Board 2009 July, Action Item Apllicant 808
Document: ... pondent regarding physical or mental condition on request [e11] [NO UNILATERAL WITHDRAWAL] Shall not withdraw from care, or treatment [e12] PROBATION APPEARANCES 28. [1 TIME 1st YEAR & THEN ON REQUEST] At least once 1st year and on then request [l03]
Note: If applicant is not compliant with treatmen ...
Description: PA Board 2009 July, Action Item Apllicant 844
Document: ... pondent regarding physical or mental condition on request [e11] [NO UNILATERAL WITHDRAWAL] Shall not withdraw from care, or treatment [e12] PROBATION APPEARANCES 27. [ON REQUEST & NOTICE] Anytime on request & 10 days notice [l02] Note: Other standard closing paragraphs will be included in the Order, ...
Description: PA Board 2009 July, Full Board
Document: ... ealth program and SB532 relating to a physician's delegation of prescriptive authority to physician assistants. After discussion, the board directed staff to research and draft guidelines to address the supervision of a physician assistant when the physician assistant is the employer of the physicia ...
Description: PA Board 2009 July, Licensure Committee
Document: ... pplicant requests for rehearing.
Applicant #768s request for rehearing was considered. Ms. Jones recused herself and temporarily appointed Mr. Reyna as Chair. Dr. Mitchell moved to recommend to the full board that applicant be granted rehearing based on presentation of evidence not previously consi ...
Description: PA Board 2010 July, Full Board
Document: ... gave an update of the Legislative Appropriations Request for 2011-15 and the status of the exemption request to the 5% budget cut. Ms. Bentley requested an update on the clarification of the rules for physician assistants owning clinics with physicians working in the clinic. After discussion, the b ...
Description: PA Board 2004 July, Full Board
Document: ... Agenda item #4, report regarding the Prescriptive Delegation Waiver Committee requests and recommendations. The staff gave a report regarding the work of the Prescriptive Delegation Waiver Advisory Committee and the Committees recommendations that will be presented to the Medical Board for approval. ...
Description: PA Board 2005 July, Full Board
Document: ... Non-Public Rehabilitation Orders and Modification Request/Termination Request of Non-Public Rehabilitation Orders. Dr. Hedges moved, Mr. Deter seconded, and the motion passed to approve the Termination of Non-Public Rehabilitation Order #26. Ms. Clark moved, Ms. Bentley seconded, and the motion pass ...
Description: PA Board 2005 July, Licensure
Document: ... e applicants to be considered for cancellation by request or nonpayment of fees. Agenda Item 6 - There being no further business, Ms. Clark moved to adjourn the meeting, Ms. Bentley seconded the motion. The motion passed. The meeting adjourned at 10:59 a.m.
...
“... ian who may be subject to discipline for improper delegation dependent upon the facts and circumstances of each case, and how state statutes and regulations apply in those situations. ”
Is a CRNA under a valid delegation order, subject to discipline by the Texas Medical Board under the Medical Practice Act for a violation of the standard of care in the selection and administration of anesthesia or the care of an anesthetized patient?
No, while the selection and administration of anesthesia is a medical act, if such an act was validly delegated to a CNRA by a physician, the act is considered to be within the practice of nursing and governed by the Nursing Practice Act. Any discipline for a violation of the standard of care by a CRNA would be carried out by the Texas Board of Nursing under the authority of the Nursing Practice Act. Ultimate responsibility and accountability for the medical management of a patient under anesthesia remains with the delegating physician who may be subject to discipline for improper delegation dependent upon the facts and circumstances of each case, and how state statutes and regulations apply in those situations.
“Applicants are informed of their fingerprints being rejected by IdentoGo prior to that information being sent to the TMB. Fingerprints can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then us ... ”
I just found out that my fingerprints were rejected. May I immediately request new fingerprint cards?
Applicants are informed of their fingerprints being rejected by IdentoGo prior to that information being sent to the TMB. Fingerprints can be rejected by either DPS or the FBI. Our office will not communicate that a reprint is needed until we receive your unique reference code, which you may then use on the IdentoGo site to waive the fee for a required reprint.
“... live-scanned. If that is not an option, they must request a fingerprint card by contacting the Texas Medical Board at Screen-CIC@tmb.state.tx.us if they are an applicant, or at Registrations@tmb.state.tx.us if they are a licensee. When emailing the request, please include a current mailing address. ... ”
Will I automatically be sent fingerprint cards if I enter an out-of-state address when I apply?
No, fingerprint cards are not automatically sent out to applicants. Because not all applicants reside at the mailing address of record when they submit their online applications, it is the responsibility of the applicant to verify whether or not they can be live-scanned. If that is not an option, they must request a fingerprint card by contacting the Texas Medical Board at Screen-CIC@tmb.state.tx.us if they are an applicant, or at Registrations@tmb.state.tx.us if they are a licensee. When emailing the request, please include a current mailing address.
“... e contact us at Registrations@tmb.state.tx.us and request your 6-digit ID number and instructions for your fingerprint submission. ”
What is my Board issued 6-digit ID number?
A Board issued 6-digit ID number is required for submitting your fingerprints. This 6-digit ID number is assigned at the time of application submission. This 6-digit ID number will be included in your post card and email renewal reminders. If you wish to submit your fingerprints early, please contact us at Registrations@tmb.state.tx.us and request your 6-digit ID number and instructions for your fingerprint submission.
“... endent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a ... ”
Are CRNA’s authorized to practice independent of physician supervision and delegation?
No, neither the Medical Practice Act nor the Nursing Practice Act authorize independent practice by a CRNA. Additionally, Texas Attorney General Opinion No. KP-0266 found “A certified registered nurse anesthetist does not possess independent authority to administer anesthesia without delegation by a physician.” (Page 5). Since the selection and administration of anesthesia is a medical act, CRNAs must be properly delegated this act by a physician. A CRNA who administers anesthesia without proper delegation from a physician would be liable for the unlicensed practice of medicine.
“... approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact the Registration department for information on the approval procedur ... ”
My physician license is currently in a retired status. How to I return it to an active status so I can practice?
To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. If a physician has been on official retired status for two years or longer, the request must be reviewed by the Licensure Committee of the Board. Please contact the Registration department for information on the approval procedure.
“... m. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement.  ... ”
Do I have to let the Medical Board know about my delegates/supervising physicians?
Yes, if you are a physician or a physician assistant.
Physicians are required to register all PAs and APRNs that they supervise prior to the delegates beginning to work for them. If there is a change to the scope of the delegation, physicians must notify the Board within 30 days of this change.
PAs are likewise required to register their supervising physicians with the Board prior to beginning to practice under the employment or prescriptive authority agreement. They are also required to notify the Board within 30 days of any change to the scope of the delegation.
APRNs should look to guidance provided by the Texas Board of Nursing for how to register their delegating physicians, as the Medical Board does not have licensing authority for nurses.
“... approval of the Board after submitting a written request. Please contact the Registration department for information on the approval procedure.If the request is granted, it may be granted without conditions or subject to such conditions which the board determines are necessary to adequately p ... ”
Are there any additional requirements that I need to complete before I request to return my retired physician license to an active status?
To return to practice from retired status, a physician must obtain approval of the Board after submitting a written request. Please contact the Registration department for information on the approval procedure.
If the request is granted, it may be granted without conditions or subject to such conditions which the board determines are necessary to adequately protect the public. Requests are reviewed on a case by case basis.
Below are some examples of conditions that may be required (alone or in combination) to return a retired license to an active status:
“... at record.For more information on how to submit a request, please review the Pharmacy Board’s Patient Access Program page, found here: https://www.pharmacy.texas.gov/patient-access/ ”
May patients or patient guardians request a copy of their PMP history, including who has accessed that history?
Yes. A patient, the patient’s parent or legal guardian if the patient is a minor, or the patient’s legal guardian if the patient is an incapacitated person, may receive a copy of the patient’s PMP record, including a list of who has accessed that record.
For more information on how to submit a request, please review the Pharmacy Board’s Patient Access Program page, found here: https://www.pharmacy.texas.gov/patient-access/
“... ck your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile. ... ”
How will I be notified if I am granted a waiver?
If you are granted a waiver, it will be displayed on your public physician profile. This alone will serve as proof of your waiver. Generally, waiver requests are determined within 2-3 business days. You are encouraged to check your profile daily upon submitting your waiver request. You may also choose to print a simple copy of the ‘Verified Information’ section of your profile, which includes your waiver status, by choosing the “Print Verification” option on your profile.
“... rrently no limit to the number of waivers you may request. ”
How many times can I reapply for a waiver?
There is currently no limit to the number of waivers you may request.
“... us at Registrations@tmb.state.tx.us and request your 6 digit ID number and instructions for your fingerprint submission.*Please note that completing your fingerprints prior to your renewal period will NOT enable you to renew your license early. Your registration window will only open withi ... ”
Can I complete the fingerprint requirement early?
Yes, you can complete the fingerprint requirement at any point prior to your license expiration date. You do not need to wait for your expiration date. If you wish to submit your fingerprints early, please contact us at Registrations@tmb.state.tx.us and request your 6 digit ID number and instructions for your fingerprint submission.
*Please note that completing your fingerprints prior to your renewal period will NOT enable you to renew your license early. Your registration window will only open within 60-90 days of your license expiration date.