“... 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 July, Full Board July 06
Document: ... Non-Public Rehabilitation Orders and Modification Request/Termination Request of Non-Public Rehabilitation Orders. Oscar San Miguel, staff attorney, gave a report on the Voluntary Surrender Order for Non-Public Rehabilitation Order #27. Mr. Deter moved, Ms. Bentley seconded, and the motion passed to ...
Description: PA Board 2007 July, Full Board Minutes
Document: ... the specifics of the supplemental appropriations request, which will go towards Information Technology improvements.
Ms. Garanflo discussed the development of a Jurisprudence Examination for Physician Assistant applicants. Ms. Garanflo indicated this process had been delayed somewhat due to the v ...
Description: PA Board 2008 July, Full Board Minutes
Document: ... d gave a report on the Legislative Appropriations Request and the exceptional items.
1
Ms. Garanflo gave a report on the reduction in the licensure application processing time, and the elimination of the licensing backlog. After Ms. Garanflo reported on the decrease in online applications, the bo ...
Description: PA Board 2008 July, Licesure Action Item 2
Document: ... pondent regarding physical or mental condition on request [e11] [NO UNILATERAL WITHDRAWAL] Shall not withdraw from care, or treatment [e12] [NOTIFY/DISCONTD CARE] Notify Compliance upon discontinuation of care/treatment [e14]
Yes
Yes
Yes Yes Yes
PRESCRIBING AUTHORITY 16. [SELF-PRESCRIBE/FAMILY] ...
Description: PA Board 2008 July, Licesure Committee
Document: ... ollowing Board meeting for reconsideration of the request for reactivation. This recommendation is due to not having actively practiced within either of the last two years prior to the date of application. Factors contributing to this recommendation
include being out of practice from May 2005 to t ...
Description: PA Board 2011 July, Full Board
Document: ... ician assistant program in response to the boards request at the February 18, 2011 board meeting. There were no items for Agenda item #7.
Agenda item #8, Consideration and Approval of Agreed Board Orders. After discussion, Mr. Rahr moved, Dr. Koo seconded, and the motion passed to approve the Agre ...
Description: PA Board 2009 March, Full Board
Document: ... gislative bills relate to the physician assistant delegation and she gave an update on SB9397. Ms. Robinson reported that the board does not take a position on legislation and will do what the legislature directs. Agenda item #6, Budget Report. Ms. Robinson gave a budget report. Agenda item #7, Cons ...
Description: PA Board 2009 March, Licensure Committee
Document: ... their licenses or have the licenses cancelled by request.
Agenda Item 7 Report regarding changes in application question language. Ms. Garanflo reported that recently the application questions were revised by the Texas Medical Board. The committee directed staff to work on the language regarding e ...
Description: PA Board 2007 March, Full Board Minutes
Document: ... Non-Public Rehabilitation Orders and Modification Request/Termination Request of Non-Public Rehabilitation Orders. There were no items for Agenda item #5.
Agenda item #6, Consideration and Approval of Agreed Board Orders. After discussion, Dr. Benold moved, Dr. Mitchell seconded and the motion pas ...
Description: PA Board 2012 March, Full Board
Document: ... webinars subject to the Chair's approval; and 4.) request the Medical Board assign a liaison to share policy information.
Agenda item #4, Budget update. Brandy Smith, Finance Department, presented an updated budget of the General Revenue and General Revenue Dedicated (Combined) FY2011 through Marc ...
Description: PA Board 2004 May, Full Board
Document: ... non-public rehabilitation orders and modification request/termination request of non-public rehabilitation orders. Ms. Clark moved, Mr. Deter seconded, and the motion passed to approve the non-public rehabilitation order #25 with a typographical correction to Mr. Webbs name. It was announced that th ...
Description: PA Board 2005 May, Licensure
Document: ... g cancellation of Physician Assistant licenses by request and for nonpayment, was considered. Ms. Garanflo explained the cancellation procedure. Following discussion, Ms. Clark moved, Mr. Belgard seconded, and the motion passed to recommend to the full Board that the licenses listed be approved for ...
Description: PA Board 2006 May, Licensure
Document: ... the full board that Applicant #455 be granted the request to amend the number of hours worked to 10 hours per week for 22 weeks and 20 hours per week for seven months thereafter. Mr. Webb seconded. All voted in favor. The motion passed. The Committee directed staff to draft language for future motio ...
Description: PA Board 2007 May, Al 03 548
Document: ... reports regarding physical or mental condition on request. o Shall not withdraw from care or treatment. o Will notify Compliance Dept upon discontinuation of care or treatment. o Probation appearance at any time on request with 10 days notice.
Description: PA Board 2007 May, Full Board Minutes
Document: ... Non-Public Rehabilitation Orders and Modification Request/Termination Request of Non-Public Rehabilitation Orders. There were no items for Agenda item #5.
Agenda item #6, Consideration and Approval of Agreed Board Orders. After discussion, Mr. Deter moved, Dr. Mitchell seconded and the motion passe ...
“... 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.