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“... nd 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 healthcare for the citizens of Texas by upholding ... ”
“... f the item has previously been submitted, the new request will include an explanation regarding why the submitted document failed to meet standards. Sometimes more items will be required based on information obtained from the new documentation. Once new documentation has been receiv ... ”
“... ink to the left and selecting Licensing Forms PA. Request that each PA school you attended submit both of these forms to you in a sealed envelope with a signature of a PA school official across the outside envelope flap. Do not open this envelope. Send the unopened envelope to the Texas Physician As ... ”
“... tion Reports
TMB 5% Proposed Reduction - 2010
TMB Request for Exemption_2010
Nonfinancial Data Reports
TMB FY 23 Nonfinancial Data Report
TMB FY 22 Nonfinancial Data Report
TMB FY 21 Nonfinancial Data Report
TMB FY 20 Nonfinancial Data Report
TMB FY 19 Nonfinancial Data Report
TMB FY 18 ... ”
“... icense number. This will help us route your request appropriately for a faster response.
Physician assistants can complete renewals online 60-90 days prior to expiration. Registration reminders will be sent out at least 60 days in advance of the expiration date.
Supervision and P ... ”
“... al processing fee will not be required.
To request a hard copy registration form, please contact the Registration Department at registrations@tmb.state.tx.us or (512) 305-7030.
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A physician may request cancellation of his or her Texas medical license at any time.
Once a license is cancelled, the physician will no longer be able to practice medicine in the state of Texas in any capacity. In order to practice medicine again in Texas following cancellation, a phys ... ”
“... erifications of OBA registration are available on request. Please submit a written request by mail, fax or email to:
Texas Medical Board
Attn: Registration Department
P.O. Box 2029 MC 240
Austin, TX 78768
fax - (888) 512-2581
The following standards are required for outpatient s ... ”
“... exas Department of State Health Services (DSHS) a request to research the address at TexasPCO@dshs.state.tx.us. If your practice area qualifies, DSHS will email verification to you and TMB.
Please note that Texas has a two-step application process – pre-licensure and li ... ”
“... o can prescribe Schedule II drugs under physician delegation?
Can schedule II authority be delegated in a free standing emergency department that is affiliated with a hospital?
How often is physician consultation required when prescribing controlled substances?
Can APRNs and PAs in hospital-ba ... ”
“Online Supervision and Prescriptive Delegation Registration System - Click to access system.
Use the online system to register prescriptive authority AND to file the notice of intent to practice/supervise as required of PAs and physicians. Hard copy supervision and delegation forms are no lon ... ”
“... to submit fingerprints for evaluation. Each request for an LOQ is reviewed on a case-by-case basis. If fingerprints are required for evaluation, detailed instructions will be sent to the licensee by email.
Can I get a license through the IMLCC in another state if I hold a Texas physicia ... ”
“... ing current NCCPA certification, etc.).
To request cancellation of a license, complete and return the cancellation request form (link below) to the Board for approval before the expiration date of the current registration permit. Refunds of registration fees already paid cannot be made. ... ”
“... 24 credits to 20 credits per biennium.
To request voluntary charity care status, complete and return the voluntary charity care request form (link below) to Board for approval before the expiration date of the current registration permit. Refunds of registration fees already paid canno ... ”
“... s Requests:
TMB Legislative Appropriations Request FY 24-25
TMB Legislative Appropriations Request FY 22-23
TMB Legislative Appropriations Request FY 20-21
TMB Legislative Appropriations Request FY 18-19
TMB Legislative Appropriations Request FY 16-17
TMB Legislative Appropriations Request FY ... ”
Description: Rule Changes January 22, 2009
Document: ... d to adopt rules regarding investigations, 179.4, Request for Information and Records from Physicians, adds a provision specifying that probable cause to obtain a licensee's medical records may be shown by actions or statements by a licensee at a hearing conducted by the Board that gives the Board r ...
Description: Rule Changes January 09, 2005
Document: ... tudents. Repeal of chapter. Chapter 193, Standing Delegation Orders. Amendment to §193.6 regarding delegation of carrying out or signing of prescription drug orders to Physician Assistants and Advanced Nurse Practitioners.
Description: Rule Changes January 08, 2004
Document: ... es to the text of the rule. Chapter 193, Standing Delegation Orders. Amendments to §193.6 concerning the procedure for considering waiver requests for prescriptive delegation. Chapter 194, Non-Certified Radiologic Technicians. Amendments to §§194.1194.4, and 194.6; the repeal of §§194.7-194.10 and n ...
Description: Rule Changes January 02, 2013
Document: ... ent to §190.8 provides the standard for physician delegation of the performance of nerve conduction studies by individuals who are not licensed as physicians or physical therapists. The amendment to §190.14 amends the range and scope of sanctions for violations of the Medical Practice Act. CHAPTER 1 ...
Description: Rule Changes December 22 and 25, 2011
Document: ... 15 days before the scheduled ISCs. Also that upon request by a Respondent, the Board shall record an ISC and the Respondent shall be responsible for the cost. Also, ISC panels may recommend remedial plans in order to resolve complaints. The amendment to §187.19, relating to Resolution by Agreed Orde ...
Description: Press Release February 09, 2005 (PDF File)
Document: ... egations that Dr. Fisher acquiesced to a parent's request that he prescribe Zoloft for a pediatric patient. The parent requested Zoloft in the mistaken belief that it was an antihistamine.
FRY, ROBERT BRYANT JR., M.D., TEXARKANA, TX, Lic. #E4339 On February 4, 2005, the Board and Dr. Fry entered in ...
Description: Press Release February 11, 2000 (PDF File)
Document: ... of physicians providing, or overseeing by proper delegation, anesthesia services in outpatient settings. The proposed rules will also outline the minimum acceptable standards for the provision of anesthesia services in outpatient settings, as mandated by
Senate Bill 1340, 76th Legislature. The Bo ...
Description: Press Release February 11, 2004 (PDF File)
Document: ... ers failed to timely produce medical records upon request of the patient. PENDLETON, MICHAEL JEROME, M.D., CORPUS CHRISTI, TX, Lic. #L4091 On 2-6-04 the Board and Dr. Pendleton entered into an Agreed Order publicly reprimanding Dr. Pendleton. The action was based on allegations that Dr. Pendleton fa ...
Description: Press Release February 11, 1999 (PDF File)
Document: ... ition of the word "Submit." Chapter 193, Standing Delegation Orders, section 193.2 concerning the definition of the word "Submit." The Board also adopted an amendment to Chapter 163, Section 163.1 of the licensure rules regarding acceptable combinations of examination for licensure. For copies of th ...
Description: Press Release February 13, 2003 (PDF File)
Document: ... ral cleanup of the chapter. Chapter 193, Standing Delegation Orders: Amendments to §193.6 regarding supervision waiver requests.
Proposed Rule Changes
The Board proposed the following rule changes for publication in the Texas Register and comment: Chapter 163, Licensure. Proposed amendments to §§16 ...
Description: Press Release February 15, 2008 A (PDF File)
Document: ... ng Dr. Hernandez and requiring that Dr. Hernandez request modification of his DEA and DPS controlled substances registrations eliminating his Schedule II-IV prescription authorizations; that his practice be monitored by another physician for five years; that he pass the Medical Jurisprudence Examina ...
Description: Press Release February 16, 2011 (PDF File)
Document: ... esponse in a SOAH case, SOAH may at Board staff's request, remand the case to the Board and the Board will then rule on the staff attorney's motion for default, and issue a default order if warranted. This differs from the current process that requires the Board's general counsel to make a determina ...
Description: Press Release February 17, 2010 (PDF File)
Document: ... sed protocols for Dr. Henderson's supervision and delegation of prescriptive authority to physician extenders. Dr. Henderson must submit to the Board the names of up to three potential consultants within 30 days. Once approved by the Board, the consultant must provide a list of recommended revised p ...
Description: Press Release February 18, 1998 (PDF File)
Document: ... set forth the criteria under which a patient may request and receive a contact lens prescription and under which a physician shall provide such prescription, as mandated by the 75th Legislature through the Texas Contact Lens Prescription Act; Chapter 183, Acupuncture, repeal of current 183.17 and n ...
Description: Press Release February 20, 2008 A (PDF File)
Document: ... nse , §196.1. Relinquishment of License. Requires request to relinquish a license be submitted in writing and deletes requirement that full board review a request for relinquishment; simplifies procedures for relinquishment of a license. Comments may be sent to Rules.Development@tmb.state.tx.us; or ...
“... 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.