“... ess and could potentially result in denial of the request for a Hardship Exemption.
Hardship Exemption Application
Please note that at this time the Hardship Exemption application is available in hard copy only.
Communication with the Board
Additional information and supplementa ... ”
“... 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 .
Gener ... ”
“... 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 .
  ... ”
“... 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 .
  ... ”
“... 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 .
  ... ”
“... 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 .
  ... ”
“... 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 .
  ... ”
“
To request cancellation of a general or limited medical radiologic technologist certificate (MRT/LMRT), or a non-certified radiologic technician (NCT) registry, complete and return the appropriate cancellation request form (links below) to the Board for approval before the expiration date of the cu ... ”
“... istration and submit a new voluntary charity care request form with each registration.
An RCP on voluntary charity care status must still obtain and report continuing medical education, as indicated in Title 22 Texas Administrative Code §186.10 and TEX. OCC. CODE ANN. 604.154, or a reduced co ... ”
“
To request cancellation of a Texas Respiratory Care Practitioner certificate, complete and return the cancellation request form (link below) to the Board for approval before the expiration date of the current certificate. Refunds of registration/renewal fees already paid cannot be made.
Bec ... ”
“... pproval from the Board after submitting a written request. To return to active practice a certificate or permit holder will be required to provide evidence of competence at that time, which may include, but is not limited to;
providing current verifications from each state in which the certificate ... ”
“... review the entire process before submitting your request.
If you have any questions, please contact the Registration Department at Registrations@tmb.state.tx.us . ”
“... n permit and have a license in good standing.
To request a change to the Inactive status for a Texas physician assistant license, complete and return the inactive request form (link below) to the Board for approval before the expiration date of the current license. Refunds of registration/ren ... ”
“... pproval from the Board after submitting a written request. To return to active practice a certificate holder will be required to provide evidence of competence at that time, which may include, but is not limited to;
current certification by the NBRC;
completion of approved continuing education in ... ”
“... 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 .
Surgi ... ”
Description: Press Release August 30, 2007 A (PDF File)
Document: ... escription; and 181.6 Physician s Prescriptions: Delegation. relating to establishing that the verification of a contact lens prescription may substitute for an original signature to create a valid contact lens prescription. Chapter 191 , District Review Committees, to include rule review of 191.1- ...
Description: Press Release August 31, 2005 (PDF File)
Document: ... Board rules relating to requirements for standing delegation orders. ASHLEY, IAN MARCUS, M.D., WACO, TX, Lic. #K6528 On August 26, 2005, the Board and Dr. Ashley entered into an Agreed Order assessing an administrative penalty of $500. The action was based on allegations that Dr. Ashley violated the ...
Description: Press Release August 31, 2006 (PDF File)
Document: ... y with the terms of that order in that he did not request required psychiatric reports. KING, JOHN Q. T. JR., M.D., KATY, TX, LIC. #E2656 On August 25, 2006, the Board entered an order revoking Dr. King's medical license. The action followed a hearing by an administrative law judge of the State Off ...
Description: Press Release August 31, 1998 (PDF File)
Document: ... an, and Other Information." Chapter 193, Standing Delegation Orders, new section 193.8, regarding delegated administration of immunizations or vaccinations by a pharmacist under written protocol.
Proposed Rules The Board proposed the following new rules for publication in the Texas Register and com ...
Description: Press Release September 02, 2010 (PDF File)
Document: ... d how to file complaints with the Board. § 174.6, Delegation to and Supervision of Telepresenters. Repeals Section 174.6 and add new language for rules relating to Telemedicine Medical Services Provided at an Established Medical Site. New §174.7, concerning Telemedicine Medical Services Provided at ...
Description: Press Release September 06, 2000 (PDF File)
Document: ... ing proposals for decision. Chapter 193, Standing Delegation Orders: new 193.10 regarding collaborative management of glaucoma. Proposed Rules The Board proposed the following rule changes for publication in the Texas Register and comment: Chapter 162, Supervision of Medical Students: amendment to 1 ...
Description: Press Release September 06, 2005 (PDF File)
Document: ... tx.us. Under Whats New click on Katrina Emergency Request or go directly to http://www.tmb.state.tx.us/news/katrina_emergency.php and see Visiting Physician Temporary Licenses, where there is a link to a form listing all the requirements for the new permits, which may be faxed to (512) 305-7009. TMB ...
Description: Press Release September 08, 2011 (PDF File)
Document: ... llowing terms and conditions: Dr. Gullapalli must request modification of her DEA and DPS controlled substance registrations within seven days to eliminate Schedules II through IV; may not treat chronic pain patients using opioids, benzodiazepines, barbiturates or carisoprodal; must have a physician ...
Description: Press Release September 10, 2008 A (PDF File)
Document: ... rmone and other substances to patients upon their request and without medical justification. When the Board issued investigative subpoenas for Dr. Massey s records, he repeatedly interfered with the investigation and refused to produce any records. The Disciplinary Panels decision was based on Dr. M ...
Description: Press Release September 17, 2001 (PDF File)
Document: ... nformal board proceedings . Chapter 193, Standing Delegation Orders: proposed revision to 193.6 pursuant to SB 1166, relating to delegation of prescriptive authority at alternate practice sites and procedures for waiver from site and supervision requirements . For copies of proposed rules, write the ...
Description: Press Release September 28, 1997 (PDF File)
Document: ... ntained in the records of the physician to whom a request for release of records has been made. The Board proposed to amend Chapter 174, Telemedicine, to require physicians licensed under this Chapter to comply with registration requirements of Chapter 166 of the Board's rules. The Board also propos ...
Description: Press Release October 08, 2002 (PDF File)
Document: ... k, adding a deadline for members of the public to request to speak to the committee. For copies of rule changes or proposed rules, write the Board at MC 901, P.O. Box 2018, Austin, TX 78768-2018, or e-mail pat.wood@tmb.state.tx.us Disciplinary Actions Adams, John J., M.D., Pasadena, TX, Lic. #D0771 ...
Description: Press Release October 12, 2005 (PDF File)
Document: ... for one patient and failed to timely respond to a request from the Board for copies of medical records. BERG, MICHAEL W., M.D., HARLINGEN, TX, Lic. #F3683 On October 7, 2005, the Board and Dr. Berg entered into a Mediated Agreed Order requiring Dr. Berg to attend 10 hours of continuing medical educa ...
Description: Press Release October 13, 2004 (PDF File)
Document: ... sed repeal of this chapter. Chapter 193, Standing Delegation Orders: Proposed amendments to §193.6 on d elegation of the carrying out or signing of prescription drug orders to physician assistants and advanced practice
nurses to make the procedure for registering alternate delegating physicians co ...
Description: Press Release October 16, 2008 A (PDF File)
Document: ... provision in his suspension order allowing him to request termination of suspension provided he could present evidence that he is competent to safely practice medicine.
ACTIONS BASED ON OTHER STATES' ACTIONS
Sridharan, Palur V., M.D., Lic. #H7236, Rawlins, WY On October 10, 2008, the Board and Dr. ...
“... 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.