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“... opy of Acupuncture Diploma.
Dean's Certification (Form D) and certified acupuncture school transcript. These forms can be found by clicking the Supplemental Forms link to the left and selecting the Licensing Forms Acupuncture.Request that each acupuncture school you attended submit both of these for ... ”
“... Requirements
Duties of Permit Holders to Report Form
Duties of Program Director to Report Form
FAQs ”
“... Pre-Licensure Criminal History Evaluation Request Form
Fingerprinting FAQs ”
“... ation will require you to download a supplemental form and submit it. Some of the forms must be sent to a third party, such as your acupuncture school. Applicants must also take and pass the Jurisprudence Exam. More information can be found using the links under Apply at the left.
Your a ... ”
“... licensees who choose to register through a paper form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
To request a hard copy registration f ... ”
“... aint electronically via the Online Complaint Form, or
Print a PDF version COMPLAINT FORM (SPANISH COMPLAINT FORM ) and mail it in, or
Call the Complaint Hotline 1-800-201-9353 and follow the automated prompts to request a complaint form.
Some patients' complaints do not fall w ... ”
“... fee is currently $315.00, to be submitted in the form of a personal check, cashier’s check, or money order payable to the Texas Medical Board. An additional non-refundable surcharge related to the Texas Physician Health Program ($15) will be assessed with the application fee. The entire ... ”
“... nse, 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.
Acupuncture Cancellation by Request
If you have any questions, pl ... ”
“... ation will require you to download a supplemental form and submit it. Some of the forms must be sent to a third party, such as your medical school or liability carrier. Applicants must also take and pass the Jurisprudence Exam and submit their fingerprints for state and national criminal ... ”
“... , with information from each new employee’s Form I-9 to confirm work authorization. For more information on E-Verify, you may contact the Department of Homeland Security at 1-88-897-7781.
everify/guides/E4en.pdf
everify/infosheetFormI9EmployeeInfoSheet.pdf
RighttoWorkPoster.pdf
EVerifyKn ... ”
“... to be assured consideration at that meeting. The form in this packet must be used. ”
“... ption, and will be required to submit a hard copy form. Please use the appropriate Change of Address form below.
Physician in Training - Change of Address Form
... ”
“... al.
Continuing Education Exemption Request Form - Physician
”
“... licensees who choose to register through a paper form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
To request a hard copy registration form, p ... ”
“In order to 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 pro ... ”
Description: Press Release April 13, 2006 (PDF File)
Document: ... 175.5, Payment of Fees or Penalties regarding the form of payment accepted for fees and penalties. Chapter 178, Complaints , to include amendments to §178.8, Appeals regarding the deletion of the deadline for filing an appeal. Chapter 185, Physician Assistants, relating to changes mandated by SB419. ...
Description: Press Release April 18, 2010 (PDF File)
Document: ... vy sedatives; or prescribing or administering any form of general sedation to a patient. Dr. Murray is prohibited from supervising or delegating prescriptive authority to physician assistants and other physician extenders. The Agreed Order does not prohibit Dr. Murray from prescribing or utilizing o ...
Description: Press Release April 20, 2011 (PDF File)
Document: ... n of prohibited substances such as alcohol in any form, dangerous drugs and controlled substances; participate in the Board's drug testing program; submit to an evaluation from a psychiatrist and comply with any treatment recommendations; attend Alcoholics Anonymous meetings at least five times a we ...
Description: Press Release April 21, 2008 A (PDF File)
Document: ... , dangerous drugs or controlled substances in any form and required him to undergo random drug and alcohol testing. The hearing took place April 18 and the suspension was effective immediately. The length of a suspension order is indefinite but it remains in effect until the board takes further acti ...
Description: Press Release April 21, 2010 (PDF File)
Document: ... ing Dr. Johnson to use a revised informed consent form and special medical chart tracking system with patients undergoing a non-commercial, non-FDA approved desensitization therapy for chemical sensitivity. In addition, Dr. Johnson is required to complete 10 hours of CME in allergy/immunology and 8 ...
Description: Press Release April 28, 1998 (PDF File)
Document: 1999 Press Releases
April 28, 1999
19 Doctors Disciplined During its April 8-10 Board meeting, the Texas State Board of Medical Examiners disciplined 19 licensed physicians, who received one or more of the following actions: one revocation; eight suspensions, of which three were stayed and probate ...
Description: Press Release May 01, 2002 (PDF File)
Document: ... . The change includes a new licensure application form reduced from 49 pages to fewer than 12. The form includes improved instructions to reduce the possibility or errors and omissions that slow the process. There are separate application packets for use depending on the type of applicant and type o ...
Description: Press Release June 08, 2006 (PDF File)
Document: ... sent forms in the medical records and rules and a form for parental consent for an abortion to be performed on an unemancipated minor. Proposed new section to Chapter 179, Investigations, to provide a procedure for initiation of voluntary alcohol and drug screening pending the completion of an inves ...
Description: Press Release June 10, 2010 (PDF File)
Document: ... t, although the information was not in the proper form required. CORRECTIVE ORDERS Corrective orders are for violations that do not warrant restricting a physician's license but may include requirements such as administrative penalties, continuing medical education or chart monitoring. Bhai, Aziz W. ...
Description: Press Release July 07, 2008 B (PDF File)
Document: ... cited on the professional liability claim report form; to §183.9, Impaired Acupuncturists, to allow the Board to order a person to submit to a physical or mental examination based on statements or actions by a licensee or applicant at a meeting of the Board; to §183.18, Administrative Penalties, to ...
Description: Press Release August 28, 2009 (PDF File)
Document: ... sfer with an appropriate "against medical advice" form. Singstad, Charles P., M.D., Lic. #K4251, San Antonio TX On August 21, 2009, the Board and Dr. Singstad entered into an agreed order requiring that within one year he obtain 10 hours of continuing medical education in risk management and within ...
Description: Press Release August 30, 2007 A (PDF File)
Document: ... ity Lawsuits and Settlements; and 176.9 Reporting Form. Provides statutory references to Chapter 74 of the Texas Civil Practices and Remedies Code and Chapters 82 and 1901 of the Insurance Code, and updates name of Texas Medical Board. Chapter 181 , Contact Lens Prescriptions , to include rule revie ...
Description: Press Release August 31, 2006 (PDF File)
Document: ... 175.5, Payment of Fees or Penalties regarding the form of payment accepted for fees and penalties. Chapter 179, Investigations, amendments to §179.8, Alcohol and Drug Screening During Investigations for Substance Abuse regarding alcohol and drug screening during an investigation for substance abuse. ...
Description: Press Release August 31, 1998 (PDF File)
Document: ... which will add wording to the document entitled "Form to be Completed by Patient, Notifying the Acupuncturist of Whether He/She Has been Evaluated by a Phys ician, and Other Information." Chapter 193, Standing Delegation Orders, new section 193.8, regarding delegated administration of immunizations ...
Description: Press Release September 02, 2010 (PDF File)
Document: ... s Register. They will be published in their final form in the Texas Register in September: Chapter 161. General Provisions: Amendment to §161.5, Meetings. Provides that adoption of committee minutes are to be approved by the full board rather than by the individual committees. Chapter 163. Licensure ...
“... this time, only physician applicants can use the Form Y to expedite an application. Should this change, notification will be posted. ”
Can I expedite my physician assistant application?
At this time, only physician applicants can use the Form Y to expedite an application. Should this change, notification will be posted.
“... cant. Applicants can find the appropriate request form on our website at Supplemental Forms "Form N". ”
My licensing analyst informed me that I need a foreign education evaluation. What do I need to do?
A foreign education evaluation is one tool the board uses in evaluating the medical education of a physician applicant who attended a medical school located outside the United States. The board will accept evaluations from the Foreign Credentials Service of America (FCSA). The cost of the evaluation is borne by the applicant. Applicants can find the appropriate request form on our website at Supplemental Forms "Form N".
“... ird party identification number or choose another form of payment. ”
Can my residency program (or other third party) pay my PIT application fee?
Yes. They must register with the TMB for bulk payment processing. Your program will receive a third party identification number which they should make available to you, if they wish to pay your application fee. On the payment page of the online application, select "Pay by Third Party Payment". Enter the third party identification number you were given in the "Third Party ID" field. Note: This number should not be confused with the TMB personal identification number, or your ACGME, AOA, or TMB Program Identification number. Be sure to enter a valid email address. You will receive an email if the application fee has not been paid within seven days. Your application will not be submitted to the Texas Medical Board until the fee has been paid. Entering an incorrect third party identification number will mean that your program, or other third party payer, is prevented from paying for your application, and you will have to submit a new application with the correct third party identification number or choose another form of payment.
“... your request, a completed Name Change Application form and a notarized copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc. ”
What do I need to do to change the name I use professionally?
You must provide us with a statement that gives an explanation of your request, a completed Name Change Application form and a notarized copy of the legal document(s) that granted your name change, i.e. marriage license, divorce decree etc.
“... cannot use the online system, a Change of Address form is available, but not required. Information on the new Change of Address system is available at: http://www.tmb.state.tx.us/page/change-address ”
Can I give my change of address over the phone?
No. However, changes in mailing or practice addresses can now be updated online in most situations. For those license types that cannot use the online system, a Change of Address form is available, but not required. Information on the new Change of Address system is available at: http://www.tmb.state.tx.us/page/change-address
“... at least 5 working days for the processing of the form, the fee and posting to the computer system. ”
Is the registration payment due before the expiration of a license?
Yes. The completed registration application and payment are due on or before the expiration date of the permit. However, you should allow at least 5 working days for the processing of the form, the fee and posting to the computer system.
“... ensees who choose to register through a hard copy form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required. ”
Is it the same price to register online or by hard copy?
No. An additional processing fee of $50 will be charged to those licensees who choose to register through a hard copy form, when an online option is available. If an online option is not available (ex: license is delinquent or suspended at the time of registration) the additional processing fee will not be required.
“... istration, please submit a hard copy registration form with the correct pro-rated fee. Please note that payments for the incorrect OBA pro-rated fee will be voided, causing a delay in the registration process. You may email us to request a pro-rated registration form at registrations@tmb ... ”
How much does OBA registration cost?
The biennial registration fee for office-based anesthesia is a total of $210, per physician and should be combined with the biennial registration.
For off cycle OBA registration, please submit a hard copy registration form with the correct pro-rated fee. Please note that payments for the incorrect OBA pro-rated fee will be voided, causing a delay in the registration process. You may email us to request a pro-rated registration form at registrations@tmb.state.tx.us.
“... lity. A physician must report on the registration form if she or he has completed the required CME. However, newly licensed physicians are exempt from the CME requirements the first time they register. ”
Is a physician required to complete CME to register a license?
Yes. Physicians need to complete at least 24 hours of continuing medical education each year, at least half of which must be in formal courses. One hour of formal CME must be in medical ethics and/or professional responsibility. A physician must report on the registration form if she or he has completed the required CME. However, newly licensed physicians are exempt from the CME requirements the first time they register.
“... fax). Please use the PMC change of address form located here. ”
How do I submit a name change or change of address for my pain management clinic?
A name change or change of address for a registered pain management clinic must be submitted in writing (by mail or fax). Please use the PMC change of address form located here.
“... d directly to the state board of your request.The form is avaliable under Verification Request in the "Licensee Resources" section of our website. ”
How do I get a verification of my Texas license sent to another state?
Upon written request TMB will provide a state board verification to another state board regarding licensees. The verification includes: licensee's name, license or permit number, issue date, expiration date, disciplinary status, and our board seal will be affixed.
There is no fee for state board verifications. Please allow 10 working days to process your verification. The verification will be mailed directly to the state board of your request.
The form is avaliable under Verification Request in the "Licensee Resources" section of our website.
“... to set up an e-prescribing process. On the waiver form, you will have to specify any of the above categories you are experiencing. ”
How do I qualify for the waiver?
There are three different ways you can qualify for a waiver. If you or your practice is experiencing any of the following, you may qualify for a waiver:
On the waiver form, you will have to specify any of the above categories you are experiencing.