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“... plication Fees:
All fees must be submitted in the form of a check or money order made out to the Texas Medical Board. An application submitted without payment will not be processed until payment has been received. Credit card payments for program/instructor applications are not accepted at thi ... ”
“... Report
IRB - Additional Treatment Locations Form
Please submit completed forms electronically (PDF format) to: Registrations@tmb.state.tx.us. Please include the e-mail subject line: "IRB Annual Report [Year of Report] – [Name of IRB]"Important: If the file size of the c ... ”
“... tatus, complete and return the retirement 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.
If a physician assistant is ineligible for retired status, biennial registration, inc ... ”
“... uspended for cause, revoked or subject to another form of discipline in a state, or territory of the United States, a province of Canada, a uniformed service of the United States or other regulatory agency.
To return to practice from emeritus retired status, a physician assistant submit an a ... ”
“
FAQs - FACILITY-BASED DELEGATED PRESCRIBING OF SCHEDULE II CONTROLLED SUBSTANCES
Where and when may a physician assistant (PA) or advanced practice registered nurse (APRN) prescribe a Schedule II Controlled Substance?
Properly authorized APRNs and PAs may issue prescriptions for Schedule II ... ”
“...
PA Continuing Education Exemption Request Form ”
“... e Military Service Member Fee Waiver Request Form and submit it along with the requested additional documentation.
Copy of passport, or birth certificate , which is acceptable as required birth documentation after submission of an application for licensure with our agency; or
Copy ... ”
“... ill require applicants to download a supplemental form and submit it. Additional documentation will also be required from third parties. Most third party information must be submitted directly to the TMB. Please read all instructions carefully. Applicants must also take and pass the Jurisprude ... ”
“... 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 liability carrier. Applicants must also take and pass the Jurisprudence Exam and submit their fingerprints for state and national criminal history background checks.
Yo ... ”
“... 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 liability carrier. Applicants must also take and pass the Jurisprudence Exam and submit their fingerprints for state and national criminal history background checks.
Yo ... ”
“... ill require applicants to download a supplemental form and submit it. Additional documentation will also be required from third parties. Most third party information must be submitted directly to the TMB. Please read all instructions carefully. Applicants must also take and pass the Jurisprude ... ”
“... ation will require you to download a supplemental form and submit it. Additional documentation will also be required from third parties. Most third party information must be submitted directly to the TMB. Please read all instructions carefully. Applicants must also take and pass the Jurisprude ... ”
“... ion/renewal, or submitting the required hard copy form, and paying the required fee to the Board on or before the expiration date of the permit.
For more information on the registration process and requirements for a specific license type, follow the appropriate links.
Acudetox
Surgica ... ”
“... ill require applicants to download a supplemental form and submit it. Additional documentation will also be required from third parties. Most third party information must be submitted directly to the TMB. Please read all instructions carefully. Applicants must also take and pass the Jurisprude ... ”
“... mail or fax using the information provided on the form. You may also submit the form to registrations@tmb.state.tx.us for processing. There is no fee for this application at this time. You will be notified in writing once your application is received and approved.
Note – Under TMB ... ”
Description: Acupuncture 2005 January, Education
Document: ... . Recommendations for changes to the proposed new form were made. The committee directed staff to make the final changes and email the final draft of the form to the committee members. Committee members will review and approve the form. The form will be implemented as a pilot program and sent to cur ...
Description: Acupuncture 2005 July, Education
Document: ... continuing acupuncture education course approval form, based on feedback on pilot project, was considered. Ms. Garanflo explained that no feedback has been received from providers about the new Continuing Acupuncture Education Application forms. Suggestions received by committee members were review ...
Description: Acupuncture 2005 July, Full Board
Document: ... rd. After discussion, the board directed staff to form a workgroup for stakeholder rulemaking input and to present the information back to the board. The workgroup composition is to
include representation of the following stakeholder groups: consumers, physicians, acupuncturist professional associ ...
Description: Acupuncture 2005 July, Licensure
Document: TEXAS STATE BOARD OF ACUPUNCTURE EXAMINERS LICENSURE COMMITTEE MEETING MINUTES JULY 15, 2005
The meeting was called to order at 9:32 a.m. by Chairman, Everett G. Heinze, Jr., M.D. Committee members present were Meng-Sheng Linda Lin, L.Ac.; Pedro (Pete) Garcia; and Hoang Xiong Ho. Jerry Walker, Depu ...
Description: Acupuncture 2005 May, Education
Document: ... ated that staff would include this direction with form revisions to be reviewed at the next Board meeting. Following discussion, Dr. Rascoe moved to deny the request for approval due to the fact that Dallas College of Oriental Medicine did not meet Board requirements for a provider. Ms. Smith second ...
Description: Acupuncture 2007 May, AI 7 CAE Approved Provider
Document: ... to be assured consideration at that meeting. The form in this packet must be used.
Location Address: 333 Guadalupe, Tower 3, Suite 610 Austin, Texas 78701
Mailing Address P .O. Box 2029 Austin, Texas 78768-2029
P hone 512.305.7030 Fax 512.463-9416 Licensure Fax 512.305.7009 www.tmb.state.tx.us
...
Description: Acupuncture 2007 May, Education
Document: ... em #7, regarding a preferred provider application form, was considered. Mr. Graham moved to recommend to the full board that the proposed preferred provider form be approved
with the corrections noted, and published as part of the minutes of this committe e. Ms. Lin seconded. All voted in favor an ...
Description: Acupuncture 2009 October, Licensure
Document: TEXAS STATE BOARD OF ACUPUNCTURE EXAMINERS LICENSURE COMMITTEE MEETING MINUTES October 30, 2009
The meeting was called to order at 10:20 a.m. by the Chair, Allen Cline, L.Ac. Committee members present were Karen Siegel, L.Ac., Rachelle L. Webb, L. Ac., and Rey Ximenes M.D.
Agenda Item 2 Discussion ...
Description: Acupuncture 2010 May, Full Board Minutes
Document: ... t, although the information was not in the proper form as required; 2.) his apparent lack of intent to deceive the public; and 3.) his cooperation with the board. Mr. Weitz challenged the vote and the vote was re-taken with a call for a hand vote. Mr. Chernly abstained. The vote passed to approve Dr ...
Description: Acupuncture 2010 November, Education
Document: ... course taught as distance learning will be in the form of a webcast or pure text. If pure text, the applicants will be required to provide access to the Committee members. In addition the application should indicate how long the average reader would take to complete a distance learning course taught ...
Description: Acupuncture 2010 November, Full Board Minutes
Document: ... on, and possible action regarding the Acupuncture newsletter. After discussion, the board directed staff to move forward with the proposed Acupuncture electronic newsletter and notify licensees at their renewal when the newsletter is available online. There were no items for Agenda item #22. Agenda ...
Description: Acupuncture 2011 January, CPT Coding
Document: ... o draft educational information to be used in the newsletter to enable practitioners to be in compliance with current CPT coding practices. The committee will meet at the next scheduled board meeting to discuss a draft statement for release regarding CPT coding for acupuncturists. Agenda item #3, Ad ...
Description: Acupuncture 2011 May, Education
Document: ... f to write an article on CAE requirements for the newsletter.
Agenda Item 5 - Discussion, recommendation, and possible action regarding requests for approval of continuing acupuncture education courses that were previously deferred. There were none.
Agenda Item 6 - Discussion, recommendation, and ...
Description: Medical Board 2006 April PIPC
Document: ... le was required by SB 872 (79R). He presented the form for physicians to use to notify TDSHS. After a brief discussion, Dr. Garza moved to recommend that the rule be published for comment. The motion was seconded by Ms. Blackwell. Motion carried. Agenda item #3, Media update: Ms. Wiggins updated the ...
Description: MRT Documentation Checklist & Eligibility Requirements
Document: ... ther healthcare licenses they have held.
☐
Form L Evaluation
s
All applicants
who have worked as a MRT
will be
required to have Form L evaluations completed for
all positions held in the past 5 years. These must
be sent directly to the TMB by the evaluator.
Please
refer to the For ...
“... 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.