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“... n 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 §187.16 and TEX. OCC. CODE ANN. 604.154.
To be eligible for the vo ... ”
“... ate, 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.
Because this form must be received by our office before the expiration date o ... ”
“... ete and return the appropriate 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 an individual is ineligible for retired status, biennial registration, including t ... ”
“... 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/renewal fees already paid cannot be made.
Because this form must be received by our office before the expiration date of the ... ”
“... 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 an individual is ineligible for retired status, biennial registration, including t ... ”
“... al.
Continuing Education Exemption Request Form - Surgical 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/renewal fees already paid cannot be made.
Because this form must be received by our office before the expiration date of the ... ”
“... 0 days. You will be contacted with a registration form and instructions. You must complete registration and pay the fee within 90 days of the date your license is re-activated to avoid penalty fees.
Once your registration is complete, please allow 2 business days for processing. Af ... ”
“... cupuncture Continuing Education Exemption Request Form ”
“... t the Physician Profile Update Request Form. For more detailed information on what is required to be reported when, please see the “When do I update my profile?” tab.
Licensee profile changes/corrections/updates submitted through MyTMB will be updated automatically. ... ”
“... it the Physician Profile Update Request Form.
”
“... n date.
The Custodian of Records Form is available to assist with the submission of this information to the board. ”
“...
RA Continuing Education Exemption Request Form
”
“... ate, please submit a completed conversion request form (link below). Once a licensee’s eligibility for the conversion to the RA certificate has been verified, and the new certificate issued, notification of the new certificate information will be sent. The new RA certificate will h ... ”
“... this reason, physicians must fill out our renewal form in order to provide this information. The IMLC has their own renewal questions/information that need to be submitted as part of their operations/requirements.
Can I get an extension to complete my renewal?
While there is no actual extensi ... ”
Description: Medical Board 2007 - August - Full Board Committee Meeting Minutes
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 1910 of the Insurance Code, and updates of the Texas Medical Board. No one signed up to present oral comments. No written comments we ...
Description: Medical Board 2007 - August - Licensure Committee Meeting Minutes
Document: ... ile Contents, 173.2 Profile Update and Correction Form, and 173.5 Updates to the Physician's Profile Due to Information Received by a Third Party.
Mr. Turner moved to recommend to the full board that the rules be published as proposed in the Texas Register for public comment. Ms. Southard seconded. ...
Description: Medical Board 2007 - June - Minutes of the Disciplinary Process Review Committee
Document: ... ity Lawsuits and Settlements; and 176.9 Reporting Form; B. Chapter 191, District Review Committees , to include amendments to; 191.4 Activities and Scope of Authority to require that DRC members who participate in ISCs relating to medical competency have the qualifications of an expert panel, and th ...
Description: Medical Board 2007 - November - Licensure Committee Meeting Minutes
Document: ... lic, non-disciplinary rehabilitation order in the form of the rollover order offered by the Executive Director with a term of 9 years. This recommendation is due to the applicants history of alcohol abuse. Factors contributing to this recommendation include the applicants compliance for one year wit ...
Description: Medical Board 2007 - November - Public Information/Profile Committee Meeting Minutes
Document: ... he last board meeting. She also reported that the newsletter is at the printer, and that the process from printing through mailing takes four to five weeks. Agenda item #3, Discussion of strategies to improve communications with licensee s: Ms. Wiggins informed the committee that, because of Ms. Sou ...
Description: Medical Board 2008 - August - Standing Orders Committee Meeting Minutes
Document: ... to the Prescriptive Delegation Waiver application form. Ms. Garanflo presented a draft with requested changes to the prescriptive delegation waiver request application for approval. The changes were made to clarify the factors the Committee takes into consideration when granting prescriptive delegat ...
Description: Medical Board 2008 - February - Executive Committee Meeting Minutes
Document: ... etter.
Dr. Patrick explained that the boards May newsletter will feature an article for licensees explaining what they should do if they are the subject of a complaint.
Robert Simpson discussed two pending suits, one involving the TMA and Podiatry Board concerning the scope of practice and the oth ...
Description: Medical Board 2008 - June - Licensure Committee Meeting Minutes
Document: ... ttee discussed adding language to the application form to inform applicants that the Board conducts criminal history background checks; to advise applicants in doubt regarding when to respond to answer yes to criminal history questions; to advise applicants that the administrative penalty guidelines ...
Description: Medical Board 2008 - June - Public Information/Profile Committee Meeting Minutes
Document: ... cal Board Bulletin: Ms. Wiggins reported that the newsletter is at the printer, scheduled to go to the mailer about July 2, and that TMB has a new mailing service. Agenda item #4, Introduction of Patrick Shaughnessy, special projects coordinator for community relations: Ms. McFarland introduced Mr. ...
Description: Medical Board 2008 - October - Licensure Committee Meeting Minutes
Document: TEXAS MEDICAL BOARD LICENSURE COMMITTEE MEETING MINUTES October 9, 2008
The meeting was called to order at 10:03 a.m. by Chair, Michael Arambula, M.D. Committee members present were Jose M. Benavides, M.D.; Roberta Kalafut, D.O.; Paulette B. Southard; Timothy J. Turner; Timothy Webb; and Irvin Zeit ...
Description: Medical Board 2009 - August - Public Information/Profile Committee Meeting Minutes
Document: ... item #3, report on changes in publication of the newsletter: Ms. McFarland reported that because printing and mailing the newsletter costs about $100,000 per year, the publication would henceforth be posted on the agency web site rather than being printed and mailed. She noted advantages, including ...
Description: Medical Board 2009 - May - Minutes of the Disciplinary Process Review Committee
Document: ... le coercion of the patient regarding the type and form of the medication that was administered. Motion carried. Dr. Shulkin moved, and Mr. Baucom seconded that the appeal of Item 2.A.i., Log #09-0031 be denied and that a custom letter be sent to the Respondent regarding the proper disclosures for in ...
Description: Medical Board 2009 - November - Full board Committee Meeting Minutes
Document: ... n Fees, and repeal 175.4, relating to Application Form. i. Chapter 179. Investigations , with amendments to 179.4, relating to Request for Information and Records from Physicians. j. Chapter 180. Texas Physician Health Program and Rehabilitation Orders , with amendments to proposed new rule 180.1, r ...
Description: Medical Board 2010 - April - Licensure Committee - AD HOC Commmittee Regarding Board Rule 164.4 APRIL 7, 2010
Document: AD HOC COMMITTEE REGARDING BOARD RULE 164.4
APRIL 7, 2010 The meeting was called to order at 1:02 p.m., by the Chair, Pat Crocker, D.O. Committee member present were Michael Arambula, M.D.; Melinda McMichael, M.D.; Margaret McNeese, M.D.; Timothy Turner; Timothy Webb.; and Irvin E. Zeitler, Jr., D.O ...
Description: Medical Board 2010 - April - Full board Committee Meeting Minutes
Document: ... include the modification or termination approval form into the file for board members to review with the modification and termination order. Ms. Robinson gave a report of the Physician Assistant Board concerns for clarification of the rules for physician assistants and APNs owning clinics with phys ...
“... 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.