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“... our facility is already registered with the Texas Medical Board (TMB) as an HCE, you can use your facilities existing username/password and the link below to log into the TMB’s New HCE verification system.
HCE Verification System - MyTMB
Please see the instructions below for using ... ”
“... bsp;- PDF
Substantial Equivalence List - PDF
Medical School Codes - PDF
Physician Application and Registration Fees
Physician Specialty List
Apply
General Information
Application
Supplemental Forms
Jurisprudence Exam
Get Fingerprints
Physician Temporary License Affidavit - PDF ... ”
“... ” in a clinical setting?
In 1995, the Texas Medical Board requested the Attorney General to review the above question. The Attorney General issued an opinion (DM-336) that stated, in part, that an acupuncturist ‘may use the title “doctor” so long as the acupuncturist us ... ”
“... and complete your registration.
Pay registration fees with MasterCard, Visa, Discover, American Express, or Electronic Check.
View and print receipt.
”
“... tants and Advanced Practice Nurses with the Texas Medical Board.
Physician Assistants with Temporary Licenses pending Medical Board approval will still be required to file a Prescriptive Delegation Form with the Registrations Department of the Medical Board. To request a form, please email Reg ... ”
“... squo;s primary owner, the clinic’s proposed medical director if different, and all physician owners must contact the National Practitioner Data Bank (NPDB)/Healthcare Integrity and Protection Databank (HIPDB) at https://www.npdb.hrsa.gov/ and perform a self-query.
List of current emplo ... ”
“The Texas Medical Board is the state agency charged with keeping Texas patients safe through the licensure and regulation of Texas physicians. The TMB staff also serves as staff for the Texas State Board of Acupuncture Examiners, the Texas Physician Assistant Board, the Texas Board of Medical R ... ”
“... blic comment.
Board Rule Changes Proposed (Medical Board)
TAC 22 - New §165.7 - Exceptions to Abortion Ban, §165.8 - Abortion Ban Exception Performance and Documentation, §165.9 - Complaints Regarding Abortions Performed
TMB Proposed Rule Summary-Resumen Normas Propuesta ... ”
“The Texas Medical Board receives and reviews about 9,000 complaints a year from patients, patient family members, health care professionals and other sources. After a complaint is received, staff analysts first determine whether the complaint is “jurisdictional.” In other words, is the c ... ”
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How do I obtain a copy of my medical records?
What are reasonable fees for medical records?
What are reasonable fees for billing records?
What are reasonable fees for hospital records?
How long do physicians have to keep medical records?
My physician closed his office. How do I get my me ... ”
“... rance?
Can I file a liability claim through the Medical Board against my physician?
How do I file a complaint?
Are complaints public information?
What information is available on a physician’s Profile?
I’m looking for a physician of a particular specialty. Does the “Look ... ”
“The Texas Medical Board (TMB) is committed to making its Web site accessible to all users. To make the site more accessible, we include several features designed to improve accessibility for users with disabilities. Some of these features are described below..
A descriptive text equivalent is provid ... ”
“... nce at various academic institutions in the Texas Medical Center. These include: Leukemia Service, Neurosurgery and Medical Breast Oncology at MD Anderson Cancer Center, and Pediatric Cardiology at Texas Children’s Hospital. She has also been an Assistant Professor at UTMB Acute Care Nurse Pra ... ”
“Provides helpful information about the Texas Medical Board, its disciplinary process, how to research a licensee, and how to file a complaint.
TMB Consumer Brochure
”
“... ertificate. 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 current certificate, completed and bearing original signatures, as well as bearing an original seal of notary public, it cannot be fa ... ”
Description: TMB Bulletin March 2012
Document: The newsletter of the Texas Medical Board, Texas Physician Assistant Board and Texas State Board of Acupuncture Examiners
March 2012
Physician texting trend could pose some potential problems
Text messaging has one of the highest and fastest response rates compared to phone calls and email. Anecdo ...
Description: TMB Bulletin January 2012
Document: The newsletter of the Texas Medical Board, Texas Physician Assistant Board and Texas State Board of Acupuncture Examiners
January 2012
Remedial plans replace disciplinary action in some cases
A new, non-disciplinary option improve their practices. Regives some licensees another medial Plans are pu ...
Description: TMB Bulletin December 2012
Document: The newsletter of the Texas Medical Board, Texas Physician Assistant Board and Texas State Board of Acupuncture Examiners
December 2012
Prescriptive Delegation Waiver Requests
The board has authority to waive or modify any of the site or supervision requirements for a physician delegating prescrip ...
Description: Rule Changes December 30, 2007
Document: ... r 196, Voluntary Relinquishment or Surrender of a Medical License , amending 196.2, Surrender Associated with Disciplinary Action, updating language; and 196.3, Surrender Associated with Impairment, updating language. Chapter 198, Unlicensed Practice, amending 198.2, Complaints, to make appropriate ...
Description: Rule Changes December 29, 1997
Document: ... or the complete board rules. Chapter 165.1-165.3, Medical Records chapter reorganized, changes mainly pertain to record retention.
Description: Rule Changes December 23, 1997
Document: ... clarify which CME courses involving the study of medical ethics and/or professional responsibility are recognized by the board to be in compliance with CME requirements. Chapter 174.16, Telemedicine new section outlining requirements for annual registration of telemedicine license holders. Chapter ...
Description: Rule Changes December 18, 2011
Document: ... GRADUATE TRAINING PERMITS 22 TAC 171.6 The Texas Medical Board (Board) adopts the amendment to 171.6, concerning Duties of Program Directors to Report, with minor changes to the proposed text as published in the September 16, 2011, issue of the Texas Register (36 TexReg 6112). The text of the rule ...
Description: Rule Changes December 4, 2011
Document: ... AC 163.1, 163.2, 163.6, 163.7, 163.11 The Texas Medical Board (Board) adopts amendments to 163.2, 163.6, 163.7 and 163.11, concerning Licensure, without changes and 163.1 with minor grammatical changes to the proposed text as published in the September 16, 2011, issue of the Texas Register (36 ...
Description: Rule Changes November 30, 2009
Document: ... no longer needed; 163.2, relating to Full Texas Medical License, is based on House Bill 3674 passed by the 81st Legislature to allow applicants for licensure to demonstrate board certification to satisfy requirements relating to substantial equivalence of medical education and permits applicants w ...
Description: Rule Changes November 30, 2003
Document: ... complete board rules. Chapter 162, Supervision of Medical School Students. Repeal of 162.1162.3, and new 162.1 regarding the requirements for Texas physicians who supervise medical school students in Texas. Chapter 163, Licensure. Amendments to 163.1, 163.5, 163.6, 163.10, 163.13 regarding gene ...
Description: Rule Changes November 24, 2010
Document: ... and Penalties, amendments to 175.1, Application Fees, that eliminate application fees for regular temporary licenses and distinguished professor temporary licenses and add the fee amount for a regular temporary license to the application fee for full licensure, provisional licenses, telemedicine l ...
Description: Rule Changes November14, 2000
Document: ... complete board rules. Chapter 162, Supervision of Medical School Students - proposed amendment to 162.2 regarding exemptions. Chapter 165, Medical Records - proposed amendment to 165.2, regarding the time frame for release of medical records. Chapter 170, Authority of Physician to Prescribe for th ...
Description: Rule Changes November 10, 1999
Document: ... ative changes from Senate Bill 1207. Chapter 175, Fees, Penalties, and Applications - new chapter to update fees, penalties, and applications. (Note that Chapter 173 has been deleted as these two chapters were combined.)
Description: Rule Changes November 07, 2004
Document: ... Definitions, Licensure for United States/Canadian Medical School Graduates, Licensure for Graduates of Acceptable Unapproved Medical Schools, Licensure Documentation, and Examinations Accepted for Licensure. Chapter 171, Postgraduate Training Permits. Rule review, repeal and replacement of 171.1-1 ...
Description: Rule Changes October 17, 2010
Document: ... itions, define distant site provider, established medical site, face-to-face visit, patient site location, patient site presenter; amend the definitions for physician-patient e-mail, telemedicine medical services; and deletes the definition for telepresenter. The Board has determined that it is nece ...
“No. The TMB no longer checks for compliance with Texas Higher Education Coordinating Board (THECB) requirements at the PIT permit application level. However, THECB requirements must be met when applying for a physician license. ”
As part of my PIT application, do I have to request a certified transcript from my medical school?
No. The TMB no longer checks for compliance with Texas Higher Education Coordinating Board (THECB) requirements at the PIT permit application level. However, THECB requirements must be met when applying for a physician license.
“... ;Delivery Physical Address and Phone • Texas Medical Board, 1801 Congress Avenue, Suite 9-200, Austin, TX 78701 Phone – (512) 305-7030Mailing address• Texas Medical Board, P.O. Box 2029, Austin, TX 78768 ”
How do I send the Supplemental information for my PIT application?
Personal statements can be sent by e-mail, fax, regular or overnight mail. Documents and third party information can be sent by regular or overnight mail, or fax, if the documents are less than 10 pages.
• E-mail to pit.applications@tmb.state.tx.us.
Fax to (888) 550-7516 Attn: PIT Permits
• Overnight and Regular mail - We recommend using one of the private overnight delivery services that allow tracking to submit all required items. These services require delivery to a physical address and a phone number. Delivery by a private overnight service to our physical address usually allows you to obtain immediate online confirmation of delivery from the carrier.
Items mailed through the US Postal Service (regular, certified, express, or overnight), must be addressed to our mailing address, or they will be returned to the sender. A vendor signs for and delivers these items to our agency. Even if a tracking mechanism is used, the signature confirming receipt of items delivered to the mailing address will be that of a vendor employee, making confirmation of delivery more difficult.
Delivery Physical Address and Phone
• Texas Medical Board, 1801 Congress Avenue, Suite 9-200, Austin, TX 78701
Phone – (512) 305-7030
Mailing address
• Texas Medical Board, P.O. Box 2029, Austin, TX 78768
“... uest reimbursement from your residency program or medical school. ”
How can my residency program or medical school reimburse my PIT application fee?
Be sure to make at least two copies of the Receipt page when you complete your online application. The amount you paid will be reflected on the receipt. You can keep one copy for your records and use the other copy to request reimbursement from your residency program or medical school.
“... ur 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 w ... ”
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.
“No. If you are unable to obtain a certified copy of your transcript directly from the school you will have to prove that you have made "exhaustive attempts" to obtain it. Your file will have to be reviewed by our Executive Review Group before a determination of acceptability can be made. Please cons ... ”
I graduated from a Medical School overseas and it is difficult for me to obtain a certified transcript of my scores and classes from them. Can I submit a copy of this from my own files?
No. If you are unable to obtain a certified copy of your transcript directly from the school you will have to prove that you have made "exhaustive attempts" to obtain it. Your file will have to be reviewed by our Executive Review Group before a determination of acceptability can be made. Please consult your licensing analyst AFTER you submit your application for details on proving "exhaustive attempts."
“Refunds of application/registration fees are available in very limited circumstances. These fees may be refunded in cases of administrative error by the TMB; applicants who withdraw their applications within 45 days of initial application, licensees who retire or request cancellation within 90 days ... ”
Can fees be refunded?
Refunds of application/registration fees are available in very limited circumstances. These fees may be refunded in cases of administrative error by the TMB; applicants who withdraw their applications within 45 days of initial application, licensees who retire or request cancellation within 90 days of paying the fee, or on behalf of applicants/licensees who die within 90 days of paying the fee. A pro-rated refund may be requested for good cause by a spouse or personal representative of an applicant/licensee who has died more than 90 days after paying the application/registration fee. Refund circumstances are addressed in Board rule 175.5(c).
“... letter will be sent to the address and contact of record with the username and/or password information.You may submit your written request to: Texas Medical Board Attn: HCE Registration MC-263, P.O. Box 2018 Austin, Texas 78768-2018 ”
How do I retrieve my username and/or password for the HCE verification system if I lost it?
If you are not able to locate your username and password, please submit a written request on letter head. Once your registration as an HCE has been verified, a letter will be sent to the address and contact of record with the username and/or password information.You may submit your written request to: Texas Medical Board Attn: HCE Registration MC-263, P.O. Box 2018 Austin, Texas 78768-2018
“... letter will be sent to the address and contact of record with the username and/or password information. You may submit your written request to: Texas Medical Board Attn: HCE Registration MC-263, P.O. Box 2018 Austin, Texas 78768-2018 ”
How do I update the contact name for my registered HCE for the verification system?
Please submit a written request for the contact update on letter head. Once your registration as an HCE has been verified, a letter will be sent to the address and contact of record with the username and/or password information. You may submit your written request to: Texas Medical Board Attn: HCE Registration MC-263, P.O. Box 2018 Austin, Texas 78768-2018
“... ly and safely performed by the person to whom the medical act is delegated; 2) the act is performed in its customary manner; and 3) the performance of the act by the delegate is not in violation of any other statute.It is clear that AAs can be delegated certain tasks under Chapter 157. The question ... ”
What are the general rules related to AAs/CRNAs?
The authority to delegate is found in Chapter 157 of the Texas Occupations Code, and Title 22 of the Texas Administrative Code, Section 193. A physician is allowed to delegate certain duties to a qualified and properly trained person acting under the physician’s supervision:
1) if in the opinion of the delegating physician the act can be properly and safely performed by the person to whom the medical act is delegated;
2) the act is performed in its customary manner; and
3) the performance of the act by the delegate is not in violation of any other statute.
It is clear that AAs can be delegated certain tasks under Chapter 157. The question is the extent allowable of such delegation. The key provision that needs to be examined is likely “not in violation of any other statute.”
Although the Nursing Act describes what a CRNA can do in regard to anesthesia, there is overlap of regulation of CRNAs between the Medical Board and Nursing Board. CRNAs are subject to physician delegation under the Medical Practice Act. The delegating physician can limit what a CRNA is allowed to provide under a Prescriptive Authority Agreement (PAA) or Standing Order, despite what may be allowed under Nursing Board rules and regulations.
The level of supervision required for any AA (or any delegated provider) is determined based on training, knowledge, and experience, as determined by the physician. For CRNAs, whether any level of physician supervision is required will depend upon those same factors, in addition to applicable federal and state statutes, regulations, bylaws, and ethical standards, if any. However, AAs and CRNAs cannot practice independently and require physician delegation. A hospital or facility can set their own standards, policies, etc., related to delegation and supervision as long as it does not violate Chapter 157, board rules, or other applicable federal and state statutes and regulations. Although AAs most commonly work under an anesthesiologist physician, any physician may supervise and delegate to AAs; however, the standard of care must be met and the delegating physician remains responsible for the AA’s actions.
One difference between an AA and CRNA is the ability to order and prescribe dangerous and controlled substances to patients for anesthesia and anesthesia-related services. Under section 157.058, a CRNA pursuant to the physician’s order and in accordance with facility policies or bylaws may select, obtain, and administer those drugs appropriate to accomplish the order. The physician’s order for anesthesia or anesthesia-related services is not required to specify a drug, dose, or administration technique.
As previously stated, the Nursing Act describes what a CRNA can do in regard to anesthesia. However, the delegating physician or facility can limit what a CRNA is allowed to provide under a PAA or Standing Order, despite what may be allowed under Nursing Board rules and regulations.
While AAs are not allowed to select drugs, determine dose, or administration technique for anesthesia or anesthesia-related services without specification by the supervising physician through an order, they perform many of the other same key duties performed by CRNAs. These duties include conducting preoperative physical exams, administering medications, evaluating and responding to life-threatening situations, setting up external and internal monitors, and implementing general and site-specific anesthetic techniques.
Another area of concern relates to handing-off patient care from CRNAs to AAs. RNs have the authority to delegate certain nursing tasks to unlicensed individuals; however, a CRNA and AA do not have any specific delegation authority concerning anesthesia tasks. A physician has the authority to delegate the process of anesthesia-related patient care, including the transfer or hand-off of care from a CRNA to an AA through an order (standing or patient-specific) or protocol. A CRNA or AA cannot set-up or independently delegate a hand-off or step-down process.
While the Nursing Act places responsibility for patient hand-off on a CRNA, if the physician orders a hand-off process from CRNA to AA, and this is memorialized in orders, protocols, etc., then the CRNA does not have the authority to determine the AA is not competent. The reason is that the physician has already made the determination of competency under Chapter 157.001.
Because the CRNA’s authority also arises through the delegating physician, and is not independent of that physician, a CRNA cannot override a physician Order related to this hand-off scenario. If this hand-off became an issue, the CRNA would have a defense (absolute) because the physician has already determined the competency of the AA to accept this patient.
“... administrative penalty is the payment of penalty fees required by statute. ”
Is there a grace period if I do not pay my PA registration on time?
There is no grace period if you do not register your license on time. Once a license becomes delinquent, it is considering practicing without a license to practice as a PA, which may be prosecuted by the local district attorney. The policy of the Board, however, is that the only administrative penalty is the payment of penalty fees required by statute.
“... tten request by mail, fax or email to: Texas Medical BoardAttn: Registration DepartmentP.O. Box 2029 MC 240Austin, TX 78768 fax - (888) 512-2581 ”
How do I verify what level of OBA services an individual is registered for?
Verifications 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
“... 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 requir ... ”
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.
“Yes. You can search all license types, or select the individual license/permit type of your choosing by using the “License Type” drop down menu, and then entering in the name or TMB License/Permit #.Disciplinary actions for these licenses and permits available at: http://www.tmb.state.tx ... ”
Will the “Look up a License” system verify a MRT, RCP, Medical Physicist or Perfusionist?
Yes. You can search all license types, or select the individual license/permit type of your choosing by using the “License Type” drop down menu, and then entering in the name or TMB License/Permit #.
Disciplinary actions for these licenses and permits available at: http://www.tmb.state.tx.us/page/DSHS-Transferred-Licenses
“... sciplinary/Enforcement Actions tab labeled “Medical Radiologic Technologist”. ”
How do I verify disciplinary action on a MRT or LMRT?
Disciplinary actions for MRTs and LMRTs are available at: http://www.tmb.state.tx.us/page/DSHS-Transferred-Licenses under the Disciplinary/Enforcement Actions tab labeled “Medical Radiologic Technologist”.
“... ice of medicine must not include the provision of medical services for either direct or indirect compensation which has monetary value of any kind and the physician's practice is limited to voluntary charity care to indigent populations and receives no direct or indirect compensation of any kind for ... ”
Is there an exemption for retired physicians providing voluntary charity care?
Yes. A retired physician whose only clinical practice is the provision of voluntary charity care to indigent populations shall be exempt from the registration fee but must register the license as well as report CME. The physician's practice of medicine must not include the provision of medical services for either direct or indirect compensation which has monetary value of any kind and the physician's practice is limited to voluntary charity care to indigent populations and receives no direct or indirect compensation of any kind for medical services rendered. Also, the physician's practice cannot include the provision of medical services to family members or the self-prescribing of controlled substances or dangerous drugs. A physician who violates the provisions of this exemption may be subject to disciplinary action. Action may be based on unprofessional or dishonorable conduct likely to deceive, defraud, or injure the public if the physician engages in the compensated practice of medicine, provides medical services to members of the physician's family, or self-prescribes controlled substances or dangerous drugs. Additionally, a physician who attempts to obtain this exemption by submitting false or misleading statements shall be subject to disciplinary action pursuant to the Medical Practice Act, in addition to any civil or criminal actions provided for by the state or federal law.