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Search Term: 'physician fingerprint form'

IMLC FAQ - Tab #1 General

“... st by submitting a completed Application Withdraw Form to Compact-General@tmb.state.tx.us. Once that has been received and processed, you can submit your application through the IMLCC. ”

This content is located on the following page(s): IMLC FAQs

Specialties

“This section of the physician profile contains the physician reported primary and secondary areas of practice. ”

This content is located on the following page(s): Physician Profile Descriptions

Out of state addresses - not able to register delegation online

“... accept delegation locations outside of Texas. Any physician, PA or APRN who does not have a TX practice address and needs to register prescriptive delegation, please contact the Registration Department at Registrations@tmb.state.tx.us .   ”

This content is located on the following page(s): Online Supervision and Delegation Registration System

CME - MD - NEW CME Requirements - Tab 5

“... were multiple bills passed requiring physicians, physician assistants and other licensees to complete certain specific opioid related continuing medical education.  These new CME requirements outlined above apply to the renewal of a license on or after September 1, 2020.     New ... ”

This content is located on the following page(s): Resources - CME for MD/DOs

Education

“This section of the physician profile contains the physician reported name, location and graduation date of all medical schools attended by the physician.   Also displayed is the physician reported graduate medical education taken in the US or Canada, including the following: Program name, Loca ... ”

This content is located on the following page(s): Physician Profile Descriptions

E-Prescribing Waiver

“... l condition; or before January 1, 2021.   A physician may apply for a waiver from the electronic prescribing requirement by: submitting a waiver request to the TMB and providing required information, and demonstrating circumstances necessitating a waiver from the requirement, including econo ... ”

This content is located on the following page(s): Renewal - Electronic Prescribing Waiver

Specialty Board Certification

“This section of the physician profile contains any physician reported specialty certifications issued by a board that is a member of the American Board of Medical Specialties or the Bureau of Osteopathic Specialists. ”

This content is located on the following page(s): Physician Profile Descriptions

Renewal Fingerprinting information

“Several types of licensees are required to submit their fingerprints for state and national criminal history background checks prior to renewal, per statutory requirements. Fingerprinting services are provided through IdentoGo by IDEMIA (formerly known as MorphoTrust USA, LLC) for a fee (see the Fin ... ”

This content is located on the following page(s): Renewals Physicians

Expert Consultants

“DIRECT DEPOSIT FORM 74-176 PAYEE CHANGE FORM 74-157 APPLICATION FOR TX ID NUMBER ”

This content is located on the following page(s): Expert Consultants

CE for AD Tab 2 - Exemptions

“... ; Acudetox Continuing Education Exemption Request Form

This content is located on the following page(s): CAE for Acudetox Specialists

Gold Designated Practice Status

“... andum of understanding with the patient's primary physician for treating and managing the patient           OR        If a clinic is currently certified by TMB as a Pain Management Clinic, the clinic must be operated by physicians who currently hol ... ”

This content is located on the following page(s): Gold Designated Practice

Physician Fingerprint FAQs

“... When do we have to do it? Can I complete the fingerprint requirement early? Can I get my fingerprints done anywhere? What is my Board issued 6-digit ID number? What if my Board issued ID number is only 5 digits long? What is the TMB “Service code” for IdentoGo? Why can&rsq ... ”

This content is located on the following page(s): Renewals Physicians

Title: Medical Board 2011 - February - DPRC

Description: Medical Board 2011 - February - Minutes of the Disciplinary Process Review Committee

Document: ... on regarding referrals and reports from the Texas Physician Health Program. The Executive Director, Dr. Lloyd Garland presented the status of the PHPs current caseload to the DPRC. To date, 364 cases have been referred to the PHP. Dr. Garland discussed four cases that the Texas Physician Health Prog ...

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Title: Medical Board 2011 - February - Full Board

Description: Medical Board 2011 - February - Full Board Committee Meeting Minutes

Document: ... Robinson gave an update on the new process for a physician's retirement of licensure. The proposed draft rule will offer physicians, who selfreport an impairment, the options to voluntarily retire licensure; sign with the PHP; convert license to an administrative medicine license, if impairment is ...

Click to view in browser - MB-2011-Feb-full-board-minutes.pdf
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Title: Medical Board 2011 - February - Licensure

Description: Medical Board 2011 - February - Licensure Committee Meeting Minutes

Document: ... regarding licensee requests: Item 2a - Request of physician for activation of canceled physician licenses ­ There were none. Item 2b - Request of physician to return to Active Status from Texas Retired Status ­ There were none. Agenda Item 3 Item 3a - Applicants for pain management clinic certifica ...

Click to view in browser - MB-2011-Feb-Licensure-Committee.pdf
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Title: Medical Board 2011 - February - Licensure Committee - Agenda Item 9c - Board Rule 175

Description: Medical Board 2011 - February - Licensure Committee - Agenda Item 9c - Board Rule 175 - Fees, Penalties and Forms

Document: ... ssing an application for a license or permit: (1) Physician Licenses: (A) Full physician license (includes surcharge of $215)--$1002. (B) Telemedicine license (includes surcharge of $215)--$1002. (C) Administrative medicine license (includes surcharge of $215) --$1002. (D) Reissuance of license foll ...

Click to view in browser - MB-2011-Feb-Penalties-and-Forms.pdf
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Title: Medical Board 2011 - February - Licensure Committee - Agenda Item 9a - Board Rule 164

Description: ... ure Committee - Agenda Item 9a - Board Rule 164 - Physician Advertising

Document: ... Administrative Code, Title 22, Part 9 Chapter 164 Physician Advertising Proposed Changes Draft ­ January 21, 2011 V2-164-Stakeholder Draft §164.2 Definitions The following words and terms, when used in this chapter, shall have the following meanings, unless the contents clearly indicate otherwise ...

Click to view in browser - MB-2011-Feb-Physician-Advertising.pdf
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Title: Medical Board 2011 - February - Licensure Committee - Agenda Item 3e1

Description: ... ebruary - Licensure Committee - Agenda Item 3e1 - Physician Licensure Applicants

Document: Texas Medical Board Licensure Division Mailing Address: P.O. Box 2029 · Austin, Tx 78768-2029 Phone (512) 305-7130 · Fax(512) 305-7009 BOARD MEETING OF FEBRUARY 4, 2011 TOTAL APPLICANTS FOR CONSIDERATION FOR PERMANENT LICENSURE M.D.'S D.O.'S UK TOTAL GRADUATES OF: TEXAS MEDICAL SCHOOLS CANADI ...

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Title: Medical Board 2011 - February - Licensure Committee - Agenda Item 3d1

Description: Medical Board 2011 - February - Licensure Committee - Agenda Item 3d1 - Proposed Orders

Document: Agenda Item 03d1 - ED Offered Orders 03d1 Physician Licensure applicants Applicant # Applicant Applicant Applicant Applicant Applicant Applicant #1080 #1099 #1066 #1068 #1098 #1072 Type of Application Physician Physician Physician Physician Physician Physician Licensure Licensure Licensure Licensure ...

Click to view in browser - MB-2011-Feb-Proposed-Orders-3d1.pdf
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Title: Medical Board 2011 - February - Licensure Committee - Agenda Item 3d2

Description: Medical Board 2011 - February - Licensure Committee - Agenda Item 3d2 - Proposed Orders

Document: Agenda Item 03d2 - ED Offered Orders 03d1 Physician in training permit applicants Applicant # Applicant #1011 Modification Type of Application Physician in Training Permit Type of Order Agreed Order Granting

Click to view in browser - MB-2011-Feb-Proposed-Orders-3d2.pdf
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Title: Medical Board 2011 - February - Licensure Committee - Agenda Item 9b - Board Rule 166.7

Description: Medical Board 2011 - February - Licensure Committee - Agenda Item 9b - Board Rule 166.7 - Reports of Impairment

Document: ... Administrative Code, Title 22, Part 9 Chapter 166 Physician Registration Proposed Changes Draft ­ January 11, 2011 V1-166-Initial Draft §166.7. Report of Impairment on Registration Form. (a) A licensee who reports an impairment that affects the licensee's ability to actively practice medicine as ...

Click to view in browser - MB-2011-Feb-Reports-of-Impairment.pdf
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Title: Medical Board 2011 - June - DPRC

Description: Medical Board 2011 - June - Minutes of the Disciplinary Process Review Committee

Document: ... on regarding referrals and reports from the Texas Physician Health Program. Acting Executive Director Dr. John Jackson introduced the new Executive Director Dr. Bill Nemeth to the DPRC. This change was effective June 1, 2011. Dr. Jackson presented the status of the PHP's current caseload and d iscus ...

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Title: Medical Board 2011 - June - Full Board

Description: Medical Board 2011 - June - Full Board Committee Meeting Minutes

Document: ... tation, discussion, and possible action regarding physician coaching. David Teegarden, M.D., M.S., and John McCracken, PhD, gave a presentation on the benefits of physician coaching. After discussion, the board directed staff to research a pilot program for physician coaching. Agenda item #7, Discus ...

Click to view in browser - MB-2011-June-full-board.pdf
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Title: Medical Board 2011 - June - Licensure

Description: Medical Board 2011 - June - Licensure Committee Meeting Minutes

Document: ... regarding licensee requests: Item 2a - Request of physician for activation of canceled physician licenses ­ Licensee #1124 appeared with counsel, before the Committee, in executive session, to appeal the Executive Director's determination to deny activation of the licensee's cancelled license. Foll ...

Click to view in browser - MB-2011-June-licensure-committee.pdf
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Title: Medical Board 2011 - June - Licensure Committee - Agenda Item 9

Description: Medical Board 2011 - June - Licensure Committee - Agenda Item 9: Modifications to Board Rules

Document: ... ssing an application for a license or permit: (1) Physician Licenses: (A) Full physician license (includes surcharge of $215)--$1002. (B) Telemedicine license (includes surcharge of $215)--$1002. (C) Administrative medicine license (includes surcharge of $215)--$1002. (D) Reissuance of license follo ...

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Title: Medical Board 2011 - June - Licensure Committee - Agenda Item 3e1

Description: Medical Board 2011 - June - Licensure Committee - Agenda Item 3e1: Physicians to be Licensed

Document: ... 5) 176. FULLREG (491445) SCHOOL: CENTRE UNIV DE FORM ET PERFECT DES PROF DE SANTE (C U F), HO CHI MINH-1995 VO, DAI TRAN MD 177. FULLREG (541762) SCHOOL: MICHIGAN STATE UNIV COLL OF HUMAN MED, EAST LANSING1981 WAGAR, ELIZABETH ANN MD FULLREG (553132) SCHOOL: TRIBHUVAN UNIV, INST OF MED, MAHARAJ ...

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Title: Medical Board 2011 - June - Licensure Committee - Agenda Item 3d1

Description: Medical Board 2011 - June - Licensure Committee - Agenda Item 3d1: Proposed Orders

Document: ... sed orders offered by the Executive Director 03d1 Physician Licensure applicants Applicant # Applicant Applicant Applicant Applicant #1097 #1128 #1136 #1137 Type of Application Physician Physician Physician Physician Licensure Licensure Licensure Licensure Type of Order Administrative Administrative ...

Click to view in browser - MB-2011-June-proposed-orders.pdf
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I didn’t receive my email renewal reminder.  How can I find that?

“... g them.  If you have any questions about the fingerprint requirements or the renewal process, please contact us at Registrations@tmb.state.tx.us. ”

Why can’t I find the IdentGo TMB “Service code” on the TMB website?

“TMB is not legally able to receive fingerprint results for individuals who are not existing applicants or licensees, and is not able to publicly provide the service code. This is why we provide the service code directly to licensees in the detailed instructions that are part of the email renewa ... ”

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 i ... ”