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Search Term: 'physician fingerprint form'

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

Continuing ED Tracking

“... , and report continuing education coursework. All PHYSICIAN, RESPIRATORY CARE PRACTITIONERS, ACUPUNCTURE, MEDICAL RADIOLOGIC TECHNOLOGISTS, ACUDETOX SPECIALISTS, MEDICAL PHYSICISTS AND SURGICAL ASSISTANTS licensees have access to establish a free, basic account with CE Broker. Beginning Ju ... ”

This content is located on the following page(s): Continuing ED Tracking

Title: Press Release August 30, 2016-1

Description: TMB suspends Houston physician (Pierre)

Document: ... or 800 - 248 - 4062 TMB suspends Houston physician On August 24 , 2016, a disciplinary panel of the Texas Medical Board temporarily suspended , with notice, the Texas medical license of James Darian Pierre , M.D., after determining his continuation in the practice of medicine poses a ...

Click to view in browser - pr-20160830-1.pdf
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Title: Press Release August 30, 2016-2

Description: Texas Physician Assistant Board suspends Forney physician assistant (Helm)

Document: ... 512 - 305 - 7030 or 800 - 248 - 4062 Texas Physician Assistant Board suspends Forney physician assistant On August 29, 2016, a disciplinary panel of the Texas Physician Assistant Board temporarily suspended, with notice, the Texas physician assistant license of Robert Scott Helm , ...

Click to view in browser - pr-20160830-2.pdf
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Title: Press Release September 9, 2016

Description: TMB suspends Houston physician (Ahmed)

Document: ... or 800 - 248 - 4062 TMB suspends Houston physician On September 7 , 2016, a disciplinary panel of the Texas Medical Board temporarily suspended, without notice, the Texas medical license of Faiz Ahmed , M.D., after determining his continuation in the practice of medicine poses a co ...

Click to view in browser - pr-20160909.pdf
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Title: MRT/LMRT Voluntary Charity Care Request Form

Description: The voluntary charity care status is for retired general or limited medical radiologic technologists (MRT/LMRT), whose only practice is the provision of voluntary charity care.

Document: 7 (;$6 % 2$5' 2) 0 (',&$/ 5 $',2/2*,& 7 (&+12/2*< ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›Ž&# ...

Click to view in browser - MRT - VCC Affidavit - 04-2025.pdf
Click to download file

Title: MRT/LMRT Cancellation by Request Form

Description: ... RT), complete and return the cancellation request form to the Board for approval before the expiration date of the current certificate.  Refunds of registration fees already paid cannot be made.

Document: 7 (;$6 % 2$5' 2) 0 (',&$/ 5 $',2/2*,& 7 (&+12/2*< ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›Ž&# ...

Click to view in browser - MRT - Cancel by Request 10-2022.pdf
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Title: MRT/LMRT Retirement Request Form

Description: The retired status exempts general or limited medical radiologic technologists (MRT/LMRT) from the registration process, registration fee, and Continuing Education requirements.

Document: 7 (;$6 % 2$5' 2) 0 (',&$/ 5 $',2/2*,& 7 (&+12/2*< ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›Ž&# ...

Click to view in browser - MRT - TR affidavit - 04-2025.pdf
Click to download file

Title: NCT Registry Cancellation by Request Form

Description: ... try, complete and return the cancellation request form to the Board for approval before the expiration date of the current certificate.  Refunds of registration fees already paid cannot be made.

Document: 7 (;$6 % 2$5' 2) 0 (',&$/ 5 $',2/2*,& 7 (&+12/2*< ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›Ž&# ...

Click to view in browser - NCT-R - Cancel by Request - 10-2022.pdf
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Title: MRT/LMRT Continuing Education Exemption Request Form - old

Description: The Board will consider granting an exemption from the MRT/LMRT continuing education requirements on a case-by-case basis.

Document: ... a). _____ Health reasons, certified by a licensed physician, that prevent compliance with the continuing education requirement for the entire renewal period. Please attach documentation that clearly establishes the period of disability and resulting physical limitations. _____ I was called to or o ...

Click to view in browser - MRT - CE Exemption_.pdf
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Title: Medical Radiologic Technology Board Full Board Agenda

Description: Medical Radiologic Technology Board Full Board Agenda

Document: ... deration and Approval of Membership of the Expert Physician PanelDiscussion and Possible Action Regarding Review of Probationers’ AppearancesFollowup Files. Cases Recommended for Dismissal.A. NonStandard of Care CasesB. tandard of are Cases ppeals.JurisdictionJNFNJ Consideration and approval of ...

Click to view in browser - MRT-2025-Feb-Full-Board-Agenda.pdf
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Title: Press Release September 13, 2016

Description: TMB disciplines 45 physicians at August meeting, adopts rule changes

Document: ... er , and three order s related to a Texas Physician Health Program violation . The Board also took acti on against a Non - Certi fied Radiologic Technician . The Board issued 159 physician licenses at the August meeting, bringing the total number of physician licenses issued in ...

Click to view in browser - pr-091316.pdf
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Title: RCP Voluntary Charity Care Request form

Description: The voluntary charity care status exempts a retired respiratory care practitioner (RCP), whose only practice is the provision of voluntary charity care, from the biennial registration fee.

Document: 7 (;$6 % 2$5' 2) 5 (63,5$725< & $5( ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›ŽœœDZȱ&#x ...

Click to view in browser - RCP - VCC affidavit - 04-2025.pdf
Click to download file

Title: RCP Cancellation by Request Form

Description: ... ate, complete and return the cancellation request form to the Board for approval before the expiration date of the current certificate.  Refunds of registration/renewal fees already paid cannot be made.

Document: 7 (;$6 % 2$5' 2) 5 (63,5$725< & $5( ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›ŽœœDZȱ&#x ...

Click to view in browser - RCP - Cancel by Request - 10-2022.pdf
Click to download file

Title: RCP Inactive Request Form

Description: ... ive status, a RCP must submit a notarized request form.

Document: 7 (;$6 % 2$5' 2) 5 (63,5$725< & $5( ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›ŽœœDZȱ&#x ...

Click to view in browser - RCP - Inactive affidavit - 04-2025.pdf
Click to download file

Title: Medical Physicist Cancellation by Request Form

Description: ... ate, complete and return the cancellation request form to the Board for approval before the expiration date of the current certificate.  Refunds of registration/renewal fees already paid cannot be made.

Document: 7 (;$6 0 (',&$/ %2$5' ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›ŽœœDZȱ˜&#x ...

Click to view in browser - MP Cancel by Request - 10-2022.pdf
Click to download file

Title: Perfusionist Retirement Request Form

Description: ... ionist must submit a notarized retirement request form.

Document: 7 (;$6 0 (',&$/ %2$5' ȱȱ ȱ˜ŒŠ’˜—ȱ ›ŽœœDZȱŠ’•’—ȱ ›ŽœœDZȱ˜&#x ...

Click to view in browser - PF - TR Affidavit - 10-2022.pdf
Click to download file

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 ... ”