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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
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“... process and all requirements. To be eligible for inactive status, the license holder must have a current registration permit and have a license in good standing.
To request a change to the Inactive status for a Texas Respiratory Care Practitioner certificate, complete and return the inactive r ... ”
“... onsists of nine members appointed by the Governor for six-year staggered terms not requiring Senate confirmation. The presiding officer of the Board is also appointed by the Governor. The Board consists of the following: four acupuncturists with at least five years in the practice of acupuncture in ... ”
“In 1993, the 73rd Texas Legislature amended the Medical Practice Act to create a Texas State Board of Acupuncture Examiners. The legislators found that the "review and establishment of statewide standards for the training, education and discipline of persons performing acupuncture are in the public ... ”
“... elow and accepting the usage terms, click on the "License Type" dropdown, select "Pain Management Clinic (Board Action Only)" and click "Search" to view all clinics with a Board action.
Look up a License
”
“... ining, physician assistants, acupuncturists, medical physicists, medical radiologic technologists, non-certified radiological technicians, perfusionists, and respiratory care practitioners.
Visit the following link, and accept usage terms, to view available reports: htt ... ”
“... h Texans). The Compact provides information for the public, consumers, and customers on the agency’s mission, programs, principles and standards of customer service, and helpful contact information.
If you wish to file a complaint against the agency, please see the section below for spec ... ”
“... , M.D., of Houston, is the President of the Texas Medical Board. He is a Board Certified Anesthesiologist and is the Vice-Chair of the Clinical Governance Board for US Anesthesia Partners for the Gulf Coast region as well as a member of the Clinical Governance Board for US Anesthesia Partners Texas. ... ”
“... nsure they have submitted all the forms necessary for their application to be processed. Note: This list is general and should in no way be considered a complete list for any one individual applicant.
It is advisable that all documentation be collected and submitted in one packet; ... ”
“... IDGE UNIVERSITY, HONOLULU, HI
0523
ORIENTAL MEDICAL INST OF HAWAII, HONOLULU, HI
0524
UNIV. OF HEALTH SCIENCE, HONOLULU, HI
0525
UNIVERSITY OF SCIENCES, BATON ROUGE, LA
0526
NEW ENGLAND SCHOOL OF ACUP, WATERTOWN, MA
0527
MINSHEW ACUP SCH, COLUMBIA FALLS, MT
0528
I ... ”
“... hich supporting documents you will need to submit for your application to be complete.
You begin collecting and submitting the supporting documents needed.We recommend using one of the private overnight delivery services that allow tracking to submit all required items. These services require d ... ”
Description: Rule Changes March 07, 2002
Document: ... 1, and 185) and 3-11-02 (Chapter 173). Click here for the complete board rules. Chapter 161, General Provisions. Rule review, repeal of §§161.1-161.5, and new §§161.1-161.13, regarding the purpose and function of the board, clarification of its organization and structure, and delineate each committe ...
Description: Rule Changes March 06, 2003
Document: ... that were effective on March 6, 2003. Click here for the complete board rules. Chapter 164, Physician Advertising. Rule review with no changes. Chapter 183, Acupuncture. Amendments to ''183.1-184.4 and 183.6-183.18 for general clean-up of the chapter. Chapter 184, Surgical Assistants. Amendments to ...
Description: Rule Changes April 16, 2008
Document: ... e changes effective on March 16, 2008. Click here for the complete board rules. Chapter 161, General Provisions , amending 161.7 Executive Director, authorizes the Executive Director to delegate responsibilities and authority to other staff members,. Chapter 166, Physician Registration, amending 166 ...
Description: Rule Changes April 27, 2003
Document: ... and Chapter 200 effective May 4, 2003. Click here for the complete board rules. Chapter 163, Licensure. Amendments to §§163.1 and 163.10 regarding definitions and relicensure requirements. Chapter 167, Reinstatement and Reissuance. Rule review and amendments to §§167.1-.2 and .4-.6 regarding procedu ...
Description: Rule Changes May 01, 2006
Document: ... ges that are effective on May 1, 2006. Click here for the complete board rules. Chapter 175, Fees, Penalties, and Forms. Increased registration fees for Physician Assistants. Chapter 183, Acupuncture. Amendments adds a more extensive list of functions of the Acupuncture board; update the citation to ...
Description: Rule Changes February 28, 1999
Document: ... new rules that are effective 02-2899. Click here for the complete board rules. Chapter 163, Licensure, section 163.1, regarding definition number 8, examinations accepted by the board for licensure by endorsement. Paragraph H is amended to include additional combinations of examinations acceptable ...
Description: Rule Changes February 28, 2011
Document: ... e changes effective February 28, 2011. Click here for the complete board rules: Chapter 163: Licensure, amendment to §163.13, relating to Expedited Licensure Process, deletes language that requires applicants for an expedited license to practice medicine to submit proof of eligibility for a visa imm ...
Description: Rule Changes January 25, 2006
Document: ... at were effective on January 25, 2006. Click here for the complete board rules. Chapter 161, General Provisions. Amendments change "Texas State Board of Medical Examiners" to "Texas Medical Board" and "Texas State Board of Physician Assistant Examiners" to "Texas Physician Assistant Board;" the numb ...
Description: Rule Changes January 22, 2009
Document: ... changes effective on January 22, 2009. Click here for the complete board rules. Chapter 163 Licensure, amending 163.5,Licensure Documentation, adds additional credentialing organizations that are recognized for the purpose of an international medical school graduate to prove that the medical school ...
Description: Rule Changes January 17, 2011
Document: ... he changes effective January 17, 2011. Click here for the complete board rules: Chapter 164, Physician Advertising , amendments to 164.4 Board Certification, clarify under what circumstances physicians may advertise himself or herself as "board certified." Specifically, the amendments allow physicia ...
Description: Rule Changes January 09, 2005
Document: ... hat were effective on January 9, 2005. Click here for the complete board rules. Chapter 162, Supervision of Medical Students: Amendments to §162.1 repealing requirement that supervising physician hold clinical faculty appointment and new §162.2 adding provisions of Chapter 186, Supervision of Physic ...
Description: Rule Changes January 09, 2003
Document: ... hat were effective on January 9, 2003. Click here for the complete board rules. Chapter 163, Licensure. Amendments to §§163.1 and 163.3-.5 regarding examinations accepted by the board and general clean-up of the chapter. Chapter 171, Postgraduate Training Permits. Amendments to §§171.2 regarding str ...
Description: Rule Changes January 04, 2007
Document: ... t became effective on January 4, 2007. Click here for the complete board rules. Chapter 163, Licensure - (60) days extension of emergency rule currently in effect, adding 163.14 Interpretation of Section 1.51(d), S.B. 419, relating to exam attempt requirements for those applicants in TMB Licensure s ...
Description: Rule Changes January 02, 2013
Document: ... rogram to delete that residency training required for certification must be acceptable for board certification. The amendment to §163.2 amends the rule to clarify that licensure applicants who are foreign medical school graduates, including Fifth pathways, must demonstrate board certification at tim ...
Description: Rule Changes December 22 and 25, 2011
Document: ... cember 22, 2011 and December 25, 2011. Click here for the complete board rules: The following is a summary of the changes effective December 22, 2011 and December 25, 2011. Click here for the complete board rules: Effective December 22, 2011: CHAPTER 177. BUSINESS ORGANIZATIONS 22 TAC §177.12 and ne ...
“... Board Rules specify that you have to have worked for a licensed physician in the US who has an unrestricted license. This means an MD or DO only. ”
I have been working for a Doctor of Podiatry/Optometrist/Dentistry for the last three years. Can I use this experience towards the 2000 hour requirements?
No. The Board Rules specify that you have to have worked for a licensed physician in the US who has an unrestricted license. This means an MD or DO only.
“... gical Assistants does not require that you have a license to practice as a Surgical Assistant so long as you are supervised by a physician. Please review the Occupations Code Section 206.002 for full details on applicability. Also: We are aware that many entities require that a Surgical Assistant wo ... ”
I need this license to practice as a surgical assistant in Texas, right?
No. The Texas Occupations Code concerning Surgical Assistants does not require that you have a license to practice as a Surgical Assistant so long as you are supervised by a physician. Please review the Occupations Code Section 206.002 for full details on applicability. Also: We are aware that many entities require that a Surgical Assistant working for them be licensed in Texas. Please be aware that this is not required by the State of Texas but instead may be the result of billing or institutional policies. Whatever the reason for applying for a license at this time, your application will be given due attention upon submission of all required documents.
“... t(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.
“... n 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 ... ”
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
“... However, you should allow 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.
“... ilable. 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.
“... ion.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
“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 R ... ”
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
“... sicians practicing in Texas under an unrestricted license. An ownership interest by anyone other than a physician is not allowed. Note: The TMB cannot give legal advice. Please consult an attorney if you have questions regarding whether or not your entity is required to report. However, the owners o ... ”
How does HB 2098 affect my pain management clinic ownership?
HB 2098 has no effect on the requirement that pain management clinics be owned by physicians. HB 2098, enacted by the 82nd Legislature, allows entities to be jointly owned by physicians and physician assistants subject to certain limitations, including percent of ownership by physician assistants. Tex. Occ. Code, Sec. 167.102(a), requires that a pain management clinic be owned and operated by physicians practicing in Texas under an unrestricted license. An ownership interest by anyone other than a physician is not allowed. Note: The TMB cannot give legal advice. Please consult an attorney if you have questions regarding whether or not your entity is required to report. However, the owners of entities that have not been properly reported can be investigated.
“... 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.
“If your pro-rated initial registration is for less than 12 months, you are exempt from the CME requirement until your subsequent registration. ”
I just got my license this year. Do I have to complete CME before I register?
If your pro-rated initial registration is for less than 12 months, you are exempt from the CME requirement until your subsequent registration.
“... cess CME credit hours (40 hours in each category) for up to two years. ”
What if I have more than enough hours of CME to renew my PA license? Can I use some of the credits for next year?
A PA may carry forward a maximum of 80 total excess CME credit hours (40 hours in each category) for up to two years.
“... re 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 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.