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Search Term: 'withdraw and reapply'
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Pain Management Clinic Forms

“... management clinic certification, please download and fill out the form below. At this time there is no charge for a pain management clinic certification. Pain Management Clinic Registration Form   To withdraw a pending application or cancel certification, please download and fill out the form ... ”

This content is located on the following page(s): Renewal - Forms

Hardship Exemptions

“... ption that was issued prior to September 1, 2017, and will no longer qualify under the statutory and rule changes, you will be allowed to renew your hardship one additional time under the previous exemptions. Upon expiration of the final hardship exemption individuals who are not appropriately train ... ”

This content is located on the following page(s): Licensing - Hardship Exemptions

JP Exam & My TMB FAQs

“... tate statutes through the Texas Occupations Code, and Board Rules through the Texas Administrative Code, relevant to the scope of practice the application of licensure is for. This can include (but is not limited to) eligibility requirements to be licensed; registration renewal requirements and proc ... ”

This content is located on the following page(s): JP & My TMB FAQs

IMLC FAQ - Tab #1 General

“... ose to apply through the IMLCC, you would need to withdraw your original application first 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

E-Prescribing Waiver

“... quirement Effective January 1, 2021, Texas Health and Safety Code, §§481.0755 requires that prescriptions for controlled substances to be issued electronically, except in limited circumstances, or unless a waiver has been granted by the appropriate agency.  A prescription for a contro ... ”

This content is located on the following page(s): Renewal - Electronic Prescribing Waiver
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Title: Medical Board 2012 - November - Licensure Committee - Agenda Item 8b

Description: Medical Board 2012 - November - Licensure Committee - Agenda Item 8b: Proposed Changes to Board Rule 195

Document: ... ector shall review applications for certification and may determine whether an applicant is eligible for certification or refer an application to a committee of the board for review. If an applicant is determined to be ineligible for a certificate by the executive director pursuant to 167.001 167.20 ...

Click to view in browser - MB-2012-Nov-proposed-changes-rule195.pdf
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Title: Medical Board 2013 - February - Licensure Committee - Agenda Item 6a: Proposed Changes to Board Rule 197

Description: Medical Board 2013 - February - Licensure Committee - Agenda Item 6a: Proposed Changes to Board Rule 197

Document: ... be: (1) a physician licensed to practice in Texas and shall be registered as an EMS medical director with the Texas Department of State Health Services; (2) familiar with the design and operation of EMS systems; (3) experienced in prehospital emergency care and emergency management of ill and injure ...

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Title: Medical Board 2013 - February - Licensure Committee - Agenda Item 6b: Proposed Changes to Board Rule 175

Description: Medical Board 2013 - February - Licensure Committee - Agenda Item 6b: Proposed Changes to Board Rule 175

Document: ... tle 22, Part 9 Proposed Changes Chapter 175 Fees and Penalties Page 1 of 1 Draft ­ January 25, 2013 V2-175 Draft §175.5. Payment of Fees or Penalties. (a) Method of Payment. Fees paid online must be submitted by credit card, electronic check, or debit card, as required by the online application. ...

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Title: Medical Board 2013 - February - Standing Orders Committee

Description: Medical Board 2013 - February - Standing Orders Committee Meeting Minutes

Document: ... ynne M. Snoots, M.D., George Willeford III, D.O., and Irvin E. Zeitler, Jr., D.O. Staff members present were Mari Robinson, J.D., Executive Director, Scott Freshour, J.D., General Counsel and Robert Blech, J.D. Agenda item 2 - Discussion, recommendation, and possible action on requests for waivers ...

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Title: PA Board 2020 November - Full Board Minutes

Description: PA Board 2020 November - Full Board Minutes

Document: ... ect any communication from media to Mr. Schneider and Ms. RandermannNo action was taken on this agenda item.Agenda item #7, Consideration and possible action regarding pending litigation. Mr. Freshour gave an update on pending litigation. No action was taken on this agenda item.Agenda item #8, Discu ...

Click to view in browser - PA-2020-Nov-Full-Board-Minutes.pdf
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Title: Application Withdrawal Form

Description: I wish to withdraw my application for licensure in Texas: Physician Assistant, Physician in Training (Internship, Residency, Fellowship Training), Surgical Assistant, Acudetox Specialist, Acupuncturist, Physician (M.D. or D.O.), Medical Radiologic Technologist, Non-Certified Radiologic Technician, R ...

Document: ... rfusionist Surgical Assistant I wish to withdraw my application for licensure in Texas. I understand that any documents provided to the TMB for my application may be destroyed approximately 6 months after the withdrawal of my application, and may not be able to be retrieved after th ...

Click to view in browser - Application Withdrawal form 01.2025.pdf
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Title: COMPLAINT FORM

Description: ... cal radiologic technologists, medical physicists, and perfusionists. If you wish to complain to the Board, please do so in writing. Provide full name and practice address of practitioner. Also, provide dates and details of any incident, being as specific as possible. The Board will acknowledge recei ...

Document: ... GENCY, TMB WILL PROVIDE A COPY OF YOUR COMPLAINT AND IDENTIFYING INFORMATION WITH THE REFERRAL. YOUR CONFIDENT I AL STATUS WILL BE DETERMINED BY THE AGENCY RECEIVING THE REFERRAL. Complaint Registered Against Note: You may use the Texas Medical Board’s Look Up A Licensee to determin ...

Click to view in browser - TMB-EN-001-A_Licensee Complaint Form.pdf
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Title: Out of State Telemedicine Affidavit

Description: ... to: (1) the interpretation of diagnostic testing and reporting of those results to a physician fully licensed and located in Texas, or (2) the follow-up of patients where the majority of patient care was rendered in another state.

Document: ... to: (1) the interpretation of diagnosti c testing and reporting of those results to a physician fully licensed and located in Texas, or (2) the follow - up of patients where the majority of patient care was rendered in another state. If the type of medicine you plan to practice under the Out - of ...

Click to view in browser - Telemed_affidavit_FORMS.pdf
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Title: Referring Physician Attestation Form

Description: For Physician applicants who report solo practice work history.

Document: ... d by applicants that are in solo practice ONLY and have not held hospital affiliations for any period of time within the five years prior to submission of their application. This form should be completed by three (3) separate licensed physicians in the U.S. who the applicant either refers pat ...

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Title: Pain Management Clinic Withdrawal/Cancellation Form

Description: To withdraw a pending application or cancel certification, please download and fill out the form below.

Document: ȱ˜ŒŠ’˜—ȱ ›ŽœœÇ±È±Š’•’—È± ›ŽœœÇ±È±˜—ŠŒÈ± ...

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Title: Pain Management Clinics - Spreadsheet of Current Certificate status

Description: Pain Management Clinics - Current

Document: ... rl+F to search for an individual. Hold down Ctrl and F at the same time. Disciplinary Actions Current status date Hotline info PMC00389 PMC00388 PMC00387 PMC00386 PMC00385 PMC00384 PMC00383 PMC00382 PMC00381 PMC00380 PMC00379 PMC00378 PMC00377 PMC00376 PMC00375 PMC00374 PMC00373 ...

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Title: Pain Management Clinics - Spreadsheet of Current Certificate status

Description: Pain Management Clinics - Spreadsheet of Current Certificate status

Document: ... rl+F to search for an individual. Hold down Ctrl and F at the same time. Current owner/operator Pain Management Certificate # Clinic Name Clinic City Certificate Issue Date Certificate Expiration Date Certificate Current status Current status date License # Last Name First Name Hotline ...

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Title: Medical Board 2014 - May - Licensure Committee

Description: Medical Board 2014 - May - Licensure Committee Minutes

Document: ... ; Carlos Gallardo; Robert B. S imonson, D.O.; and Wynne M. Snoots, M.D. Mr. Ellis moved , s econded , that the Committee close the meeting to the public and continue in Executive Session for deliberations concerning Agenda items 2 , 3a and 3b . The motion passed. Dr. Arambu ...

Click to view in browser - MB-2014-May-Licensure-Minutes.pdf
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Title: Medical Board 2014 - June - Licensure Committee Minutes

Description: Medical Board 2014 - June - Licensure Committee Minutes

Document: ... Carlos Gallardo; Robert B. Simonson, D.O.; and Timothy Webb. Mr. Ellis moved , Mr. Gallardo s econded , that the Committee close the meeting to the public and continue in Executive Session for deliberations concerning Agenda item 2 a. The motion passed. Dr. Arambula ann ...

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Title: Medical Board 2014 - May 2 - Full Board Minutes

Description: Medical Board 2014 - May 2 - Full Board Minutes

Document: ... .; Wynne Snoots, M.D.; Karl W. Swann, M.D.; and George Willeford, III, M.D., arrived a few minutes after roll call. Re ginald C. Baptiste, M.D. , Physician Assistant Board Member and liaison, was also present. Paulette Southard, Secretary/Treasurer was not present . Board staff ...

Click to view in browser - MB-2014-May-2-Full-Board-Minutes.pdf
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Can fees be refunded?

“... f 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 ... ”

How often is registration required for pain management clinics?

“... , the certificate will be automatically cancelled and the owner or operator of the clinic must reapply for original certification. ”

I have already been issued a previous temporary license.  Can I be issued another temporary license?  Can I renew my temporary license?

“... porary certificate has expired is not eligible to reapply for another temporary certificate. ”

When can I reapply for a waiver?

“You can apply for a new waiver within 30 days your current waiver’s expiration.    ”

How many times can I reapply for a waiver? 

“There is currently no limit to the number of waivers you may request. ”

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