Complaints
(& Compliments)
On-Line
Verification | Disciplinary Actions
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- Click here to:
File a Complaint.
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Patients have requested the ability to report a "Compliment"
to recognize their doctor for a job well done. To report a
compliment or commendation, please address a letter to the Board.
***Licensees***
- Click here to print:
Office Complaint
Signs - English ◊
Office Complaint Signs - Spanish
- Click here to print:
Criminal History Self-Report Form.
- Click here for insurance plan complaints and
information:
Texas Department of Insurance - Physicians & Health
Providers.
- Click here to print:
Sample Orthotics Consent Form. Due to insurance coverage
issues and common complaints of the same, it is recommended
that licensees clearly enter into a written agreement with
the patient to suffice full informed consent.
- Click here to view: Texas Medical Disclosure Panel rules
and forms related to "Informed Consent" under
Title 25; Part 7; Chapter 601 of the Texas
Administrative Code.
- Click here to view: Centers for Medicare & Medicaid
Services (CMS)
"HIPAA-General Information."
- Click here to obtain
(state/federal):
"Student Loan Default" information. Licensees must
meet and pay all Student Loan obligations; failure to do so
will result in investigation/disciplinary action of your
license.
- Click here to obtain:
"Child Support Default/Delinquency" information.
Licensees must meet and pay all Child Support
obligations; failure to do so will result in
investigation/disciplinary action of your license.
- Click here to view: "Podiatric Medical
Reviewer" information.
- Click here to view:
"Guidelines on Board Investigations/Criminal Convictions/Penalty
Schedules."
- Click here to obtain information on:
"Reporting Medical Professional
Liability Claims."
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