Verification | Disciplinary Actions
- Click here to:
File a Complaint.
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.
- Click here to print:
Signs - English ◊
Office Complaint Signs - Spanish
- Click here to print:
Criminal History Self-Report Form.
- Click here for insurance plan complaints and
Texas Department of Insurance - Physicians & Health
- 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
- Click here to obtain
"Student Loan Default" information. Licensees
meet and pay all Student Loan obligations; failure to do so
will result in investigation/disciplinary action of your
- 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
- Click here to view:
"Guidelines on Board Investigations/Criminal Convictions/Penalty
- Click here to obtain information on:
"Reporting Medical Professional
- Criminal History Evaluation Letters:
Board Rule §376.37 "Criminal
History Evaluation Letters" provides that: "(a)
The purpose of this section is to provide a
process by which an individual may request a
criminal history evaluation letter regarding the
person's eligibility for a license issued by the
Texas State Board of Podiatric Medical
Examiners, as allowed by Chapter 53, Subchapter
D of the Texas Occupations Code. (b) Prior to
applying for licensure, an individual seeking
licensure may request that agency staff review
the person's criminal history to determine if
the person is ineligible for licensure based
solely on the person's criminal background. (c)
Requestors must submit their requests in writing
along with appropriate fees as provided in
§371.3(b)(19) of this title (relating to Fees).
(d) The agency may require additional
documentation including fingerprint cards before
issuing a criminal history evaluation letter.
(e) The agency shall provide criminal history
evaluation letters that include the basis for
ineligibility if grounds for ineligibility exist
to all requestors no later than the 90th day
after the agency receives all required
documentation to allow the agency to respond to
a request. (f) If a requestor does not provide
all requested documentation within one year of
submitting the original request, the requestor
must submit a new request along with appropriate
fees. (g) All evaluation letters shall be based
on existing law at the time of the request. All
requestors remain subject to the requirements
for licensure at the time of application and may
be determined ineligible under existing law at
the time of application. If a requestor fails to
provide complete and accurate information to the
agency, the agency may invalidate the criminal
history evaluation letter. (h) An individual
shall be permitted to apply for licensure,
regardless of the agency's determination in a
criminal history evaluation letter. However, the
filing of an application and tendering of fees
does not in any way obligate the Board to admit
the applicant to examination or issue a license
until such time the applicant has been approved
as meeting all requirements for licensure set
forth in the Board's laws and rules. No
examination fee will be refunded. Applicants who
have furnished false information to the Board or
who are alleged to be in violation of the
Board's laws and rules will be investigated.
Such applicants are subject to refusal for
admittance to the examination and denial of
licensure; Board disciplinary action. Applicants
permitted to take the examination are subject to
the laws and rules of the Board and to the
following conditions. The Board reserves the
right to refuse an applicant admittance to the
exam if other information comes to the Board's
attention prior to the examination date that
necessitates barring the applicant from the
examination. Furthermore, admittance to the
examination is not intended and shall not be
construed to imply or constitute a finding of
the Board regarding the applicant's fitness to
sit for the examination nor as an approval of an
application for license after the examination,
regardless of the applicant's performance on the
Board Rule §371.3(b)(19) "Fees"
provides that: "An additional
$100 charge may be applied for
processing special requests
application/service costs (e.g.
reviews, obtaining legal/court
documentation, criminal history
evaluation letters, etc.)."
To begin this review process the
requestor will need to: 1)
Complete the following
Criminal History Query & Report
Form and 2) Submit it to the
with the $100.00 Fee payable to
Governor Perry's Executive Order RP36 - July 12, 2004
- Relating to preventing, detecting, and eliminating fraud, waste, and abuse.
of RP36 - July 12, 2004
Governor Perry had directed state agencies to increase enforcement efforts to fight fraud as it relates to occupational licensing and the
Board's mission to protect the public.
- Related Healthcare Fraud topics can be found
HERE on the
Board's "Questions & Answers" webpage. Review Q&A #6, #20 & #28.