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Figure: 22 TAC 171.2(b) COMPLEMENTARY AND ALTERNATIVE MEDICINE TREATMENT DISCLOSURE AND CONSENT FORM This form is required to be completed prior to the initiation of therapy and maintained as part
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Obtain the Texas Medical Board (TMB) application form from the official TMB website.
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Fill out your personal information, including your name, contact details, and Social Security number.
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Provide details about your medical education, including schools attended, degrees earned, and dates of attendance.
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Submit the form online or via mail to the Texas Medical Board.

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The Texas Medical Board form is an application or report used by medical professionals to comply with state regulations and provide necessary information pertaining to their licensure and practice.
All licensed medical professionals in Texas, including physicians and physician assistants, are required to file the Texas Medical Board form as part of their licensure renewal or compliance process.
To fill out the Texas Medical Board form, the applicant must provide their personal information, details about their education, training, and professional practice, as well as any required disclosures related to their medical history or legal matters.
The purpose of the Texas Medical Board form is to ensure that medical professionals provide accurate and updated information necessary for maintaining their licensure and to uphold the standards of ethical and professional practice.
The form requires reporting personal identification information, details of medical education and training, practice history, any criminal convictions, malpractice claims, and any disciplinary actions taken against the licensee.
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