Texas Administrative Code
Title 22 - EXAMINING BOARDS
Part 9 - TEXAS MEDICAL BOARD
Chapter 160 - MEDICAL PHYSICISTS
Section 160.9 - Licensure Documentation
Universal Citation: 22 TX Admin Code ยง 160.9
Current through Reg. 49, No. 38; September 20, 2024
(a) Original documents may include, but are not limited to, those listed in subsections (b) and (c) of this section.
(b) Documentation required of all applicants for licensure.
(1) evidence of relevant work experience,
including a description of the applicant's responsibilities and of the duties
that were performed;
(2)
Transcripts of courses taken and grades obtained from a college or university
granting the applicant's degree and if required under these rules, a
certificate of completion of training to demonstrate compliance with
educational requirements of this chapter. If a college or university does not
issue an official transcript, the board may accept another form of official
documentation or sworn evidence of the degree or successful completion of
courses.
(3) a statement of the
medical physics specialty for which the application is submitted;
(4) three current professional references as
follows:
(A) two medical physicists. If the
applicant is applying for one specialty, both physicists must be practicing in
that specialty area. If the applicant is applying for two or more specialties,
one physicist must be practicing in one of those specialties and the other
physicist must be practicing in another one of the specialties for which the
applicant is making application;
(B) one licensed physician practicing in at
least one of the specialties for which the applicant is making application;
however, if the applicant is applying for a license in the specialty area of
medical health physics, the physician may be practicing in diagnostic
radiology, radiation oncology, or nuclear medicine;
(C) if applying for a training license,
post-secondary academic references may be substituted.
(5) Birth Certificate/Proof of Age. Each
applicant for licensure must provide a copy of a birth certificate and
translation, if necessary, to prove that the applicant is at least 21 years of
age. In instances where a birth certificate is not available the applicant must
provide copies of a passport or other suitable alternate
documentation.
(6) Name change. Any
applicant who submits documentation showing a name other than the name under
which the applicant has applied must present copies of marriage licenses,
divorce decrees, or court orders stating the name change. In cases where the
applicant's name has been changed by naturalization, the applicant should send
the original naturalization certificate by certified mail to the board office
for inspection.
(7) Examination
verification. Each applicant for licensure must have the appropriate testing
service(s) or testing boards, that administered the medical physicist specialty
examination(s) required under this chapter, submit verification of the
applicant's passage of the examination directly to the board.
(8) Training license affidavit. Each
applicant must submit a completed form, furnished by the board, titled
"Training license Affidavit" prior to the issuance of a training
license.
(9) License verifications.
Each applicant for licensure who is licensed, registered, or certified in
another state must submit a copy of the license, registration or certificate
issued by the relevant state board.
(10) Criminal History record information.
(A) Each applicant for a license must submit
a complete and legible set of fingerprints, on a form prescribed by the Board,
to medical board or to the Department of Public Safety for the purpose of
obtaining criminal history record information from the Department of Public
Safety and the Federal Bureau of Investigation.
(B) the Board shall conduct a criminal
history check of each applicant for a license using information:
(i) provided by the applicant for license
under this subsection;
(ii) made
available to the Board by the Department of Public Safety, the Federal Bureau
of Investigation, and any other criminal justice agency under Chapter 411,
Government Code.
(11) National Practitioner Data Bank/Health
Integrity and Protection Data Bank (NPDB-HIPDB). Each applicant must contact
the NPDB-HIPDB and have a report of action submitted directly to the board on
the applicant's behalf.
(c) Applicants may be required to submit other documentation, which may include the following:
(1) Translations. Any document that is in a
language other than the English language will need to have a certified
translation prepared and a copy of the translation submitted with the
translated document.
(A) An official
translation from the school or appropriate agency attached to the foreign
language transcript or other document is acceptable.
(B) If a foreign document is received without
a translation, the board will send the applicant a copy of the document to be
translated and returned to the board.
(C) Documents must be translated by a
translation agency who is a member of the American Translation Association or a
United States college or university official.
(D) The translation must be on the
translator's letterhead, and the translator must verify that it is a "true word
for word translation" to the best of his/her knowledge, and that he/she is
fluent in the language translated, and is qualified to translate the
document.
(E) The translation must
be signed in the presence of a notary public and then notarized. The
translator's name must be printed below his/her signature. The notary public
must use the phrase: "Subscribed and Sworn this _______ day of ________,
20___." The notary must then sign and date the translation, and affix his/her
notary seal to the document.
(2) Arrest records. If an applicant has ever
been arrested the applicant must request that the arresting authority submit to
the board copies of the arrest and arrest disposition.
(3) Inpatient treatment for alcohol/substance
disorder or mental illness. Each applicant that has been admitted to an
inpatient facility within the last five years for treatment of
alcohol/substance disorder or mental illness must submit the following:
(A) applicant's statement explaining the
circumstances of the inpatient treatment/hospitalization;
(B) all records, submitted directly from the
inpatient facility;
(C) a statement
from the applicant's treating physician/psychotherapist as to diagnosis,
prognosis, medications prescribed, and follow-up treatment recommended;
and
(D) a copy of any contracts
signed with any licensing authority, professional society or impaired
practitioner committee.
(4) Outpatient treatment for
alcohol/substance disorder or mental illness. Each applicant that has been
treated on an outpatient basis within the past five years for alcohol/substance
disorder must submit the following:
(A)
applicant's statement explaining the circumstances of the outpatient
treatment;
(B) a statement from the
applicant's treating physician/psychotherapist as to diagnosis, prognosis,
medications prescribed, and follow-up treatment recommended; and
(C) a copy of any contracts signed with any
licensing authority, professional society or impaired practitioners
committee.
(5)
Additional documentation. Any additional documentation required to facilitate
the investigation of an application for licensure may be required of the
applicant.
(d) The board may, in unusual circumstances, allow substitute documents where the applicant demonstrates exhaustive efforts to secure the required documents. These exceptions are reviewed by the board's executive director on a case-by-case basis.
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