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  • Tx Form L - Pa/ac 2014

Get Tx Form L - Pa/ac 2014-2025

FORM L PA/AC Professional Evaluation Texas Physician Assistant Board Texas State Board of Acupuncture Examiners APPLICANT SECTION APPLICANT: Complete the information in this box. This form is to be.

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How to fill out the TX Form L - PA/AC online

Filling out the TX Form L - PA/AC online is a crucial step in the licensure process for physician assistants and acupuncturists in Texas. This guide will provide you with clear, step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to complete the TX Form L - PA/AC online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. In the applicant section, enter your current full name, date of birth, and applicant ID number. If your name at the time of affiliation differs, include that as well. Fill in your current address, telephone number, and email address.
  3. Sign in the designated area to authorize the release of the information contained in the evaluation form.
  4. For the evaluating professional section, the evaluator must fill out their name, title, and degree. Indicate the basis of the evaluation and how long they have known you as the applicant.
  5. If applicable, the evaluator will need to address various questions regarding your professional conduct, including any past incidents related to fraud or legal actions.
  6. After all sections are completed, ensure that the evaluating professional places the form in a sealed envelope, signs over the flap, and returns it as required.

Complete your TX Form L - PA/AC online today to ensure your application process is seamless.

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Location/Delivery Address: 1801 Congress Avenue, Suite 9.200. Austin, TX 78701. Mailing Address: P.O. Box 2018. Austin, TX 78768. Licensure Mailing Address: P.O. Box 2029. Austin, TX 78768. E-mail: verifcic@tmb.state.tx.us.

How to Become a Physician Assistant in Texas Meet the Admissions Requirements for Texas Physician Assistant Programs for Licensure. Take the PANCE (Physician Assistant National Certifying Exam) Apply for Licensure to the Texas Physician Assistant Board. Maintain Texas Licensure.

PLEASE PROVIDE THE FOLLOWING INFORMATION AND FAX YOUR COMPLETED FORM TO (888) 512-2581. FAXED OR EMAILED. PLEASE ALLOW UP TO 10 BUSINESS DAYS FOR PROCESSING.

The Board cannot accept complaints submitted anonymously. The most frequent complaints involve issues related to standard of care, professional incompetence, unprofessional conduct which may endanger the public, and inability to practice medicine by reason of mental or physical impairment.

Instructors Name(s)-( Attach CVs for all instructors): _________________________________________________ • Applications may be emailed to verifcic@tmb.state.tx.us, faxed to (512) 305-7009, or mailed to TMB PO Box 2029 Austin TX 78768-2029.

If you are unable to log in, please contact Board staff at (512) 305-7030 or at Screen-CIC@tmb.state.tx.us for assistance.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232