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Get Tx Form L - Pa/ac 2014-2025
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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.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- 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.
- Sign in the designated area to authorize the release of the information contained in the evaluation form.
- 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.
- If applicable, the evaluator will need to address various questions regarding your professional conduct, including any past incidents related to fraud or legal actions.
- 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.
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.
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