Criminal History Evaluation Letters

Prior to application, you may request that the Texas Medical Board, Texas Physician Assistant Board, or Texas State Board of Acupuncture Examiners issue a criminal history evaluation letter regarding your eligibility to practice as a physician, physician assistant, or acupuncturist. If you have already applied for licensure, your criminal history will be evaluated as part of your application.

Chapter 168 of the Board’s rules addresses criminal history evaluation letters. These rules can be viewed at: http://www.tmb.state.tx.us/rules/rules/bdrules.php.

You must download and complete the application below, and submit it to the Board along with a fee of $100.

Once your application is received, you will be issued a six-digit identification number and a “Fast Pass” so that you can register to be fingerprinted. Fingerprinting services will be provided by Integrated Biometric Technology (IBT) for a fee of $44.20, payable directly to IBT. Results of the fingerprinting will be sent directly to TMB both from the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.

Request For Criminal History Evaluation Letter (PDF)