Form l for texas medical board 2007-2025

1. Click ‘Get Form’ to open it in the editor.
2. In the Applicant Section, fill in your current full name, date of birth, address, and contact information. Ensure that you provide the name of the evaluating hospital and your position at the time of affiliation.
3. For the Evaluating Physician Section, ensure that a qualified physician completes this part. They must provide their name, title, and evaluation based on personal knowledge or review of credential files.
4. Complete all rating sections regarding reliability, ethics, and character. The evaluating physician should answer questions about any disciplinary actions or professional conduct issues.
5. Finally, ensure that both you and the evaluating physician sign where indicated. Place the completed form in a sealed envelope with signatures over the flap as required.

Start using our platform today to fill out your Texas Medical Board Form L easily and for free!