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POST ./ident1.aspx

<form method="post" action="./ident1.aspx" id="form1">
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  </div>
  <div class="Window">
    <div class="Header">
      <div class="Header" style="background-image:url(images/topBarTMB2.jpg);">
        <img src="images/TopBarTMB.jpg" alt="Texas Medical Board" style="width:750px; height:140px">
      </div>
      <div class="Main">
        <div id="leftCol" class="leftCol" style="height: 951px;">
          <div class="Container">
            <h2>Physician In Training Permit Steps</h2>
            <table id="StepTable" border="0" cellpadding="0" cellspacing="1" width="200px">
              <tbody>
                <tr>
                  <td><a href="ident1.aspx">Login</a><br></td>
                </tr>
                <tr>
                  <td><a href="confirm.aspx">Confirm Login</a><br></td>
                </tr>
                <tr>
                  <td><a href="ident2.aspx">Identification</a><br></td>
                </tr>
                <tr>
                  <td><a href="address.aspx">Address</a></td>
                </tr>
                <tr>
                  <td><a href="trainWorkSummary.aspx">Training and Work History</a><br></td>
                </tr>
                <tr>
                  <td><a href="questionsAlt.aspx">Professional History - pg1</a><br></td>
                </tr>
                <tr>
                  <td><a href="questions2Alt.aspx">Professional History - pg2</a><br></td>
                </tr>
                <tr>
                  <td><a href="reviewAlt.aspx">Review</a><br></td>
                </tr>
              </tbody>
            </table>
          </div>
        </div>
        <div id="right" class="right" style="height: 951px;">
          <div class="Contents">
            <h2>Login</h2>
            <div class="greyOne">
              <h3>Physician in Training (PIT) Permit Application.</h3>
              <p><b>Get this from your program before you apply:</b></p>
              <ul>
                <li>Your TMB personal ID number</li>
                <li>The third party identification number for your residency program (only needed if they will be paying your application fee)</li>
              </ul>
              <p>Note:</p>
              <ul>
                <li>Information you enter will be automatically saved at the end of every page.</li>
                <li>You must complete the application within 15 days or your information will be deleted.</li>
                <li>Some of the questions may direct you to download a supplemental form and submit it, along with any relevant records.</li>
                <li>Pay the license fee using one of the following:</li>
                <ul>
                  <li>MasterCard,</li>
                  <li>Visa,</li>
                  <li>Discover,</li>
                  <li>American Express, or </li>
                  <li>Electronic Check.</li>
                  <li><a href="http://www.tmb.state.tx.us/page/licensing-pit-faqs" class="pop" title="Open a new window to view the TMB FAQ page">Third Party Pay</a>.</li>
                </ul>
              </ul>
              <hr>
              <p><a href="http://www.tmb.state.tx.us/idl/3E510978-D10B-0419-89F9-213F94467EC0" class="pop"><b>Check Your Eligibility</b></a></p>
              <p><a href="http://www.tmb.state.tx.us/page/licensing-pit-faqs" class="pop"><b>FAQ</b></a></p>
              <p>Processing times can vary depending on the acceptability of submitted items and the complexity of your application. Some of the factors that can increase complexity are "yes" answers to the professionalism questions on this
                application.</p>
              <p><b>Notice for Military and Veteran Applicants:</b></p>
              <p>Senate Bill 807, which became effective on September 1, 2015, allows for the waiver of application fees for any US military service member, active duty military spouse or military veteran. If you would like to be pre-qualified for
                this exemption, please visit this link to obtain the fee waiver request form: <a href="http://www.tmb.state.tx.us/page/licensing" class="pop">Military Fee Waiver</a>. Follow the instructions, and once submitted to the Board, allow 3
                business days for processing. Approved waivers will be notified by email to proceed completing the online application.</p>
              <p><b>Approved Pre-Qualified Military and Veteran Applicants:</b></p>
              <p>If you have already received your pre-qualification email and have been issued a 6 digit Medical Board ID number, please continue through the application. If you are re-directed to TX.gov for payment, please double-check the Date of
                Birth and SSN number entered and make any corrections before re-submitting. If you are still re-directed to TX.gov for payment, contact us at: Screen-CIC@tmb.state.tx.us </p>
            </div>
            <p>Asterisk (<span class="required">*</span>) indicates response required.</p>
            <table cellpadding="5px">
              <tbody>
                <tr>
                  <td>TMB personal ID Number<span class="required">*</span></td>
                  <td><input name="ctl00$ContentPlaceHolder1$personal_id" type="text" maxlength="6" id="ContentPlaceHolder1_personal_id"></td>
                </tr>
                <tr>
                  <td>Date of Birth (MM/DD/YYYY)<span class="required">*</span></td>
                  <td><input name="ctl00$ContentPlaceHolder1$dobTB" type="text" maxlength="10" id="ContentPlaceHolder1_dobTB"></td>
                </tr>
              </tbody>
            </table>
            <br>
            <input type="submit" name="ctl00$ContentPlaceHolder1$continueBTN" value="Continue" id="ContentPlaceHolder1_continueBTN" style="padding:5px; position :relative; left : 500px">
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          </div>
        </div>
        <div id="footer" class="footer" style="clear: both; visibility: inherit;">
          <a href="http://www.tmb.state.tx.us/page/accessibility-policy" class="pop">Accessibility Policy</a>
        </div>
      </div>
    </div>
  </div>
</form>

Text Content

PHYSICIAN IN TRAINING PERMIT STEPS

Login
Confirm Login
Identification
Address Training and Work History
Professional History - pg1
Professional History - pg2
Review



LOGIN


PHYSICIAN IN TRAINING (PIT) PERMIT APPLICATION.

Get this from your program before you apply:

 * Your TMB personal ID number
 * The third party identification number for your residency program (only needed
   if they will be paying your application fee)

Note:

 * Information you enter will be automatically saved at the end of every page.
 * You must complete the application within 15 days or your information will be
   deleted.
 * Some of the questions may direct you to download a supplemental form and
   submit it, along with any relevant records.
 * Pay the license fee using one of the following:
    * MasterCard,
    * Visa,
    * Discover,
    * American Express, or
    * Electronic Check.
    * Third Party Pay.

--------------------------------------------------------------------------------

Check Your Eligibility

FAQ

Processing times can vary depending on the acceptability of submitted items and
the complexity of your application. Some of the factors that can increase
complexity are "yes" answers to the professionalism questions on this
application.

Notice for Military and Veteran Applicants:

Senate Bill 807, which became effective on September 1, 2015, allows for the
waiver of application fees for any US military service member, active duty
military spouse or military veteran. If you would like to be pre-qualified for
this exemption, please visit this link to obtain the fee waiver request form:
Military Fee Waiver. Follow the instructions, and once submitted to the Board,
allow 3 business days for processing. Approved waivers will be notified by email
to proceed completing the online application.

Approved Pre-Qualified Military and Veteran Applicants:

If you have already received your pre-qualification email and have been issued a
6 digit Medical Board ID number, please continue through the application. If you
are re-directed to TX.gov for payment, please double-check the Date of Birth and
SSN number entered and make any corrections before re-submitting. If you are
still re-directed to TX.gov for payment, contact us at:
Screen-CIC@tmb.state.tx.us

Asterisk (*) indicates response required.

TMB personal ID Number* Date of Birth (MM/DD/YYYY)*


Accessibility Policy