Massage License Texas Lookup Form in PDF Modify Massage License Texas Lookup Here

Massage License Texas Lookup Form in PDF

The Massage License Texas Lookup form serves as a crucial step for individuals seeking licensure as a Massage Therapist in the State of Texas. Mandatory for those who hold or have held a license in other states, this form authorizes the release of all information, both positive and potentially adverse, about the applicant to the Texas Department of State Health Services. By ensuring that all past licensing history is transparent and accounted for, applicants can move forward in their licensing process confidently.

To proceed with your application and ensure compliance with Texas regulations, take the moment to fill out the form correctly. For ease, click the button below to fill out and submit your Massage License Texas Lookup form.

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Embarking on a journey to become a licensed massage therapist in the State of Texas involves navigating through several vital steps, one of which is the completion of the Massage License Texas Lookup form. This pivotal document plays a crucial role in the licensing process, particularly for applicants coming from out of state. It requires an individual to disclose all past and present licensing details across states, with an emphasis on transparency and thoroughness. The form, issued by the Texas Department of State Health Services, features sections that need input from both the applicant and the out-of-state licensing authority. It meticulously seeks to verify the current status of the applicant's license—whether it's active, lapsed, inactive, or under any disciplinary action—thereby ensuring that all massage therapists practicing in Texas meet uniform standards of professionalism and ethics. By mandating the completion of this form, Texas upholds the quality and integrity of its massage therapy sector, offering reassurance to both practitioners and the public they serve.

Massage License Texas Lookup Sample

MASSAGE THERAPY LICENSING PROGRAM

TEXAS DEPARTMENT OF STATE HEALTH SERVICES

P.O. Box 149347, Mail Code 1982

Austin, Texas 78714-9347

OUT OF STATE LICENSE VERIFICATION

The application for licensure as a Massage Therapist in the State of Texas requires this form to be completed by all State Boards where I hold or have ever held a license. My signature below is your authorization to release all information in your files, favorable or otherwise, regarding myself. Section I to be completed by applicant. Please type or print

clearly.

Applicant Name ___________________________________________ License Number __________________

Applicant’s Signature _______________________________________ Date ___________________________

Address __________________________________________________________________________________

P O Box or Street No. CityState Zip

Telephone Number (include area code) ______________________________ Date of Birth ________________

Section II. (Completed by out-of-state licensing authority)

State of ___________________________________________.

 

 

This certifies that ____________________________________ is:

 

 

 

(Applicant’s Name)

 

 

 

Registered [ ]

Certified [ ]

Licensed [ ] as a ___________________________________________

Current status of this license/license/certification is:

 

 

Active [ ]

Lapsed [ ]

Inactive [ ]

Denied ** [ ]

Suspended** [ ]

Revoked** [ ]

Effective date of License/Registration/Certification________________________________________________

**Please attach a copy of the Findings of Fact and Decision and Order. License/Registration/Certification issued based on:

[

]

Education Requirements

[

]

Endorsement/Reciprocity

[

]

State Examination

[

]

Grandfather Requirements

[

]

National Examination

 

 

 

Qualifications for licensure in this state are:

a.Total hours of education ________

b.Number of hours required in Swedish Massage ________

c.Number of hours required in Anatomy & physiology ________

d.

Written examination required? Yes [

]

No

[

]

e.

Practical examination required? Yes [

]

No

[

]

Please attach a copy of the current massage therapy requirements (rules) for your state. (If current rules have been sent to this office within the last 12 months, please disregard this request.)

I certify that the above information is correct and true. I have enclosed a copy of the requirements for this state. Name of Agency __________________________________ Address _________________________________

Signature ___________________________________ Typed Name __________________________

Title _______________________________________ Date ________________________________

(STATE SEAL)

DSHS Publication # F64-10701 Massage Therapy Application Revised 5/09

File Characteristics

Fact Description
Purpose of Form This form is used for the verification of licensure for individuals applying for licensure as a Massage Therapist in Texas, who hold or have held licenses in other states.
Governing Body Texas Department of State Health Services (DSHS) oversees the Massage Therapy Licensing Program.
Address for Submission Applicants should send the completed form to P.O. Box 149347, Mail Code 1982, Austin, Texas 78714-9347.
Information Release Authorization The applicant's signature authorizes the release of all information, whether favorable or otherwise, from the state boards to the Texas Department of State Health Services.
Sections to be Completed Section I is to be completed by the applicant, and Section II is to be filled out by the out-of-state licensing authority.
Verification by Licensing Authority The licensing authority is required to certify the current status of the applicant’s license and attach any relevant documents regarding license denials, suspensions, or revocations.
Criteria for Evaluation The form asks for detailed information about the basis for the license issuance, such as education requirements, examinations, and qualifications specific to massage therapy.

Detailed Guide for Writing Massage License Texas Lookup

When seeking licensure as a Massage Therapist in Texas, particularly for those who have been licensed in another state, it's essential to complete the Out of State License Verification form. This document plays a crucial role in ensuring that your qualifications and history as a massage therapist are thoroughly and accurately conveyed to the Texas Department of State Health Services. Following the steps below will guide you in filling out the form correctly.

Steps for Filling Out the Massage License Texas Lookup Form:

  1. Begin with Section I, which is to be completed by the applicant. Ensure all information is typed or printed clearly to prevent any misunderstandings.
  2. Fill in your Applicant Name in the space provided.
  3. Enter your License Number in the corresponding field.
  4. Sign your name where it says Applicant’s Signature, then write the date next to it.
  5. Under address, include your P O Box or Street No., City, State, and Zip code.
  6. Provide your Telephone Number, including the area code.
  7. Add your Date of Birth in the designated space.
  8. Section II should be left for the out-of-state licensing authority to complete. Ensure this section is directed to the appropriate authority for completion.
  9. The licensing authority will need to check the appropriate boxes to indicate your licensure status, the basis of your license issuance, and fill in other relevant details concerning your out-of-state license.
  10. They are also required to attach a copy of the current massage therapy requirements (rules) for their state unless they have sent this to the Texas office within the last 12 months.
  11. After the licensing authority has completed Section II, they'll need to append their signature, print their name and title, and date the document.

Once fully completed by both the applicant and the out-of-state licensing authority, the form should be mailed to the Texas Department of State Health Services at the address provided at the top of the form. This procedure is a vital step in ensuring that your application for licensure in Texas is processed efficiently and accurately, paving the way for your professional practice in the state.

Common Questions

What is the purpose of the Massage License Texas Lookup form?

The Massage License Texas Lookup form is designed for individuals applying for licensure as a Massage Therapist in Texas who have held or currently hold a massage therapist license in another state. Its purpose is to verify the applicant's licensure status and history with those out-of-state licensing boards to ensure all information, both favorable and unfavorable, is considered during the Texas licensure process.

What information must the applicant provide in Section I of the form?

In Section I of the form, the applicant is required to provide their name, license number, signature, date of the signature, mailing address, telephone number, and date of birth. This information is necessary for identity verification and contact purposes.

Who is responsible for completing Section II of the form?

Section II of the form must be completed by the out-of-state licensing authority where the applicant holds or has held a license. This section verifies the applicant's licensure status and details outside of Texas.

What kind of information does the out-of-state licensing authority need to provide?

The out-of-state licensing authority is asked to provide the following information in Section II:

  • The applicant’s licensure status (Registered, Certified, Licensed) and current status (Active, Lapsed, Inactive, Denied, Suspended, Revoked).
  • Effective date of the License/Registration/Certification.
  • The basis on which the License/Registration/Certification was issued (Education Requirements, Endorsement/Reciprocity, State Examination, Grandfather Requirements, National Examination).
  • The qualifications for licensure in that state, including total hours of education, hours required in Swedish Massage and Anatomy & Physiology, and whether written or practical examinations are required.
  • A copy of the current massage therapy requirements (rules) for that state, unless they have been sent within the last 12 months.

Why is it important to attach a copy of the Findings of Fact and Decision and Order for denied, suspended, or revoked licenses?

Attaching a copy of the Findings of Fact and Decision and Order is crucial for denied, suspended, or revoked licenses because it provides the Texas Department of State Health Services with detailed information regarding the reasons behind these disciplinary actions. This enables a comprehensive review of the applicant's professional conduct and qualifications for licensure in Texas.

What does the licensing authority certify by signing the form?

By signing the form, the licensing authority certifies that the information provided in Section II is correct and true to the best of their knowledge. This includes the licensure status, any disciplinary actions, and the education and examination requirements met by the applicant.

How often do the massage therapy requirements need to be sent to the Texas Department of State Health Services?

The massage therapy requirements for a state need to be sent to the Texas Department of State Health Services only if they have not been submitted within the last 12 months. This ensures that the information reviewed is up to date and accurately reflects the current standards for massage therapy licensure in the applicant's previous or current state of licensure.

Where should the completed form be sent?

The completed form should be mailed to the Texas Department of State Health Services at the address provided at the top of the form: P.O. Box 149347, Mail Code 1982, Austin, Texas 78714-9347. This is where all documentation related to the Massage Therapy Licensing Program is processed.

Is there a digital submission option for the Massage License Texas Lookup form?

The form itself does not specify a digital submission option. Given the requirement for signatures and potential need for attaching additional documentation, it is implied that the primary method of submission is via postal mail to ensure the secure and verifiable transfer of sensitive personal information and official documents.

Common mistakes

When applying for licensure as a Massage Therapist in the State of Texas, it’s crucial to meticulously fill out the Massage License Texas Lookup form. Errors can delay the process or negatively impact your application. Here are nine common mistakes that applicants should avoid:

  1. Failing to ensure completeness of Section I by the applicant: Neglecting to type or print clearly, leaving fields incomplete, or forgetting to sign and date the form can lead to processing delays.
  2. Incorrectly providing personal details: Entering inaccurate information such as an incorrect license number, name spelling, or contact information can result in failed verification attempts or miscommunication.
  3. Overlooking the need for a comprehensive address: Using an incomplete address, failing to include a zip code, or missing out on specifying P.O. Box or Street No. can hinder correspondence.
  4. Mistakes in designating license type in Section II: The out-of-state licensing authority may incorrectly mark the applicant as licensed, certified, or registered, potentially causing confusion about the applicant’s qualifications.
  5. Failure to denote current license status accurately: Not correctly indicating if the license is active, lapsed, inactive, denied, suspended, or revoked can misrepresent the applicant's legal standing to practice.
  6. Omitting the effective date of License/Registration/Certification: Skipping this crucial detail can obscure the timeline of the applicant’s authorization to practice.
  7. Ignoring the request for attachment regarding sanctions: Not attaching a copy of the Findings of Fact and Decision and Order when the status is denied, suspended, or revoked misleads the board about the applicant's compliance history.
  8. Leaving qualification details vague or incomplete: Failing to specify education hours or not indicating whether examinations are required renders the application vague, making it difficult to assess the applicant's qualifications against Texas standards.
  9. Neglecting to attach or update state requirements: Forgetting to attach a copy of the current massage therapy requirements from the applicant's state or assuming that recently sent documents remove the need for current submissions can slow down the verification process.

To successfully navigate the licensure process, applicants must devote careful attention to detail when completing their paperwork, ensuring all sections are filled out accurately and thoroughly. Avoiding these common mistakes can help streamline the licensure application process, bringing you closer to practicing massage therapy in Texas.

Documents used along the form

When applying for a Massage Therapy License in Texas, applicants often find themselves navigating through additional paperwork beyond the Texas Department of State Health Services' Massage License Texas Lookup form. Here’s a look at other frequently encountered documents in this process, each significant in carving out a professional path in massage therapy within the state.

  • Proof of Education: Documentation or transcripts proving completion of required massage therapy education hours from an accredited institution.
  • Examination Scores: Official results from the Massage and Bodywork Licensing Examination (MBLEx) or any other state-recognized therapeutic massage exam.
  • Criminal Background Check: Generally required by the state to ensure the applicant does not have a criminal history that would bar them from practicing as a licensed massage therapist.
  • Certificate of Liability Insurance: Proof of professional liability insurance that protects a therapist against claims related to the professional services they provide.
  • Continuing Education Certificates: Evidence of completed continuing education units (CEUs), which are necessary for license renewal and staying updated with industry standards.
  • First Aid and CPR Certification: Documents showing current certification in CPR and First Aid, highlighting the applicant's preparedness to respond to client emergencies.
  • Identification Documents: Often includes a government-issued photo ID such as a driver’s license or passport for proof of identity.
  • Application Fee Receipt: A receipt or proof of payment for the application or licensing fee, which is a prerequisite for processing the application.
  • Personal Recommendation Letters: Letters from professional and/or academic references that vouch for the applicant's character and skills in massage therapy.
  • Self-Employment Verification: For those who have been self-employed, documentation verifying business ownership, duration, and nature of massage therapy practice.

This array of documents underpins the comprehensive evaluation process for massage therapy licensure, ensuring that practitioners meet Texas’ high standards for professional knowledge and ethical practices. Remember, attention to detail and thorough preparation of these documents can streamline the application process and pave the way towards a successful practice in massage therapy in Texas.

Similar forms

The Professional Engineer License Verification Form is akin to the Massage License Texas Lookup form in several respects. Both are documents used by state boards to verify the licensure status of a professional working within a regulated industry—whether it's engineering or massage therapy. Each form requires the similar collection of information, such as the applicant's name, license number, and the status of their license. The verification form for engineers, like the massage therapy form, requires completion by the state board that originally issued the license and includes an official affirmation of the licensee's current status and history.

Similarly, the Nurse Licensure Verification Form shares the purpose and structure with the Massage License Texas Lookup form. Nurses seeking to practice in a new state must have their current licensure status verified by the state where their license was issued. This process ensures that the nurse holds a valid license and there are no encumbrances on their ability to practice. Both forms facilitate this by gathering comprehensive details on licensure status, including whether the license is active, inactive, or has been subjected to disciplinary actions, echoing the detailed verification process in the massage therapy form.

The Real Estate License Verification Form is another document whose function and layout closely resemble the Massage License Texas Lookup form. Real estate agents relocating or seeking to practice in another state need to verify their licensure through a similar process, where the originating state board certifies their license status. Both forms serve to confirm the professional's qualifications and ensure the public's protection by verifying that the agent or massage therapist meets the necessary licensure requirements and is in good standing with their respective state board.

Moreover, the Teacher Certification Verification Form operates under a parallel mechanism to the Massage License Texas Lookup form. Teachers, like massage therapists, need to have their credentials verified when moving between states to ensure they meet the new state's educational standards and certification requirements. This form requires detailed information about the individual's certification status and educational background, similar to how the massage therapy form requests specifics on educational requirements, examinations, and the current standing of the license.

Lastly, the Cosmetologist License Verification Form closely aligns with the massage therapy licensure verification process. Both professions require state-issued licenses to practice, and moving between states necessitates a verification of license status to ensure compliance with local laws and regulations. The forms used in each profession gather essential details about licensure status, history, and qualifications, providing state boards with the necessary information to approve or deny a practitioner's eligibility to practice in their state.

Dos and Don'ts

When filling out the Massage License Texas Lookup form, it's essential to approach the task with attention to detail and a clear understanding of the requirements. Ensuring accurate and complete information can expedite the process and help avoid any unnecessary delays. Below are some key dos and don'ts to consider:

Dos:

  1. Review the entire form before starting: Take a moment to read through the form to understand all the required information. This can help you gather necessary documents beforehand.
  2. Use black or blue ink if completing by hand: This ensures that your answers are legible and the form is scan-able if it needs to be digitized.
  3. Provide accurate and current information: Double-check that all details, especially your license number and contact information, are correct and up-to-date.
  4. Attach additional documents if required: If the form mentions attaching further documentation, such as the Findings of Fact and Decision and Order for certain license statuses, make sure to include these with your application.
  5. Sign and date the form: Your signature is required to authorize the release of information and to verify that the information you provided is accurate.
  6. Keep a copy for your records: It's always a good idea to have a copy of important documents you've submitted for your own records.

Don'ts:

  • Don't skip sections: Even if a section does not apply, mark it as N/A (not applicable) instead of leaving it blank. It shows that you've reviewed the section and determined it's not relevant to your application.
  • Don't use correction fluid or tape: Mistakes should be neatly crossed out and corrected. Using correction fluid or tape can make the document appear altered, which could raise questions.
  • Don't provide outdated information: Using old information, especially regarding your current license status or personal contact details, can lead to delays or complications in the process.
  • Don't rush: Take your time to fill out the form accurately. Rushing can lead to mistakes or missing information, which might slow down your application.
  • Don't forget to check for a state seal: If you are completing Section II as an out-of-state licensing authority, ensure the state seal is affixed if required, to authenticate the document.
  • Don't hesitate to ask for help: If you're unsure about any part of the form, reaching out to the Texas Department of State Health Services or a professional experienced with the application process can provide clarity and prevent mistakes.

Misconceptions

When it comes to the Massage License Texas Lookup form, several misconceptions can easily mislead or confuse people. Understanding these can help ensure that the application process for licensure as a massage therapist in Texas is smoother and clearer.

  • Misconception 1: The form is only for Texas residents.
    This form is actually required for anyone applying for licensure in Texas, regardless of whether they currently reside in Texas or another state. It's specifically designed for verifying out-of-state licenses, indicating that applicants from outside Texas need to use this form to confirm their licensure status in other states where they hold or have held a license.
  • Misconception 2: Only current licenses need to be verified.
    In reality, the form requires the verification of all state boards where an applicant holds or has ever held a license. This includes licenses that may no longer be active. It's important for the Texas Department of State Health Services to have a complete licensure history for each applicant.
  • Misconception 3: The form is complicated and requires legal assistance to complete.
    While it's crucial to fill out the form correctly, the application is designed to be straightforward. Applicants need to complete Section I themselves, and the authority in the other state where they are licensed will complete Section II. Clear instructions are provided, making legal assistance unnecessary for most people.
  • Misconception 4: The lookup form is the only requirement for licensure.
    Completing and submitting the lookup form is indeed a necessary step in the application process. However, this form is part of a larger set of requirements for obtaining a massage therapy license in Texas. Applicants must also meet education requirements, pass examinations, and comply with other specifications set by the Texas Department of State Health Services.

Understanding these misconceptions can alleviate concerns and clarify the process for applicants. The Massage License Texas Lookup form is an essential step towards licensure, aiming to ensure that all practitioners meet the standards set by the state for safety and professionalism.

Key takeaways

Filling out and using the Massage License Texas Lookup form is an important step for massage therapists seeking licensure in Texas, especially those who are licensed in other states. Here are some key takeaways to consider during the process:

  • The form is a necessity for any massage therapist who holds or has ever held a license in another state and wishes to practice in Texas.
  • Applicants must provide detailed personal information, including their name, license number, address, telephone number, and date of birth in Section I.
  • Your signature on the form authorizes the release of all information in your files to the Texas Department of State Health Services, whether it is favorable or not.
  • In Section II, the licensing authority from the state where you are or were licensed must complete their part, verifying your licensure status and providing specifics about it.
  • The form requests detailed information regarding the current status of your license, such as whether it is active, lapsed, inactive, denied, suspended, or revoked. Additional documentation may be required for licenses that are not active.
  • Details about your licensure such as the basis of issuance (education, endorsement/reciprocity, state examination, grandfather requirements, or national examination) are crucial for Texas' assessment.
  • The licensing authority must provide information on the educational and examination requirements you fulfilled, including total hours of education, specific hours in Swedish Massage and Anatomy & Physiology, and whether you took written or practical examinations.
  • Attach a copy of the current massage therapy requirements (rules) from your state unless you've sent this information to the Texas Department of State Health Services within the last 12 months.

By providing accurate and comprehensive information on this form and ensuring all relevant documentation is attached, applicants can facilitate the review process for their application to practice massage therapy in Texas.

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