Homepage Blank Massage License Texas Lookup Form
Outline

The Massage License Texas Lookup form is an essential document for individuals seeking licensure as a Massage Therapist in Texas. This form facilitates the verification of licenses held in other states, ensuring that applicants meet the necessary requirements to practice in Texas. The process begins with the applicant providing personal information, including their name, license number, and contact details. By signing the form, the applicant authorizes the release of all relevant information from previous licensing authorities. The second section of the form is designated for completion by the out-of-state licensing authority, which certifies the applicant's status—whether they are registered, certified, or licensed. It also outlines the current status of the license, indicating if it is active, lapsed, inactive, denied, suspended, or revoked. Additionally, the form requests details about the qualifications for licensure in the applicant's home state, including education hours and examination requirements. This comprehensive approach ensures that all pertinent information is gathered, promoting a transparent and efficient licensing process for massage therapists in Texas.

Sample - Massage License Texas Lookup Form

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

Form Information

Fact Name Details
Governing Law The Massage Therapy Licensing Program in Texas is governed by the Texas Occupations Code, Chapter 455.
Purpose of the Form This form is used for out-of-state license verification as part of the application for licensure as a Massage Therapist in Texas.
Applicant Requirements Applicants must provide their name, license number, signature, and other personal details to authorize the release of their licensing information.
State Certification The form must be completed by the out-of-state licensing authority to certify the applicant's current license status and qualifications.

Detailed Guide for Filling Out Massage License Texas Lookup

Completing the Massage License Texas Lookup form is a crucial step for individuals seeking licensure as a Massage Therapist in Texas. It is important to ensure that all information is accurate and submitted promptly to avoid delays in processing your application. Follow these steps carefully to fill out the form correctly.

  1. Obtain the Form: Download or print the Massage License Texas Lookup form from the Texas Department of State Health Services website.
  2. Section I - Applicant Information: In the first section, clearly type or print your name, license number, and signature. Make sure to include the date of signing.
  3. Address Details: Provide your complete address, including P.O. Box or street number, city, state, and zip code.
  4. Contact Information: Enter your telephone number, including the area code.
  5. Date of Birth: Fill in your date of birth accurately.
  6. Section II - Licensing Authority: This section must be completed by the out-of-state licensing authority. Ensure they fill in the state, your name, and the status of your license.
  7. License Status: The licensing authority will indicate whether you are registered, certified, or licensed, and the current status of your license (active, lapsed, inactive, denied, suspended, or revoked).
  8. Effective Date: The licensing authority should provide the effective date of your license/registration/certification.
  9. License Basis: The authority will check the basis for your license issuance, such as education requirements or state examination.
  10. Qualifications: The licensing authority must fill in details regarding total hours of education, hours required in Swedish Massage, hours required in Anatomy & Physiology, and whether written or practical examinations are required.
  11. Attach Documentation: Ensure that the licensing authority attaches a copy of the current massage therapy requirements for their state, along with any necessary findings of fact and decision orders if applicable.
  12. Final Review: Before submitting, double-check all sections for accuracy and completeness. Make sure all signatures are in place.

Once the form is completed, it should be submitted to the appropriate Texas Department of State Health Services address. Keep a copy for your records, and ensure that all necessary attachments are included to facilitate a smooth review process.

Obtain Answers on Massage License Texas Lookup

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

    The Massage License Texas Lookup form is designed to verify the licensure status of individuals applying for a Massage Therapist license in Texas. It requires information from the applicant as well as verification from the state licensing authority where the applicant has previously held a license. This ensures that all applicants meet the necessary qualifications and standards for practice in Texas.

  2. Who needs to complete this form?

    Any individual applying for a Massage Therapist license in Texas must complete this form. This includes those who hold or have ever held a massage therapy license in another state. The form must be filled out by the applicant and then submitted to the relevant licensing authority in their previous state for verification.

  3. What information is required from the applicant?

    The applicant must provide several key pieces of information, including:

    • Full name
    • License number
    • Signature and date
    • Mailing address
    • Telephone number
    • Date of birth

    This information helps to accurately identify the applicant and facilitate the verification process.

  4. What details must the out-of-state licensing authority provide?

    The out-of-state licensing authority must complete Section II of the form. This includes confirming the applicant's name, current licensure status (active, lapsed, inactive, denied, suspended, or revoked), and the effective date of the license. Additionally, they must indicate the basis for the license issuance, such as education requirements or examination qualifications.

  5. What happens if the out-of-state license is inactive or revoked?

    If the out-of-state license is inactive or revoked, it may affect the applicant's ability to obtain a massage therapy license in Texas. The applicant should be prepared to address any issues that arise from their previous licensure status during the application process. It is crucial to ensure that all information provided is accurate and complete.

  6. Are there any additional documents required with the form?

    Yes, applicants must attach specific documents along with the form. If the out-of-state licensing authority indicates that the license is denied, suspended, or revoked, a copy of the Findings of Fact and Decision and Order must be included. Furthermore, applicants should attach a copy of the current massage therapy requirements for their state, unless this information has been submitted to the Texas Department of State Health Services within the last 12 months.

  7. How can applicants check the status of their application after submission?

    Once the application and the Massage License Texas Lookup form are submitted, applicants can check the status of their application by contacting the Texas Department of State Health Services. It is advisable to keep records of all submitted documents and any correspondence related to the application for reference.

Common mistakes

Completing the Massage License Texas Lookup form can be a straightforward process, but there are common mistakes that applicants often make. One frequent error is failing to provide a clear and legible signature. This signature is crucial as it authorizes the release of information from previous licensing authorities. If the signature is unclear, it may lead to delays or complications in processing the application.

Another common mistake is neglecting to fill out all required sections of the form. Each part of the form serves a specific purpose, and incomplete sections can result in the form being returned or rejected. Applicants should ensure that every field is addressed, especially those marked with an asterisk, indicating they are mandatory.

Additionally, applicants often forget to include their current address and contact information. This information is vital for communication regarding the application status. Missing or incorrect contact details can hinder the processing of the application and may lead to missed notifications.

Some individuals mistakenly believe that providing outdated information is acceptable. It is essential to ensure that all details, including the license number and current status, are accurate and up to date. Providing outdated information can lead to confusion and may even result in a denial of the application.

Another frequent oversight is the failure to attach necessary documentation. For instance, applicants must include a copy of the current massage therapy requirements from their state. Omitting this can delay the review process and may require additional steps to rectify.

Furthermore, applicants sometimes overlook the importance of the date of birth section. This detail is often used for verification purposes. An incorrect or missing date of birth can lead to complications in confirming the applicant's identity, potentially resulting in delays.

Finally, many applicants do not double-check their form before submission. Taking a moment to review the completed form can help catch any errors or omissions. This simple step can save time and prevent unnecessary complications in the application process.

Documents used along the form

When applying for a massage therapy license in Texas, several forms and documents are often necessary alongside the Massage License Texas Lookup form. Each of these documents serves a unique purpose in the licensing process, ensuring that applicants meet the required standards and regulations. Below is a list of commonly used forms and documents that may be required.

  • Massage Therapy Application: This is the primary form that applicants must fill out to initiate the licensing process. It collects personal information, educational background, and work history relevant to massage therapy.
  • Background Check Authorization: Applicants typically need to submit a background check authorization form. This document allows the state to conduct a criminal history check, ensuring that candidates meet the ethical standards required for practice.
  • Proof of Education: A transcript or diploma from an accredited massage therapy program is often required. This document verifies that the applicant has completed the necessary educational requirements for licensure.
  • Continuing Education Certificates: For those renewing their licenses, proof of completed continuing education courses may be necessary. This documentation shows that the therapist has kept up with industry standards and practices.
  • Verification of Previous Licenses: If an applicant has held a massage therapy license in another state, they must provide verification from that state’s licensing board. This confirms the status of their previous license and any disciplinary actions taken.
  • Application Fee Payment Receipt: Applicants must typically pay a fee when submitting their application. A receipt or proof of payment is often required to confirm that the fee has been paid.

Gathering these documents can seem overwhelming, but each one plays a crucial role in ensuring that massage therapists meet the necessary qualifications to practice safely and effectively in Texas. Being prepared with the right paperwork can make the application process smoother and more efficient.

Similar forms

  • Professional License Verification Form: This document is used to confirm an individual's professional license status. Like the Massage License Texas Lookup form, it requires verification from the issuing authority and includes sections for both the applicant and the licensing agency.
  • Out-of-State License Verification Request: Similar in purpose, this form requests verification of a license held in another state. It ensures that all relevant information about the applicant’s licensing history is disclosed, just as the Massage License Texas Lookup does.
  • Background Check Authorization Form: This document grants permission for a background check. Both forms require the applicant’s consent and personal information, ensuring that the licensing authority can verify qualifications and any potential issues.
  • Continuing Education Certificate: This certificate confirms that an individual has completed required continuing education courses. Like the Massage License Texas Lookup, it verifies compliance with state regulations to maintain licensure.
  • Application for Licensure: This form initiates the process of obtaining a professional license. It shares similarities with the Massage License Texas Lookup by requiring personal information, educational background, and previous licensing details.
  • License Renewal Application: This document is submitted to renew an existing license. It often includes sections for verifying current status and compliance with ongoing education, paralleling the verification process in the Massage License Texas Lookup.
  • Certification of Good Standing: This form certifies that a licensee is in good standing with their licensing authority. It serves a similar function to the Massage License Texas Lookup by providing an official status update on the individual’s licensing situation.
  • Reciprocity Application: This application is used when seeking to transfer a license from one state to another. It requires similar information to the Massage License Texas Lookup, including verification of qualifications and current status from the original licensing authority.

Dos and Don'ts

When filling out the Massage License Texas Lookup form, it is crucial to follow specific guidelines to ensure accuracy and compliance. Here are six important dos and don'ts to consider:

  • Do type or print clearly in Section I to avoid any confusion.
  • Do provide accurate and complete information regarding your name and license number.
  • Do sign and date the form to authorize the release of your licensing information.
  • Do attach any required documents, such as the Findings of Fact and Decision and Order, if applicable.
  • Don't leave any sections blank; incomplete forms may lead to delays in processing.
  • Don't forget to check the current massage therapy requirements for your state before submission.

Adhering to these guidelines will facilitate a smoother application process and help avoid potential issues with your massage therapy license verification.

Misconceptions

When it comes to the Massage License Texas Lookup form, several misconceptions can lead to confusion. Here are six common misunderstandings:

  • It's only for Texas residents. Many believe this form is exclusively for individuals residing in Texas. In reality, it is also essential for out-of-state applicants seeking licensure in Texas.
  • Only the applicant can fill out the form. Some assume that only the individual applying for the license can complete the form. However, certain sections must be filled out by the out-of-state licensing authority, making it a collaborative process.
  • All licenses are automatically verified. There is a misconception that the Texas Department of State Health Services automatically verifies licenses from other states. In truth, the applicant must request this verification through the form.
  • It’s a simple one-page form. Many think that the form is straightforward and consists of just one page. In fact, it requires multiple sections to be completed, including detailed information about the applicant's education and licensing status.
  • Submitting the form guarantees licensure. Some applicants mistakenly believe that merely submitting the form ensures they will receive their massage therapy license. Licensure is contingent on meeting all requirements set by the Texas Department of State Health Services.
  • Out-of-state requirements are irrelevant. There is a belief that the requirements from the applicant's home state do not matter. However, the Texas licensing authority requires a complete understanding of the applicant's qualifications, including education and examination details from their state.

Understanding these misconceptions can help applicants navigate the licensing process more effectively. By being informed, individuals can ensure they complete the necessary steps accurately and efficiently.

Key takeaways

When filling out and using the Massage License Texas Lookup form, there are several important points to keep in mind. Here’s a concise list of key takeaways to guide you through the process:

  • Complete All Sections: Ensure that both Section I and Section II of the form are filled out accurately. Section I is for the applicant, while Section II must be completed by the out-of-state licensing authority.
  • Provide Clear Information: Type or print clearly when entering your information. This helps avoid any misunderstandings or processing delays.
  • Authorization Signature: Your signature is crucial as it authorizes the release of your licensing information. Make sure it is included.
  • Attach Required Documents: If your license has ever been denied, suspended, or revoked, you must attach a copy of the Findings of Fact and Decision and Order.
  • Include Current Requirements: Attach a copy of the current massage therapy requirements for your state. If these have been sent to Texas within the last year, you can skip this step.
  • Check License Status: Be sure to indicate the current status of your license, whether it is active, lapsed, inactive, denied, suspended, or revoked.
  • Education Hours: Fill in the total hours of education and specify the number of hours required in Swedish Massage and Anatomy & Physiology.
  • Examination Requirements: Clearly indicate if a written or practical examination is required for licensure in your state.
  • Verify Information: Before submitting, double-check all information for accuracy to prevent any potential issues.
  • Contact Information: Ensure your address and telephone number are current so that the licensing authority can reach you if needed.

By following these guidelines, you can navigate the Massage License Texas Lookup form with confidence and clarity. Proper preparation will help ensure a smoother process as you seek licensure in Texas.