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The Massage License Texas Lookup form serves as a crucial tool for individuals seeking licensure as Massage Therapists in Texas, particularly those who hold or have previously held licensure in other states. This form is essential for the verification process, as it ensures that all out-of-state licensing authorities provide comprehensive information about the applicant’s professional background. Applicants must complete Section I, where they will input their personal details, including their name, license number, and date of birth. This section also contains a signature line authorizing the release of their licensing information. Subsequently, Section II must be filled out by the out-of-state licensing authority. This section confirms the applicant’s registration and outlines the current status of their license, which may be active, lapsed, inactive, denied, suspended, or revoked. The form also requires the out-of-state authority to detail the qualifications necessary for licensure in their state, such as education requirements, exemptions, and examination mandates. Notably, a copy of the current massage therapy regulations from the issuing state must accompany the form if it has not been submitted within the past twelve months. This comprehensive approach helps ensure that all applicants meet the necessary qualifications to practice massage therapy safely and legally in Texas.

Massage License Texas Lookup Example

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 Characteristics

Fact Name Details
Governing Agency The form is administered by the Texas Department of State Health Services.
Purpose This form is used for out-of-state license verification for Texas Massage Therapist licensure applications.
Authorization Requirement The applicant must provide a signature to authorize the release of all licensing information.
Sections The form includes two sections: Section I for the applicant and Section II for the out-of-state licensing authority to complete.
License Status Indicators Status options include Active, Lapsed, Inactive, Denied, Suspended, and Revoked.
Qualification Information The form requires details on hours of education, Swedish Massage, and Anatomy & Physiology.
Documentation Requirement The applicant must attach a copy of the current massage therapy requirements from their state.

Guidelines on Utilizing Massage License Texas Lookup

When preparing to fill out the Massage License Texas Lookup form, it’s essential to approach the task methodically. Completing this form accurately is important to ensure a smooth verification process for your massage therapy license. Follow the steps outlined below to guide you through filling out the necessary sections of the form.

  1. Begin by writing your name clearly in the space provided for the applicant's name.
  2. Next, input your license number, which is critical for the verification process.
  3. Affix your signature in the designated area to provide authorization for information release.
  4. Include the date of completion near your signature.
  5. Fill in your complete mailing address, making sure to include street number, city, state, and zip code.
  6. List your telephone number, including the area code, to ensure the agency can contact you if necessary.
  7. Provide your date of birth in the specified section.
  8. In Section II, ensure that the out-of-state licensing authority has completed their part carefully. This involves entering your name and confirming your license status (active, lapsed, etc.).
  9. Verify that the agency checks the appropriate boxes that indicate if you are registered, certified, or licensed.
  10. Record the effective date of your license or registration.
  11. Complete the details related to the qualifications for licensure in your state, including total hours of education and specific requirements for massage and anatomy courses.
  12. Indicate whether written or practical examinations were required in your state.
  13. Attach required documentation as specified, including a copy of your state’s current massage therapy requirements and any relevant findings of facts and decisions.
  14. Ensure the out-of-state agency completes the final certification, which includes an authorized signature, typed name, title, and the agency's date of completion.

What You Should Know About This Form

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

This form is used to verify your eligibility for licensure as a massage therapist in Texas. If you have ever held a massage therapy license in another state, this form must be completed by the appropriate licensing authority in that state. It provides important information about your license status and qualifications, ensuring that you meet the standards set by the Texas Department of State Health Services.

Who needs to fill out this form?

If you are applying for a massage therapist license in Texas and have held a license in another state, you will need to complete this form. Your previous licensing authority must fill out Section II, confirming your licensure status and credentials.

What information is required in Section I of the form?

Section I requires you to provide your name, license number, signature, and contact information, including your address and telephone number. You must also include your date of birth. This section helps identify you and authorize the release of your licensing information from other states.

What should be included in Section II?

Section II must be filled out by the out-of-state licensing authority. This section certifies your current license status, such as whether it is active or lapsed. Additionally, it includes details on how your license was issued, the education requirements, and whether any examinations were necessary. This information is crucial in assessing your qualifications and eligibility for a Texas license.

What if my previous license is currently suspended or revoked?

If your previous license is suspended or revoked, you must indicate this on the form. Documentation supporting this status, including any relevant findings or orders, will need to be attached. This information allows the Texas Department of State Health Services to make an informed decision regarding your application.

How do I submit the completed form?

Once the form has been filled out by both you and the out-of-state licensing authority, you can submit it directly to the Texas Department of State Health Services. Ensure that all required attachments, including any state rules or requirements, are included with your submission to avoid delays in processing your application.

Where can I find more information about massage therapy licensure in Texas?

For additional details about the massage therapy licensing program in Texas, you can visit the official website of the Texas Department of State Health Services. Their site provides resources, contact information, and guidelines that can assist you throughout the licensing process.

Common mistakes

Filling out the Massage License Texas Lookup form can sometimes be a daunting process. Many individuals encounter mistakes that can delay their application or result in inaccuracies. Understanding these common pitfalls can help applicants ensure their submissions are correct and complete.

One frequent mistake is related to illegibility. The form asks for applicants to type or print clearly. When people write in a hurry or do not take the time to ensure neat handwriting, it can lead to misinterpretations of their names or addresses. This oversight can complicate the verification process, so taking the extra time to fill out the form neatly is essential.

Another common error is failing to provide a complete address. Applicants often forget to include critical details, such as the P.O. Box or specific street numbers. An incomplete address can result in delays in processing or returning important documents. Always double-check that every aspect of the address is filled out accurately.

Some applicants also neglect to sign the form. The signature authorizes the out-of-state board to release information about the applicant. Without this crucial signature, the form may be considered invalid or incomplete, leading to further complications. Ensure that you sign and date the form before submission.

In Section II, where the out-of-state licensing authority completes part of the form, mistakes can occur. For instance, if the licensing authority leaves out the effective date of the license, it can lead to questions about the applicant's current status. It is vital that the agency providing the verification ensures that all required sections are filled out correctly.

Another mistake involves not accurately indicating the current status of the license. Check marks may be misapplied or skipped altogether. Failing to correctly mark whether the license is active, lapsed, or otherwise can lead to misunderstandings and delay in processing.

In addition, many forget to attach supporting documents. For example, the form requests a copy of the current massage therapy requirements from the applicant's state. Failing to include these documents can lead to rejection or requests for further information.

Additionally, some applicants struggle with the detail of the education requirements. If they do not accurately list the total hours or specific hours required in areas like Swedish Massage or Anatomy and Physiology, it can affect their eligibility. Double-checking these figures and providing accurate information is crucial.

Lastly, applicants should ensure they are aware of their state’s requirements. Misunderstanding licensure qualifications can lead to incomplete forms. It is best to consult with the appropriate agency or website to ensure all details are fully understood and accurately recorded.

By recognizing these common mistakes, applicants can complete the Massage License Texas Lookup form with greater accuracy, ensuring a smoother licensing process.

Documents used along the form

When seeking licensure as a Massage Therapist in Texas, various forms and documents work together to ensure a thorough application process. Here is a list of the most common documents used alongside the Massage License Texas Lookup form, each serving a specific purpose.

  • Massage Therapy Application: This is the primary form for individuals seeking to obtain a massage therapy license in Texas. It gathers personal information, education, and experience details necessary for licensure consideration.
  • Proof of Education: Applicants must provide documentation of their educational background, which must meet the state's required hours in massage therapy and related subjects. This may include transcripts or diplomas from accredited institutions.
  • Criminal Background Check Consent Form: Most states require applicants to undergo a criminal background check. This consent form allows the licensing authority to access an applicant's criminal history to assess their fitness for licensure.
  • Certificate of Good Standing: This document verifies that an applicant holds a current and legitimate license in another state, or no disciplinary actions have been taken against them. It is usually requested from the applicant's previous licensing authority.
  • Out-of-State License Verification: This form is completed by the licensing authority of another state, confirming the applicant's status and credibility as a licensed massage therapist.
  • Professional Liability Insurance Verification: It shows evidence that the applicant has sufficient liability insurance coverage. This protection is essential for practicing professionals, verifying that they are covered in the event of any claims.
  • Continuing Education Certificates: Many states require proof of ongoing education for license renewal. These certificates demonstrate that the therapist has completed necessary continuing education courses.
  • Application Fee Payment Receipt: A receipt indicating that the required application fee has been paid is an essential part of the application process. This must be included to ensure processing.
  • Employment Verification Letters: If required, these letters confirm the applicant's work experience as a massage therapist. They validate the number of hours worked and the settings in which the applicant has practiced.
  • Personal Statement: Some applications may ask for a personal statement outlining the applicant's intent to practice massage therapy, ethical considerations, and dedication to client care.

Each of these documents plays a crucial role in the licensing process. By ensuring that all forms are correctly completed and submitted, applicants increase their chances of a smooth and successful application experience.

Similar forms

  • Professional License Verification Form: Similar to the Massage License Texas Lookup, this form is used to verify the status of various professional licenses, including nursing and teaching licenses. It typically requires applicant information and confirmation from the issuing authority.

  • State Board License Application: This application is completed to obtain or renew a state-issued professional license. Like the Massage License Lookup, it collects personal and professional information to assess eligibility.

  • Out-of-State License Transfer Form: This document serves as a request to transfer licensure from one state to another. It closely mirrors the lookup form in its need for verification by the original state’s licensing authority.

  • National Certification Verification: This form is utilized to confirm national certification status. It includes details on education and examination requirements, akin to the verification section in the massage license form.

  • Background Check Authorization: Required for many professional licenses, this document authorizes a background check, similar to the authorization found in the Massage License Lookup for sharing information.

  • Residency Verification Form: This form ensures that applicants meet residency requirements. It is often required alongside license applications and shares the need for personal and agency verification.

  • Continuing Education Certification: This verifies the completion of required continuing education for license renewal, paralleling the education requirement sections of the massage license documentation.

  • Application for Certification as a Healer: This application allows practitioners of various healing arts to apply for state certification. It includes an informational section similar to the massage therapy licensure verification form.

  • Credential Evaluation Request: This form is used to evaluate educational credentials for licensing purposes, similar to how the Massage License Lookup asks for educational qualifications.

  • Notice of License Denial or Suspension: This document informs applicants of the status of their license. It often requires detailed explanations and mirrors the status check elements found in the massage license form.

Dos and Don'ts

When completing the Massage License Texas Lookup form, it is essential to follow specific guidelines to ensure accuracy and compliance. Below are ten recommendations and precautions to consider:

  • Do type or print the information clearly to avoid misunderstandings.
  • Do include your full name and license number in the designated sections.
  • Do sign and date the application to validate your request.
  • Do provide accurate contact information, including your current address and phone number.
  • Do ensure that Section II is filled out by the out-of-state licensing authority.
  • Don't leave any sections blank; complete all required fields.
  • Don't use abbreviations or informal language when filling out the form.
  • Don't forget to attach any required documents, like the current massage therapy requirements.
  • Don't use a pencil; complete the form in blue or black ink or typed format.
  • Don't submit falsified information, as it may jeopardize your application.

By following these guidelines, you can help ensure a smooth processing of your application for licensure as a Massage Therapist in Texas.

Misconceptions

Here are 9 misconceptions about the Massage License Texas Lookup form:

  1. Only Texas residents need to fill it out. The form is required for all applicants, including out-of-state therapists seeking licensure in Texas.
  2. The form does not require a signature. A signature is mandatory. It authorizes the release of your licensing information from other states.
  3. Completion is optional. All sections of the form must be accurately completed to process the application without delays.
  4. Only active licenses are verified. The verification includes all status types, such as lapsed, inactive, denied, or revoked.
  5. Submitting the form is enough for licensure. You must also include additional documentation, such as the current massage therapy requirements from your state.
  6. Education and examination details are not necessary. The form requires specifics about education hours and examination requirements from the applicant's home state.
  7. The form does not affect application timelines. Inaccurate or incomplete forms can delay the licensing process significantly.
  8. This form is only needed for new applicants. It is required for any massage therapist who has held a license in another state, regardless of license status.
  9. There are no additional documents needed. You must attach supporting documents, particularly if your license is not currently active.

Understanding these misconceptions can help streamline the licensing process for massage therapists applying in Texas. Always ensure that the form is filled out completely and accurately to avoid unnecessary delays.

Key takeaways

The Massage License Texas Lookup form is an essential document for individuals seeking licensure as a Massage Therapist in Texas. Consider these takeaways when filling it out and using it:

  • Complete the form legibly. Clear typing or printing ensures ease of reading.
  • Provide your full name and license number in Section I. This information is critical for proper identification.
  • Sign and date the form to authorize the release of your licensing information.
  • Fill in your complete address, including city and state, to avoid processing delays.
  • Provide a valid telephone number so that authorities can reach you if needed.
  • Ensure you include your date of birth for additional identification verification.
  • Section II must be completed by the out-of-state licensing authority. This confirms your status in another state.
  • Include any necessary documents, such as a copy of your state's massage therapy requirements, to complete the request.
  • Understand the different statuses that a license may have, like Active or Suspended, and note them accurately.
  • Be aware that your application cannot proceed without the appropriate documentation from previous licensing authorities.

By paying close attention to these key points, you can facilitate a smoother application process for your Texas massage therapy license.