Office-Based Surgery Centers

Applying for Licensure

When completing the application process below, you will be required to submit an official transcript from the institution where you completed your education. The transcript must be mailed directly from the educational institution to the board office located at 665 Mainstream Drive, Nashville, TN 37243 or emailed directly to our office at Unit1HRB.Health@tn.gov.

Effective immediately, anyone coming in person to complete their application, speak to an administrator, or paying a fee will be required to have an appointment. This will ensure excellent customer service. To schedule an appointment please email Unit1HRB.Health@tn.gov. An administrator will contact you with a date and time. 

Applying for initial licensure from your professional licensing board is available online. The process is user friendly and convenient and even allows you to pay for your initial application utilizing a credit card, debit card or e-check. You will also be able to upload many of the documents, provided below, required to complete your initial application. Click this application link to begin the online process.

For mailing documents please sent to: Board of Medical Examiners; 665 Mainstream Dr.; Nashville TN 37243.

Applications

• Application for Office Based Surgery (PH-3963)

Forms

• Office Based Surgery Level II & Level III Unanticipated Events Report (PH-4071)
• Declaration of Citizenship (PH-4183)
• Declaration of Eligibility for Expedited Licensure Process for a Military Member (PH-4279) 
• Declaration of Eligibility for Expedited Licensure Process for a Spouse of a Military Member (PH-4280) 
• Request for Duplicate License (PH-4058)
• Name and Address Change Request 
• Affidavit of Retirement (PH-3460)
• Reporting of Convictions of Physicians
• Petition for Declaratory Order
• Request for Advisory Ruling
• Public Record Request Form
• Application for Licensure Reinstatement

Meetings, Members, & Minutes

Meeting Schedule

Public Notices will remain online until the minutes are ratified and posted on the Meeting Minutes page.

Unless otherwise noted, all events take place at 665 Mainstream Drive, MetroCenter.

Continuing Education

Failure to comply with continuing education requirements may result in disciplinary action against the licensee or registrant. The disciplinary action will be reported on the Department of Health license verification web site.

All licensees are required to renew their license every two years. The renewal cycle is set up whereby everyone renews in their birth month. The year they renew depends on whether they were born in an even or odd year. Thus the renewal of their professional license is set up in their birth month every two years.

When renewing, the document that is signed states the licensee has fulfilled all the requirements for renewal. That means no continuing education documentation is to be mailed in with the renewal and that the licensee attests to having obtained the required continuing education. The only time continuing education is to be mailed in is when an official audit is conducted and the licensee is mailed a certified letter from this office requiring submission of the documentation.

A licensee is required to complete 15 hours of continuing education every calendar year. Three of the 15 hours each year must be ABCP Category 1 courses. The other 12 hours must be approved by the ABCP, the AMA or the TMA or any other AMA recognized medical specialty certification organization. If the continuing education is not approved or sponsored by the ABCP, the content and structure must be as strict as the standards utilized by the ABCP in approving or sponsoring continuing education. Please keep in mind this information is for renewal of the Tennessee Perfusionist License not for certification.

All documentation must be retained by the licensee for at least four years from the end of the renewal period in which the continuing education was acquired

The Committee or Board may waive or otherwise modify the requirements in cases where there is retirement, or an illness, disability or other undue hardship that prevents a licensee from obtaining the requisite number of continuing education hours. Requests for waivers or modification must be sent in writing to the Administrative Office prior to the expiration of the renewal period in which the continuing education is due.

CE Broker

Frequently Asked Questions

Questions

Policies, Rules, & Statutes

Statutes

Statutes are proposed and made law by the Tennessee State General Assembly (Legislature). The Board, following specific notice requirements and hearings, adopts rules. Both have the force of law and may be used in the regulation of a profession. The statutes pertaining to this Board are found at T. C. A. 63-1 (Division of Health Related Boards) and T.C.A. 63-2 (Medical Records).

Click here for the Lexis Nexis site of the Tennessee Code Annotated.

Rules

Click for the General Rules and Regulations of the Tennessee Board of Medical Examiners