image of caduceus
Acupuncturist Documentation Checklist

In addition to the online application, the following list is provided to help applicants ensure they have submitted all the forms necessary for their application to be processed.  Note:  This list is general and should in no way be considered a complete list for any one individual applicant. 

It isadvisable that all documentation be collected and submitted it in one packet; however, the Board realizes that some examination entities and state licensing boards that will not send the documents to applicants, but will send them directly to the Board.


Applicants (excluding Relicensure and Reissuance) must submit the following:

  • Proof of Identity.  Copy of birth certificate or passport.

  • Diploma.  Copy of Acupuncture Diploma.

  • Dean's Certification (Form D) and certified acupuncture school transcript. These forms can be found by clicking the Supplemental Forms link to the left and selecting the Licensing Forms Acupuncture.

    Request that each acupuncture school you attended submit both of these forms to you in a sealed envelope with the signature of an acupuncture school official across the outside envelope flap. Do not open this envelope. Send the unopened envelope to the Texas State Board of Acupuncture Examiners.
  • Pre-Acupuncture Education.  Request each undergraduate school you attended submit a transcript to you in an unopened envelope with a signature of a school official across the outside envelope flap.

  • Form L-PA/AC Physician Assistant Licensure Evaluation. You must have every professional affiliation for the past 5 years fill out Form L-PA/AC.  (This applies only to work performed in the United States.)  For new graduates, the Program Director should complete the form and return it to you in a sealed envelope with their signature across the outside envelope flap. Do not open this envelope. Send the unopened envelope to the TSBAE.

  • Examination Transcripts.  Contact the NCCAOM and CCAOM and request that a certified transcript of all examination attempts be sent directly to the TSBAE.
  • Criminal History Verification.  Submit the DPS Computerized Criminal History (CCH) Verification form that can be found by clicking the Supplemental Forms link to the left and selecting the Licensing Forms Acupuncture.  Note that in some cases applicants may also be required to get fingerprints.
  • State Board Licensure Verifications.  Contact each state, province or federal locale in which you have ever held a license or applied for a license as a health care professional.  Request that they furnish you a verification in a sealed envelope with the state board seal across the outside of the envelope.  Some states may require the verification be sent directly to the Board.
  • Alternate Name.   If you have recorded an alternate name on your application you are required to submit copies of documents that will support the name change. Those documents could be a marriage certificate, divorce decree, court ordered name change, or some other official document.
  • National Practitioner Data Bank/Health Integrity Data Bank Self-Query Response - Contact the National Practitioner Data Bank (NPDB)/Healthcare Integrity and Protection Databank (HIPDB) at http://www.npdb.hrsa.gov/   and perform a self-query. Send either of the following to the TMB: (a) a copy of the paper self-query response mailed to you by HIPDB/NPDB; or, (b) a print out of the electronic version of the self-query response.
  • DD 214.  Copy indicating the type of discharge, if applicable.
  • Fingerprints.  Effective for Acupuncture licensure applications received after 10/20/2015 – Applicants are required to submit their Fingerprints for state and national criminal history background checks.  Fingerprinting services are provided by MorphoTrust USA for a fee of $41.45, payable directly to MorphoTrust USA.  Results of the fingerprinting will be sent directly to TMB both from the Texas Department of Public Safety Criminal Records and the Federal Bureau of Investigation.

International Acupuncture School Graduates

In addition to the information for all applicants, graduates of acupuncture schools outside of the United States must submit proof of their eligibility to practice in the country in which they are granted.  All documentation that is not in English must be translated into English before it is submitted to the TSBAE.

  • Eligibility to Practice in Country of Graduation. Submit a copy of your license to practice in the country where your acupuncture school is located.  If you do not have a license, have the licensing authority in the country where your acupuncture school is located submit a letter to you regarding eligibility to practice as an acupuncturist, in a sealed envelope, with the licensing authorities seal stamped across the outside flap.

Relicensure Applicants

If your license has been canceled for non-payment or by request, you are required to meet current statutory requirements and board rules. Submit documentation of anything that is new or has changed since you were originally licensed, as well as documentation that is non-static, such as state board verifications.

Reissuance Applicants

If your license has been revoked by the board, you are required to meet current statutory requirements and board rules. In addition, you must furnish documentation that the reissuance of your license is in your best interest and in the best interest of the public. Submit documentation of anything that is new or has changed since you were originally licensed, as well as documentation that is non-static, such as state board verifications.