Physician of the Day disclosure form

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Physician of the Day

Physician of the Day

Disclosure form

Only family physicians with a valid unrestricted Texas medical license and who are members in good standing in TAFP or TOMA may participate in the Physician of the Day program. The physician must not have ever had his or her license suspended or revoked, voluntarily surrendered his or her license, or been convicted of a felony or violation of any state or federal narcotics act. TAFP reserves the right to remove a physician who is scheduled to serve as Physician of the Day if there are any changes made to his or her membership status or to his or her medical license.

All physicians must fill out the disclosure form by fax or through the online form below. Please call (512) 329-8666 or e-mail if you have any questions about this policy.