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PUBLIC HEALTH ADVISORY CONCERNING FENTANYL AND FENTANYL-LACED SUBSTANCES

Pain Management Clinic

To submit a Pain Clinic Application

Application for Pain Management Clinic License Application for Pain Management Clinic License.   All of the supporting documentation can be uploaded to your online application or emailed to Painmanagement.health@tn.gov.

Criminal background checks for all owners

Proof that the owner is a medical doctor licensed under Title 63, Chapter 6; osteopathic physician licensed under Title 63, Chapter 9; advanced practice registered nurse licensed under Title 63, Chapter 7, who meets the requirements contained in T.C.A. § 63-7-126; or a physician assistant licensed under Title 63, Chapter 19  Copy of their old pain clinic certificate (if applicable)  A list of all non-license employee(s).

All licensed employee(s) who prescribe controlled substances must submit

a.      Copy of Board License

b.      DEA certificate

c.       Criminal background check

d.      Notice and Formulary for APRNs and Collaborative Practice Agreement for PAs

Medical director 

a.      Copy of Board License

b.      DEA certificate

c.       Criminal background check

d.      Certification from ABPM, ABIPP, AOA, or ABMS

Alternate Medical Director

a.      Copy of Board License

b.      DEA certificate

c.       Criminal background check

d.      Certification from ABPM, ABIPP, AOA, or ABMS

Information

Applying for initial licensure from your professional licensing board has become a bit easier. For the past year, the Department of Health has been working on an online application process that will allow all health care professionals to apply online for an initial license and complete (and update as necessary) a practitioner profile mandatory for certain professions. 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 required to complete your initial application! Please go to the initial application link below to begin the online process.

If you have questions, send an e-mail to painmanagement.health@TN.gov.


Health Professional Boards

The mission of each board is to safeguard the health, safety and welfare of Tennesseans by requiring those who practice health care professions within this state to be qualified.