What is the Patient Access Program?

The Patient Access Program, or PAP, allows a patient, the patient�s parent or legal guardian if the patient is a minor, or the patient�s legal guardian if the patient is an incapacitated person to receive a copy of the patient�s Texas Prescription Monitoring Program record. The Texas Prescription Monitoring Program only maintains 36 months of patient information reported regarding Schedule II, III, IV, and V controlled substances dispensed by a pharmacy in Texas or to a Texas resident from a pharmacy located in another state.

Submit a Request

Who can submit a request for records?

Requests must be made by the patient, the patient�s parent or legal guardian if the patient is a minor, or the patient�s legal guardian if the patient is an incapacitated person.

What materials are required for me to submit a request?

Requests must be submitted on a notarized Patient Access Request Form and must include the following items:

• For requests submitted by the patient:
• A copy of the patient�s driver's license or state identification card,
• A copy of the patient�s social security card, and
• A fee of $50 (cashier�s check or money order only).


• For requests submitted by a parent or legal guardian:
• A copy of the parent or legal guardian�s driver�s license or state identification card,
• A copy of the parent or legal guardian�s social security card,
• A copy of the patient�s social security card,
• A copy of the patient's birth certificate or an Order of Guardianship, and
• A fee of $50 (cashier�s check or money order only).

How do I submit my request?

Requests must be submitted via mail to the Board's address, as follows:

• ATTN: Patient Access Program
  Texas State Board of Pharmacy
  George H. W. Bush State Office Building
  1801 Congress Avenue, Suite 13.100
  Austin, TX 78701

Forms

Patient Access Program request forms can be downloaded below. If you are requesting your own records, use the patient form. If you are requesting records as a parent or legal guardian, use the corresponding parent or legal guardian form.

PAP Request Form - Patient
PAP Request Form - Parent or Legal Guardian

Contact

For questions about the Patient Access Program, please email: PAP@pharmacy.texas.gov