Apply for a New Midwife License

Required Training and Education

Basic Midwifery Education

You must provide with your application materials documentation showing your completion of one of the following training pathways:

  1. Option 1 – Obtain a CPM certification from NARM
  2. Option 2 – Complete a MEAC Accredited Education Course
  3. Option 3 – Complete a TDLR Approved Education Course:

Pre-License Continuing Education Course

You must provide proof of completing a continuing education course on the current Texas Midwifery Basic Information and Instructors Manual (PDF).

Any midwifery association that grants continuing education credit may offer a course on the Manual.

The Association of Texas Midwives (ATM) offers this course by correspondence.

Newborn Blood Screenings

Midwives are responsible for ensuring that each child delivered receives newborn screening tests .

You must provide with your application materials information on how you will collect blood samples for screenings. You may either:

This requirement originates from Texas Health and Safety Code, Chapter 33 and Texas Administrative Code, Chapter 37.

CPR certification

You must provide with your application materials proof of CPR certification from one of the following sources:

Neonatal Resuscitation

You must provide with your application materials proof of current certification for neonatal resuscitation, §§1 - 4, from the American Academy of Pediatrics.

Human Trafficking Training

You must provide proof of completing the human trafficking prevention training course, required under Occupations Code, Chapter 116, from a HHSC-approved provider.


All applicants for initial licensure must submit proof of completing the Texas Midwives Jurisprudence Examination with the license application materials.

If you do not hold a CPM designation, you will be required to take the NARM examination after submitting your application form.

Application and Fee

When you are ready to apply, submit a completed Midwife License Application Form (PDF) with the non-refundable application fee of $275. Send all materials by mail to:

Texas Department of Licensing and Regulation
P.O. Box 12157
Austin, TX 78711-2157

If you need to send a document after submitting your application, please scan the document and send it to TDLR using our online customer service form.

If you need to submit a transcript, please ask your university to send electronic transcripts to TDLR at instead of mailing in an original or certified copy of an original transcript. If your need to submit other documents, such as receipt of fingerprint submission, please scan the document and send it electronically to TDLR using our Customer Service form.

Applicants with Criminal Convictions

If you have ever been convicted of a felony or misdemeanor (other than a minor traffic violation) or pleaded guilty or no contest (resulting in a deferred adjudication) to any in-state, out-of-state or federal criminal offense, you must provide a completed Criminal History Questionnaire (PDF) along with your application materials.

The department will conduct a criminal history background check on all persons who apply for or renew a license. Criminal convictions are reviewed on a case-by-case basis. Licenses may be denied based on the nature of the conviction and how long prior to the application the conviction occurred. Depending on your criminal history, a review can take from one to six weeks to complete.

Individuals may request TDLR review their criminal background before actually applying for a license. TDLR uses the same process for this pre-application evaluation as the process described below. See the Criminal History Evaluation Letter page for more information.

Please see the Guidelines for License Applicants with Criminal Convictions, which describe the process that TDLR uses to determine whether a criminal conviction renders an applicant an unsuitable candidate for the license, or whether a conviction warrants revocation or suspension of a license previously granted.