Facility Accreditation

Accreditation Required

All facilities where orthotics and prosthetics are provided by persons holding a Texas license must be accredited, unless the facility is a licensed hospital or other facility licensed under Texas Health and Safety Code, Title 4, Subtitle B. Facility accreditation is not required at facilities where only fabrication is done.

A new application for accreditation is required for:

  • A new facility
  • A new location or branch of existing, affiliated facilities
  • A new location of an existing facility that is relocating
  • A facility adding the prosthetic or orthotic category to an accreditation that is not expired, suspended or revoked
  • A facility for which the accreditation has expired or has been terminated
  • An existing facility that has been transferred to new ownership, regardless of prior accreditation status


Facility accreditation must be renewed every two years. The process for renewal is the same as for initial accrediation.

If a facility is found to be in violation of the statute or administraitve rules, the accreditation will not be renewed until the facility has corrected the violation(s) to the satisfaction of the department.

Once a renewal has been issued, the accreditation renewal shall be affixed to or displayed with the original accreditation.

Application and Fee

To apply for an accreditation, submit a completed Facility Accreditation Application Form (PDF) along with the associated fee (listed below) and all required documentation.

Fee Schedule

Type of Accreditation Fee
Prosthetist or Orthotist Facility $400
Prosthetist and Orthotist Facility $500

Required Documentation

The application for accreditation must include the following items:

  • A scaled floor plan of the facility indicating the total square feet in the facility and clearly showing the location of parallel bars
  • Labeled photographs of each room and hallway clearly showing wheelchair accessibility and privacy protections for patients
  • Labeled photographs of the facility entrance clearly showing wheelchair accessibility
  • Labeled photographs of all laboratory and fabrication areas

Please make sure to take enough photographs so that we can see that your facility meets all the rule requirements for accreditation.

Multiple Facilities

If you are attempting to obtain certification for more than one facility, you must submit a single Facility Accreditation Application Form (PDF) and separate addendum pages for each additional site to be accredited.

Personnel Requirements

Accredited facilities must have the following staff and comply with the following conditions:

Practitioner In-Charge

An accredited facility must be under the on-site clinical direction of a practitioner licensed by the department in the discipline(s) for which the facility is accredited (i.e. orthotics, prosthetics, or both). The practitioner in charge will supervise the provision of prosthetics or orthotics in accordance with the law and administative rules.

Residency Program Director

Facilities providing professional clinical residencies shall have a residency program director to provide direct and indirect supervision of residents. The program director must be on-site as appropriate in accordance with the responsibilities in §114.30 of the administrative rules. The program director must be a Texas licensed practitioner whose license is in the same discipline in which the professional clinical residency is being conducted.

Safety Manager

An accredited facility must designate at least one person as the safety manager. The safety manager shall develop, carry out, and monitor the safety program for the accredited facility.

General Requirements for Accredited Facilities

Once approval is granted, accredited facilities will be responsible for complying with the requirements set forth in the administrative rules at §114.29(e) "General requirements for accredited facilities".

Change of Ownership

A change of ownership of a facility occurs when there is a change in the person(s) legally responsible for the operation of the facility, whether by lease or by ownership.

The new owner of a prosthetic or orthotic facility must apply for accreditation within ten business days after the change in ownership.