Apply for a Nitrous Oxide Permit

Podiatrists must obtain a Nitrous Oxide Permit before using nitrous oxide sedation on a patient for podiatric medical purposes.


Training Requirements

Equipment Training

You must complete a didactic and clinical course which includes aspects of monitoring patients and the hands-on use of the gas machine. The didactic and clinical course must:

  • be directed by a licensed and certified M.D., D.O., D.D.S., or D.P.M., in the State of Texas with advanced educational and clinical experience with routine administration of nitrous oxide/oxygen inhalation conscious sedation
  • include a minimum of four (4) hours didactic work in pharmacodynamics of nitrous oxide/oxygen inhalation conscious sedation
  • include a minimum of six (6) hours of clinical experience under personal supervision

Sedation Course

You must complete a continuing medical education course in nitrous oxide/oxygen inhalation conscious sedation that includes training in the prevention and management of emergencies in the podiatric medical practice.

CPR Course

You must complete both basic and advanced CPR programs sponsored by either the American Heart Association or the American Red Cross.


Apply Online

To apply for the permit, complete an online application form and pay the fee of $25. Required certificates, training, and other documentation can be uploaded.

Apply Now

Certificates are valid for one year from date of issue.


On-Site Inspections

The department may at any time at its own discretion and without prior notification require an on-site office evaluation to determine that all standards regarding nitrous oxide/oxygen inhalation conscious sedation are being met.


Display of Permit

A nitrous oxide permit must be clearly displayed in the physician's office.


Change of Address

Certificate holders must inform the department of any address change or change of hospital setting no later than ten (10) business days after the change is made.