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TEXAS PT JURISPRUDENCE MASTER EXAM (TX JAM) 2026: 250 Q&A STUDY GUIDE

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TEXAS PT JURISPRUDENCE MASTER EXAM (TX JAM) 2026: 250 Q&A STUDY GUIDE

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TEXAS PT JURISPRUDENCE
MASTER EXAM (TX JAM) 2026: 250
Q&A STUDY GUIDE




Here is a detailed guide to the Texas Physical Therapy Jurisprudence Exam, including a study guide
outline and a clinical SOAP note demonstrating legally compliant documentation.



---



### Part 1: Texas PT Jurisprudence Exam Study Guide



The Texas Jurisprudence Exam is an open-book, multiple-choice assessment based on the Texas Physical
Therapy Practice Act and Board Rules. You **must** pass this exam (after passing the NPTE) to obtain a
Texas PT license.

, #### Key Exam Topics & Rules



**1. Licensure & Renewal**

- **Renewal Cycle:** Every 2 years by the end of your birth month (biennial).

- **Continuing Competence Units (CCUs):**

- **PTs:** 30 CCUs per renewal period.

- **PTAs:** 20 CCUs per renewal period.

- **Record Keeping:** Keep proof of CCUs for **4 years** after license expiration.

- **Expired Licenses:**

- `< 90 days:` Pay late fee.

- `90 days – 1 year:` Pay fee + show CCU documentation.

- `1 – 5 years:` Take Jurisprudence exam + pay restoration fee.

- `> 5 years:` Retake the NPTE.



**2. Supervision & Delegation**

- **PTA Supervision:** PT must be "on call and readily available." Documented conferences are
required.

- **Aide Supervision:** PT or PTA must provide **on-site** supervision.

- **Plan of Care (POC):** **Only a PT** can establish or change a POC. A PTA *cannot* begin treatment
until a written POC exists.

- **Re-evaluations:** Required every **60 days**, or with change in status. Requires direct PT-patient
interaction.



**3. Documentation Requirements**

- **Required Contents:** Referral, initial exam/eval, POC, daily notes, re-evals, discharge summary.

- **Discharge Summary:** Must include response to treatment and follow-up plan.

- **Verbal Referrals:** Must be recorded, signed, and contain the same info as a written referral.



**4. Referrals & Direct Access**

- **General Rule:** A referral is required for treatment (diagnosis based on referral).

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