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Medical Waste

If you conduct medical waste management activities, you may need to obtain a registration, claim a registration by rule, or submit a notification. Some medical waste management activities are exempt from registration and notification requirements.

General Information

Regulatory Requirements

  • Regulated Activities
    Regulatory and application requirements for the treatment, transfer, transport, recordkeeping, and storage of medical waste.

Forms and Guidance

Application Fee

The application fee for a medical waste registration is $150. There is no fee for a notification.

Delinquent Fees and Penalties

If delinquent fees or penalties of $25 or more are associated with an applicant's Customer Number (CN), we are required to suspend processing of the application until payment is made. For more information, please visit the TCEQ delinquent fees and penalties web page.

Submit Documents Electronically

To streamline incoming document processing and review, please submit applications, reports, and other documents to the Municipal Solid Waste Permits Section electronically by email or via the TCEQ secure FTP site (TCEQ FTPS), in addition to submitting paper copies.



Disposing of Sharps, Syringes and Other Related Waste

  • Disposing of Sharps, Syringes, and Other Related Waste
    • Recommendations for safe disposal of household generated sharps and syringes
    • Requirements for management and disposal of sharps generated from a dentist's office, doctor's office, acupuncture clinic, or other health care-related facility
    • Management and disposal of used or expired pharmaceutical waste

Medical Waste Facilities and Transporters


Contact MSW Permits Section

Contact the MSW Permits Section if you have questions about managing medical waste.