The Texas Medical and Dental Schools Application Service (TMDSAS) is a centralized application process for applying to public medical, dentistry, podiatry, and veterinary schools in Texas.
TMDSAS is a separate application process from AMCAS (MD schools outside TX) or AACOMAS (DO schools outside TX) with different requirements. You can submit as early as May or as late as November. (We recommend applying as early as possible.)
Important TMDSAS dates and deadlines:
If you’re applying to DO schools or MD schools outside of Texas, check out our guides to AACOMAS (osteopathic schools) or AMCAS (allopathic medical schools).
If you’re applying to DO schools or MD schools outside of Texas, check out our guides to AACOMAS (osteopathic schools) or AMCAS (allopathic medical schools).
I’ll walk you through what to expect when submitting your primary application through TMDSAS, including a step-by-step guide with screenshots that should increase your odds of success. This is a guide for medical applicants, not veterinary medicine or dental applicants.
The 14 Texas medical schools that participate in TMDSAS strongly favor Texas residents. 25% of TMDSAS applicants live outside the state of Texas. However, only 5-10% of matriculants are from out of state.
By law, there’s a 10% cap on out-of-state matriculants. If you decide to apply through the TMDSAS and you are from out of state, be prepared to convince medical school admissions committees you are a good fit for their program and community.
To avoid putting all your eggs in one basket, be sure to apply through the AMCAS or AACOMAS for non-Texas schools, too.
If you are among the growing number of students taking a gap year before starting med school, consider moving to TX if you really want to go to a TX med school. You only have to demonstrate Texas residency for 12 consecutive months to qualify as a state resident and stack the odds in your favor.
The TMDSAS application system opens the first week of May every year, with the ability to submit applications coming about 2 weeks later. However, there are actions you need to take to prepare for the TMDSAS before it officially opens in May.
Medical schools usually use a rolling admissions process, meaning applications are reviewed as they are received. We recommend submitting your application as early as possible (the first week of June is ideal) to avoid delays and increase your chances.
Below, we break down the TMDSAS timeline in detail.
From September through December, you’re planning for May, when the TMDSAS opens.
From January through April, you’re preparing parts of your application that you’ll be able to upload into your AMCAS in May.
On May 1, 2026, the TMDSAS opens, and you can log in and fill out your application. You can’t actually submit any applications until May 15, though.
We recommend you submit your applications by mid-June for the best results.
Some TMDSAS elements are similar to those in AMCAS or AACOMAS applications, and others are different. Let’s go section by section through what to expect and how to fill out the TMDSAS for the best chance at admission to a Texas medical school.
The TMDSAS now requires applicants to adhere to certain professionalism standards concerning artificial intelligence (AI). Here are the recent updates:
Sign up for a TMDSAS account well before applications open. We recommend signing up for convenient text messages in case you need to reset your password.
Your email address will be your username. Create a password. Answer three security questions, and you’ve signed in!
The first page you’ll see after setting your login is the Applicant User Agreement. It’s several sections of items you have to check off before clicking “I agree.”
Once the TMDSAS opens, you can fill out the School Selection section. List all the medical schools, special programs, or dual degree programs (MD/PhD) that you’re applying to.
You will indicate whether you’re applying through any special or assured-admission programs, such as JAMP. If you’re not applying through special or assured admissions, you may indicate whether you’re applying to an Early Decision Program, available for about half of the Texas medical schools.
You’ll also indicate whether you’re also applying to schools through the AMCAS application process.
Here, you’ll answer the question, “Have you ever applied to a TMDSAS medical school?”
You’ll have to answer some short essay questions. For reapplicants, this is your opportunity to explain how you’ve strengthened your application since you last applied.
This section requires you to fill in the following personal information:
Be accurate and consistent, especially with residency information. Texas schools have specific criteria for in-state applicants.


List the high school(s) and college(s) you’ve attended, as well as any nontraditional training you’ve gone through.
In this section, indicate your high school GPA, SAT/ACT scores, how many terms, post-bacc studies, and disciplinary actions.
Read Next: What Counts Towards Your BCPM GPA?
Enter all coursework from each institution attended. Ensure accuracy, as TMDSAS will verify this information against your official transcripts.
The following courses do not need to be included:
What’s the best undergrad GPA to get into med school? Learn more here.
In this critical section, list every relevant healthcare and non-healthcare activity or experience since high school graduation.
You may only enter each activity into one category – except for the Leadership category, which can be combined with any other category.
Uniquely, the same activity can be listed under the categories Healthcare and Employment, but add a different description for each that focuses on the category.
Here are the categories of TMDSAS activities, along with the character limits for their descriptions:
Pick your three “Top Meaningful Activities.” You get an additional 500 characters (on top of the initial activity’s description) to describe how it was a most meaningful experience to you.
You can list “Planned Activities” that have not begun yet. You have 500 characters to describe what your future holds and why it matters. Just to be clear, don’t make up maybes and dreams; only list activities that are definitely set to happen in the near future that are relevant.
Unlike AMCAS, there is no limit to the amount of activities you can include in TMDSAS.
Free Guide: 5 Must-Have Activities for Med School Application
TMDSAS requires a residency affidavit for applicants claiming Texas residency for admissions purposes only. Non-Texas U.S. citizens may still apply, but far fewer non-Texas residents are accepted than people who have lived in Texas for at least 12 months.
Applicants who are not U.S. citizens must directly upload to TMDSAS a copy of their Permanent Resident card or Visa stamp in their passport.
Here, you have an opportunity to represent yourself through expression and perspective, rather than data. Along with the Activities section, this is where you can inject the most personality and narrative. Essays cannot be altered after you submit your application.
These are the three essays on the TMDSAS:
There is an additional essay for dual degree program applicants (MD/PhD and DO/PhD) so that the applicant can describe why they’re pursuing the dual degree. You should discuss research experience and publications in this essay.
TMDSAS requires three letters of evaluation, or a Health Professions Committee Packet or Letter. With either option, you may submit one additional letter or evaluation form, but you must indicate in the TMDSAS that you’re submitting the additional letter.
Create an entry for each letter, which prompts an email to your letter writers, who directly upload their letters of evaluation. You may also use helpful services like Interfolio to submit letters.
Know that processing can take 10-14 business days for your letters to be processed, approved, and uploaded to your application.
The letters of evaluation (also known as letters of recommendation) should be from individuals who can speak to your academic abilities, character, and suitability for the program.
You can submit your TMDSAS application before individual letters are submitted.
Transcripts are actually not due at the time that you submit your TMDSAS application. Transcripts may not be requested until after you’ve been accepted.
Save time and money by sending in transcripts only when requested by TMDSAS. If you send in your transcripts prior to a request, TMDSAS will not keep them on file.
Input your MCAT scores if available. TMDSAS will verify these scores, so ensure that your official scores are sent directly to TMDSAS from AMCAS.
Entering your MCAT info into the application will not automatically release your scores to TMDSAS.
You must intentionally release your MCAT scores to TMDSAS, utilizing the MCAT Score Reporting System. You must request to release your scores to TMDSAS as soon as they’re available to you.
You don’t have to wait till you have your MCAT scores to submit your application. You can release your MCAT scores after submitting, and it won’t affect your spot in the application processing queue.
The Chronology of Activities serves only as a summary page. It will auto-generate after you’ve completed other sections.
You can edit this chronology, but it won’t edit the origin section of the auto-generated information.
Here, you must indicate that everything you’ve included is true and that you’ll inform TMDSAS if anything happens before matriculation that changes your answers on the application. Then, you’ll submit your $230 payment.
Before finishing this final step, we recommend downloading a copy of your application and reviewing it one last time.
TMDSAS has a flat fee of $230 to apply. There is no difference in cost between in-state and out-of-state residents, and you don’t have to pay extra to apply to multiple schools.
The fee is payable only by credit card. This cost is non-refundable.
Unlike AMCAS or AACOMAS, TMDSAS does not grant any application fee waivers, regardless of your personal or financial circumstances.
There is limited information you can add or change after submitting your TMDSAS application.
Here is what you can add or update:
You cannot add or edit your essays or activities.
The TMDSAS uses a unique matching process that you need to know about if you’re applying in Texas.
The TMDSAS Match is the process by which applicants are matched into a medical school from which they received an acceptance letter from. The final outcome of the Match determines which Texas medical school you may attend.
Here’s how the TMDSAS Match works:
While the TMDSAS match may seem convoluted, it plays a key role in facilitating the distribution, acceptance, and withdrawal of applications among med schools during the cycle. TMDSAS sets annual deadlines for the Pre-Match offer period, Match preference deadline, and Match results announcement.
There are 14 Texas medical schools that use the Texas Medical and Dental Schools Application Service (TMDSAS):
Some private institutions in Texas don’t require the TMDSAS, including:
Texas uses the TMDSAS system to benefit both applicants and institutions. The TMDSAS Match program ensures the right students enroll at the right school. Texas lawmakers and institutions were probably trying to encourage in-state training to promote in-state practice after licensure.
If you’re not a resident of the Lone Star State, it may be difficult for you to be accepted into a Texas medical program — but not impossible. The Texas legislature set a 10% cap on non-resident med school students. This cap is meant to address Texans’ healthcare and health education needs by giving preference to resident applicants.
If your AP credits are listed on your college transcript, they should count toward your TMDSAS prerequisites. Many schools do prefer college-level coursework to advanced placement classes in high school.
If the AP credit is represented as a lump sum (i.e., “Transfer exam credit: 16 hours”), a letter from your Registrar’s Office is required to break down the following specifics: prefix, course number, course name, credit hours.
How to enter non-lump AP credits into your TMDSAS Coursework Section:
After submitting your application, you can monitor your application status in your portal at tmdsas.com. Check back regularly for messages from your applicant liaison. Resolve any prescribed coursework deficiencies when they arise.
The TMDSAS application process is not complicated, but there are ways you can inadvertently ruin your submission. The most common errors include:
You’ve spent so much time and money on the road to becoming a doctor. Don’t let a weak application cost you unnecessary time and money. Invest in application consulting at MedSchoolCoach.
Dr. Mehta is the founder of MedSchoolCoach and has guided thousands of successful medical school applicants. He is also a practicing physician in Boston where he specializes in vascular and interventional radiology.
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