radiologic health branch

Mobile Medical Service Provider Licenses

The use of radioactive materials in a mobile service to provide equipment only (non-human use) and full service (human use) to clients.

RH 313A (AU) (PDF) - Interactive Training and Experience Form for Authorized User
RH 313A (RSO) (PDF)- Interactive Training and Experience Form for Radiation Safety Officer.
CDPH 5314 Notice (PDF) - Information about terminating a License.
CDPH 5314 (PDF) - Certificate of Disposition of Materials.
Ownership Change - Sample (DOCX) - Sample letter for requesting a change of ownership. (Note: If you are having difficulty accessing this document, please contact CDPH at RHBGLLicensingInfo@cdph.ca.gov to request this information in an alternate format.)