Therapeutic Physicists

The Registration Unit of the RHB ​authorizes physicists that provide therapeutic physics services. Approved physicists are called Therapeutic Calibration Physicists (TCP) and Therapeutic Survey Physicists (TSP).  ​A current list of these physicists is provided below.

​Forms

New Application

• CDPH 4256 (PDF) - Application for Authorization as Therapeutic Survey Physicist or Therapeutic Calibration Physicist
• Guidance for completing form CDPH 4256 (PDF)
  
• Fees: Application fees are not refundable. It is your responsibility to ensure that you meet application criteria prior to application submittal. Refer to 17 CCR § 30313.45 ​for details.
  

Renewal Application

• CDPH 4256 R (PDF) - Application for Renewal of Authorization as Therapeutic Survey Physicist or Therapeutic Calibration Physicist
• Guidance for completing form CDPH 4256R (PDF).
• ​Fees: Application fees are not refundable. It is your responsibility to ensure that you meet application criteria prior to application submittal. Refer to 17 CCR § 30313.45 for details.​

Name Address Change Form

• CDPH 8391 P (PDF) - Authorized Physicist Report of Name or Address Change

​License Verification Request Form

CA Approved Therapeutic Physicists

• Approved Therapeutic Calibration Physicists (PDF)​
  

• Approved Therapeutic Survey Physicists (PDF)​
  

​​Therapeutic Physicist​ FAQs

Contact Information

• Email questions/inquiries to: RHBRMT@cdph.ca.gov