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Radiologic Health Branch (RHB)

Radiologic Technology and Nuclear Medicine Technology     

The information you provide to the RHB may be disclosable under  the California Public Records Act (PRA).  In response to PRA requests, RHB may release the address of record for Radiologic Technologists, X-ray Technicians, Nuclear Medicine Technologists, and Certified Supervisor and Operators. If you wish to provide RHB with an alternate address that will be released to the public release upon request, please submit form CDPH 8391.

 Applications and FAQS

 RHB's application forms (below) are categorized as follows:

  • Radiologic Technologist (RT) Forms
  • Limited Permit X-ray Technician (XT) Forms
  • Licentiate Forms (i.e. MD, DO, DC, DPM, PA)
  • Nuclear Medicine Technologist (NMT) Forms
  • Miscellaneous Forms: Change of Name/Address - RT, XT, NMT, & Licentiate.

IMPORTANT NOTE:  If you did not receive your renewal notice, use the "Special Renewal Application" as found in the applicable category below.

General Information or Links:

 Radiologic Technologists (RT) Forms

  • CDPH 8200 (PDF) - Radiologic Technology Certificate Application (Diagnostic & Therapeutic). [DO NOT USE FOR CERTIFICATE RENEWAL]
  • CDPH 8218 (PDF) - Radiologic Technologist Fluoroscopy Permit Application [DO NOT USE FOR PERMIT RENEWAL]

 Limited Permit X-ray Technician (XT) Forms ​​

 

 Licentiate Forms (MD, DO, DC, DPM, PA)

  • Special Renewal Application forms for Physician Assistant Fluoroscopy Permits:
  • CDPH 8230 (PDF) - California Licentiate Supervisor & Operator Permits [DO NOT USE FOR PERMIT RENEWAL]

 Nuclear Medicine Technologists (NMT) Forms

  • CDPH 8435 (PDF) - Nuclear Medicine Technology Certificate Application [DO NOT USE FOR PERMIT RENEWAL]

 Miscellaneous Forms

  • CDPH 8391 (PDF) - Change of Name or Address Form - RT, XT, NMT, & Licentiates​        
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