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Radiologic Health Branch (RHB)

Radiologic Technology and Nuclear Medicine Technology          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: You are required to inform RHB of any change of name or mailing address within 30 calendar days of the change. Use form CDPH 8391 (PDF).

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

 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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