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    X-ray Equipment Registration & Inspection Forms

All files are in .PDF format. The free Adobe Acrobat Viewer is required to view them.

Radiation Generating Equipment Forms

Form # Form Name Revision
Date

Application

 Electronic Application for Registration of Radiation-Generating Equipment 2/11

Amendment

 Electronic Amendment of Radiation-Generating Equipment 2/11
Transfer or Disposal Electronic Notice of Tube Reduction Amendment 2/11
HEA5139 Application for Self Referral Screening of Radiation-Generating Equipment 6/11
HEA5530 Confidential Employer's Presumptive Overexposure Report 2/98

Last Updated 1/25/12

    
 
 
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Ohio Department of Health, 246 N. High St., Columbus, Ohio 43215