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Radiologic Licensure Forms

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

Form # Form Name Revision
HEA5124 Radiologic License Application 6/18
HEA5524 Application for Approval of a General X-ray Machine Operator Educational Program 6/13
HEA5525 General X-ray Machine Operator Clinical Module Affidavit 6/13


Last reviewed: 6/6/18