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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 9/16
HEA5524 Application for Approval of a General X-ray Machine Operator Educational Program 10/07
HEA5525 General X-ray Machine Operator Clinical Module Affidavit 10/07


Last reviewed: 1/7/16

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