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Radiation Control

Radiologic Technologist Forms and Documents

(All documents are less than 500KB unless otherwise noted.)

Forms & Documents

 Description

Title

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Application form for certification as a General Radiographer, Nuclear Medicine Technologist, Radiation Therapy Technologist or Radiologist Assistant. Also includes application instructions, background history report form (DH 4127), and license verification form (DH 4128).

DH Form 1005, version 10/09,
adopted February 18, 2010,
in rule 64E-3.003, FAC

PDF

Application form for certification as a Basic X-ray Machine Operator or Basic X-ray Machine Operator - Podiatric. Also includes application instructions and background history report form (DH 4127), and license verification form (DH 4128).

DH Form 1006, version 10/09,
adopted February 18, 2010,
in rule 64E-3.003, FAC

PDF

Background History Report Form

DH Form 4127, version 10/07,
adopted March 4, 2008,
in rule 64E-3.003, FAC

PDF

License Verification Form

DH Form 4128, version 10/07,
adopted March 4, 2008, in rule
64E-3.003, FAC

PDF

List of Accredited Radiologic Technology (RT) Training Programs in Florida

RT Programs List

PDF

Radiological Personnel Certification Act "Blue Book"

Contains all statutes and regulations governing the professions, in printable booklet form. This includes Chapter 468, Part IV, FS. and Chapter 64E-3, FAC. Also includes the ARRT "Radiologist Assistant Role Delineation, Jan. 2005", incorporated by reference.

Certification Act "Blue Book"

PDF (689 KB)

Content Specifications for all of the ARRT's radiologic technology examinations. The department uses these exams for Florida certification.

Content Specifications

HTML

Training Program Curriculum & Objectives for Therapy Assistance by General Radiographers

Therapy Assistance Curriculum

PDF

List of Approved Continuing Education (CE) Providers

Continuing Education Provider List

HTML

Request for Approval of Continuing Education Course
(for CE Provider Use)

DH Form 374, version 10/07
Adopted March 4, 2008

PDF

Guidelines and Requirements For Providers of Continuing Education Courses
(for CE Provider Use)

Provider Guidelines

PDF (962KB)

 
This page was last modified on: 02/12/2013 01:40:43