Get California Radiology License Application
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the California Radiology License Application online
Completing the California Radiology License Application online is an essential step for individuals seeking to obtain their radiologic technologist fluoroscopy permit. This guide will provide you with clear, step-by-step instructions to successfully navigate and fill out the application accurately.
Follow the steps to complete your application effectively.
- Click ‘Get Form’ button to obtain the application form and open it for editing.
- In the first section, enter your full legal name, including last name, first name, and middle name. Ensure accuracy as mistakes may affect your application.
- Provide your date of birth, social security number, phone number, and mailing address, including city, state, and zip code. It is crucial to give precise information, particularly your social security number, as it is necessary for identification.
- Indicate whether you are providing your current California Diagnostic/Therapeutic Radiologic Technology Certificate number or your Radiologic Technologist Certificate Application with the ARRT Certificate attached. Select the appropriate option.
- If applicable, include a copy of your graduation diploma or certificate from an approved radiologic technologist fluoroscopy school. If submitting a resume instead, ensure it outlines your education, training, and experience equivalently.
- Prepare your non-refundable application fee of $75.00, which can be made in the form of a check or money order payable to the California Department of Public Health Radiologic Health Branch. Include this payment with your application.
- Review your completed application to ensure all information is accurate and complete. This reduces the risk of any delays in processing.
- Once you have filled out the form and attached any required documents, proceed to save changes, download, and/or print the completed application.
- Mail the application along with all supporting documents and the payment to the specified address provided in the application instructions.
Complete your California Radiology License Application online today and take the next step in your professional journey.
To obtain your CRT license in California, begin by completing an accredited radiologic technology program. After that, pass the relevant certification examination and gather the necessary documents for your California Radiology License Application. Submitting the completed application and any required fees will finalize your licensing process.