Get Permanent Initial Medical Imaging License Application - Oregon

Filling out the Permanent Initial Medical Imaging License Application is a crucial step for those aiming to practice medical imaging in Oregon. This guide will provide a comprehensive overview of the process, ensuring users can complete the application seamlessly and correctly.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Part 1, provide your personal details including your last name, first name, date of birth, and gender. Fill in other fields such as height, weight, hair color, and eye color as applicable.
3. Move to Part 2 where you will enter your contact information. Include your mailing address, cell phone number, and both home and work email addresses.
4. In Part 3, detail your educational background by stating the name of the institution where you received your medical imaging education and include their address and contact information. If applicable, check the box indicating you received on-the-job training.
5. Part 4 requires you to provide information about your current or prospective employer in Oregon. Fill in the employer’s name and address, including your supervisor's name and contact number.
6. If you are working for a traveling agency, complete Part 5 with the agency's details. If not, you can proceed to Part 6.
7. In Part 6, indicate all credentials you hold by marking the appropriate boxes and attaching photocopies of each registry. Ensure to check your continuing education compliance as required.
8. Part 7 involves your personal background history. Answer all questions truthfully regarding any arrests or disciplinary actions. If applicable, provide documentation as detailed in this section.
9. In Part 8, read and agree to the terms by signing the application and noting the date. This confirms that all information is accurate.
10. Finally, review the OBMI Initial Application Checklist to ensure all required documents are included: your completed application, photocopies of your registry cards, a color passport-sized photograph, and the appropriate application fee. Save your changes, and proceed to submit your application.

Complete your Permanent Initial Medical Imaging License Application online today to take your first step towards a rewarding career in medical imaging.