Get Application For Radiography Certificate - Delaware Health And ... - Dhss Delaware

This guide provides clear and supportive instructions on how to effectively fill out the Application for Radiography Certificate required by the Delaware Health and Social Services. Whether you are a first-time applicant or renewing your certificate, these steps will ensure that you understand each component of the application process.

Follow the steps to complete your application accurately and efficiently.

1. Click ‘Get Form’ button to obtain the application form and open it for editing.
2. Begin with filling out your personal information. Enter your name, phone number, and mailing address clearly and legibly, ensuring to include the city, state, and ZIP code.
3. In the next section, provide your Social Security number and date of birth. These details are necessary for identification purposes.
4. Select the type of certificate you are applying for. This may include options for Dental Radiation Technician, Bone Densitometry Operator, or Medical Limited Scope. Ensure that you check the appropriate box.
5. Indicate if you have attached any required documentation, such as proof of examination results or letters for fee waivers for students.
6. Review the section regarding felony convictions. If applicable, you must provide necessary court documents for any felony convictions within the past ten years.
7. Acknowledge your duty to report unprofessional conduct by completing the certification statement provided in the form.
8. Finally, sign and date the application at the bottom of the form, ensuring all information is complete and accurate before submission.
9. Once you've filled out the application, save your changes. After saving, you may print the completed form for submission or share it as needed.

Complete your application online today to ensure a smooth application process for your radiography certificate.