Get Radiologic Technologist Fluoroscopy Permit Application. Cdph 8218 - Cdph Ca

Filling out the Radiologic Technologist Fluoroscopy Permit Application is a crucial step in obtaining your permit. This guide will walk you through each section of the application, ensuring you understand what is required and how to submit your application correctly.

Follow the steps to complete your application effortlessly.

1. Click ‘Get Form’ button to obtain the form and open it for completion.
2. Enter your last name, first name, and middle name in the respective fields. Ensure you use your full legal name to avoid any issues.
3. Provide your date of birth in the designated format, followed by your social security number. Note that your social security number is mandatory and will be used for identification purposes.
4. Fill in your phone number, mailing address, e-mail address, city, state, and zip code in the corresponding fields.
5. Indicate one of the requirements for your application to be considered, such as your current California Diagnostic Radiologic Technology Certificate Number or provide documentation of your application for a Diagnostic Radiologic Technology Certificate along with ARRT certification.
6. Include the non-refundable application fee of $88.00 by attaching a check or money order made payable to CDPH-RHB.
7. Gather supporting documents, such as your diploma or certificate from an approved school or other required documentation, and ensure they accompany your application.
8. Sign and date the application at the bottom to certify that the information provided is true and correct.
9. Submit the completed application, all necessary documents, and payment to the California Department of Public Health at the specified address.

Complete your application online today to begin your journey towards obtaining your Radiologic Technologist Fluoroscopy Permit.