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Get PA Application for Authorization to Perform Radiological Procedures 2013

ION FOR AUTHORIZATION TO PERFORM RADIOLOGICAL PROCEDURES IN THE COMMONWEALTH OF PENNSYLVANIA INSTRUCTIONS: 1) Upon successful completion of the Radiation Health & Safety (RHS) examination through the Dental Assisting National Board, Inc. (DANB), please complete this form in its entirety and return the completed form to the address listed above. 2) Attach a check or money order in the amount of $75.00 made payable to the “Commonwealth of PA”. DO NOT SEND CASH. Fees are non-refundable. Note: A.

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