State of California Health and Human Services AgencyCalifornia Department of Public Health Radiologic Health BranchREPORT OF NAME OR ADDRESS CHANGE California Code of Regulations, Title 17, Sections.
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How to fill out the CA CDPH 8391 online
The CA CDPH 8391 form is essential for individuals holding specific radiologic certifications in California to report any changes in their name or address. This guide provides clear instructions on how to complete the form online, ensuring a smooth submission process.
Follow the steps to fill out the CA CDPH 8391 form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Review the individual's certification type. Check the box corresponding to your current application status, whether you are applying for a certificate or taking a State examination.
- Enter your current certificate or permit number in the designated field.
- Provide your date of birth in the available field to verify your identity.
- Fill out your social security number or individual taxpayer identification number as required.
- In the ‘Previous Name and Address’ section, input your old name and address details including the city, state, and zip code.
- In the ‘Current Name and Address’ section, fill in your new name and address with the city, state, and zip code.
- Provide your daytime telephone number and email address for contact purposes.
- Sign and date the form in the appropriate fields to validate your submission.
- If you are requesting a duplicate certificate or permit, ensure to check the appropriate box and include the required payment information.
- Once you have completed the form, you can save your changes, download or print the form, or share it as needed.
Complete your CA CDPH 8391 form online today for a hassle-free name or address change!
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Education equivalent to graduation from high school, a Therapeutic Radiologic Technologist Certificate, and a valid Certificate of Fluoroscopy. A Servicewide, Open eligible list for the Radiologic Technologist (Safety) classification will be established for use by all state agencies.
What is the scope of practice for a radiologic technologist in California?
Section 30441 - CRT Scope of Practice (a) Subject to subsection (c), the scope of practice of a certified radiologic technologist (CRT) includes, but is not limited to: (1) Providing optimal patient care. (2) Receiving, relaying, and documenting verbal, written, and electronic orders in the patient's medical record.
What are the responsibilities of radiologic technologist?
Radiologic technologists operate and maintain imaging equipment and perform procedures such as mammograms, MRIs, and X-rays. Other duties include patient interaction, ensuring patient safety, and producing quality images.
Can radiologic technologists draw blood?
Phlebotomists draw blood, while Radiology Technicians operate medical imaging equipment like X-rays.
What 3 fields might a radiologic technologist might work in?
Radiologic technologists can specialize in many different areas, including: Bone densitometry. Cardiac-interventional radiography. Computed tomography (CT)
How to renew a fluoro license in California?
California Fluoroscopy License: How to Submit for Renewal 1 - Name, address, and phone number. ... 2 - Email, social security number, and date of birth. ... 3 - Medical License. ... 4 - Fluoroscopy CME requirement. ... 5 - Sign & Date. ... 6 - Detach Bottom of Renewal Notice. ... 7 - Fill out your check. ... 8 - Ready to Mail.
What is the scope of practice for a radiologist?
Radiologist physicians are uniquely educated, trained and qualified to practice radiology, including imaging supervision and interpretation. Non-physician providers do not have comparable training, competence or experience and should not independently supervise or interpret imaging exams.
How long does it take to get a California radiology license?
If you passed, you'll receive your California radiology license within 4-6 weeks after the exam. For other major permits, you need to apply separately with their respective forms. Fluoroscopy Permit Application Form (Check out our guide on How to Get Your California Fluoroscopy License!)
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