Get Oh Hea 5124 2018-2026
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How to fill out the OH HEA 5124 online
This guide provides clear and comprehensive instructions for filling out the OH HEA 5124 form, which is essential for applying for a radiologic license in Ohio. Follow these steps to ensure your application is completed accurately and efficiently.
Follow the steps to complete your application form successfully.
- Press the ‘Get Form’ button to access the OH HEA 5124 form and open it in the editor for completion.
- Complete the personal information section by providing your name, birth date, social security number, home address, telephone number, and email address. Ensure all fields are filled accurately.
- Indicate your desired radiologic license category in the appropriate section.
- If applicable, specify your veteran status. If you mark 'Yes', provide the required documentation to support your claim.
- Complete the standard of ethics section by answering the questions regarding felony convictions, complaints, or revocations of professional licenses. If 'Yes' is selected for any question, include a complete explanation on a separate sheet.
- For renewal applicants, provide information on your continuing education credits and documentation, ensuring compliance with the requirements outlined in the form.
- Fill out the professional credentials section by stating your ARRT or NMTCB certification status and providing necessary attachments.
- Complete the radiologic technology education section by entering relevant details about your educational background, including dates attended and course names. Attach all required certificates.
- Sign the statement of declaration to affirm your application details are accurate. Include the date and your signature as this is necessary for processing.
- Finally, submit your application along with the appropriate fee as indicated at the end of the form. Ensure it is sent to the specified address for processing.
Start filling out your OH HEA 5124 online today to ensure your application is processed smoothly.
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To obtain a General X-ray Machine Operator (GXMO) license in Ohio, you must complete a training program that meets state standards. After completing your training, submit an application along with proof of your completion to the Ohio Department of Health. Remember to familiarize yourself with the stipulations of OH HEA 5124 to ensure compliance. For help with the application process, refer to USLegalForms for guidance.
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