Amendment to Add a Physician to a License

A request to add a physician to a license must be directed by either the radiation safety officer or executive management. A managing partner of a private physician association would constitute executive management.

To confirm a physician’s credentials, submit documentation as described in one of following:

  1. Reference another Radioactive Material license, issued by the Texas Department of Health, on which the physician wanting to be added, is or has been listed as an authorized user within the last 7 years (note that requested use(s) beyond those described on the referenced license will require documentation of additional training and experience and a signed preceptor attestation as described in rule); or
  2. Provide a completed“Training and Experience and Preceptor” form (located at Applications andForms - Radioactive Materials Licensing)appropriate for the types of authorization requested meeting the requirementsof Title 25 TexasAdministrative code §289.256;or
  3. Provide a copy of an acceptable board certification issued within the last 7 years (include a signed preceptor attestation); or
  4. Provide a dated copy of a specific Radioactive Material license issued from the Nuclear Regulatory Commission, an agreement state or any licensing state which identifies the physician and specifies their use authorizations. The license must be dated within the immediate 7 years prior to application. Provide documentation of additional training and experience (to include a preceptor attestation) if the individual is requesting use(s) not authorized on the out-of-state license.