Medical - X-Ray Registration

Medical - X-Ray Registration

Obtaining a Certificate of Registration 

For a medical or academic certificate of registration, submit the following forms with the appropriate fee: 

Document Number 

Title 

RC 226-02 

Radiation Machine Application - New & Renewal 

RC 226-01 

Business Information Form - Registration  

RC 42-R 

Radiation Safety Officer (RSO) Form 

RC 204 

Radiation Machine Source Unit Fee Schedule 

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Fee Schedule for New Certificates of Registration 

The table below outlines fees pertaining to the issuance of a single certificate of registration for medical use. 

For a complete listing of all types of radiation machines and their associated fees, see 25 TAC, §289.204

Category 

Type of Use 

Fee 

Medical 

Accelerator, Simulator, or Other Therapeutic Radiation Machine, Electronic Brachytherapy Machine 

$1,910 

Medical 

Computed Tomography (CT) 

$1,910 

Medical 

Fluoroscopy, C-Arm, Mini C-Arm, O-Arm, R/F, Lithotriptsy 

$940 

Medical 

Podiatric Radiographic 

$420 

Medical 

Radiographic Machine, Bone Densitometer, Cone Beam CT used in Medical Office 

$600 

Morgues and 
Educational Facilities 

Machines for Non-Human Use, Including CT, Fluoroscopy, and Accelerators 

$670 

Reciprocity 

Out of State Reciprocal Recognition 

Fee of Applicable Category 

Each initial application for a certificate of registration shall be accompanied by a non-refundable fee equal to the appropriate biennial fee. Fee payments by check or money order shall be made payable to Texas Department of State Health Services. 

Multiple Categories of Use 

In the case of a single certificate of registration that authorizes more than one category of use, the total fee is the category listed in 25 TAC, §289.204 with the highest corresponding fee. If the certificate of registration has additional authorized use locations, the registrant shall pay an additional 30% of the highest fee category for each additional use location. 

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Biennial Fees for X-Ray Registration 

Biennial fees must be paid every two years in order to continue operating X-ray devices. The fee covers all direct and indirect costs associated with licensing a company or individual. 

For detailed information on biennial fees and payment methods accepted, see Biennial Fees for X-Ray Registration

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Amending a Certificate of Registration 

To amend a medical or academic registration, submit RC 226-03.  

Name and/or Ownership Change - See Regulatory Guide 8.2: Guidelines for Issuing Certificates of Registration Due to a Change in Name and/or Ownership (PDF, 27KB). 

Radiation Safety Officer Change - Complete form RC-42-R

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Technical Renewal of Certificate of Registration 

Renewal applications shall be submitted every eight years. The agency will send a renewal reminder letter and application by mail 45 days prior to the expiration date. 

To renew a Certificate of Registration, complete and submit the following forms: 

Document Number 

Title 

Notes 

RC 226-02 

Radiation Machine Application - New & Renewal 

See Note 

RC 226-01 

Business Information Form 

None 

 

Section Notes: 

Submit one application form, RC 226-02 for each use location. Report any special authorizations such as mobile or self-referred screening on the application. 

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Terminating a Certificate of Registration 

To terminate the registration, complete and submit RC-17-R Termination Form. 

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Disposing of an X-Ray Unit 

For information on disposing of X-ray equipment in Texas, visit the Texas Commission on Environmental Quality website. 

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Operating and Safety Procedures 

Title 25 of the Texas Administrative Code (TAC) §289.227 and §289.229 requires each registrant to have and implement written operating and safety procedures. The following Regulatory Guides can be used to help assist registrants in developing procedures unique to individual facilities. For mobile services, include specific procedures unique to your mobile operation. Choose the appropriate guide: 

 

Document Number 

Regulatory Guide Title 

4.3 

Operating and Safety Procedures for the Healing Arts or Medicine, Podiatry, and Chiropractic  

4.6 

Operating and Safety Procedures for Accelerators, Therapeutic Radiation Machines, and Simulators  

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Mobile Services 

Authorization is required prior to providing mobile services. 

See form RC 226-08 Mobile Services for requirements. 

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Self-Referred Healing Arts Screening 

Authorization is required prior to initiating any self-referred screening program. 

  • Coronary Heart Disease or Atherosclerosis Screening Utilizing a CT Machine 

See form RC 226-09 Coronary Calcium Screening 

  • Osteoporosis Screening Utilizing a Bone Density Machine 

See form RC 226-10 Osteoporosis Screening 

  • Low Dose Lung Screening Utilizing a CT Machine 

See form RC 226-11 CT Lung Screening 
 

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Registering a Linear Accelerator over 1 MeV 

  • Registration of a New Accelerator 

See form RC 229-01 Additional Information for Accelerator Registration. 

  • Registration of an Existing Accelerator Due to Ownership Change 

See Regulatory Guide 8.2: Guidelines for Issuing Certificates of Registration Due to a Change in Name and/or Ownership (PDF, 42KB) 

Submit RC 226-03 Registration Machine Application Amendment and include the following information: 

  • Supervising Radiation Oncologist credentials to include curriculum vitae (CV), American Board of Radiology Certification and Texas Medical license 

  • Written operation and safety procedures – See regulatory guide 4.6 

  • Copy of most current accelerator survey to include diagram of vault and survey summary 

  • Diagram of vault with shielding 

  • Diagram of vault with surrounding areas shown (i.e., vault, hallways, offices, parking lot) 
     

Registration of a Replacement Accelerator Installed in the Same Orientation, Same Energy or Less, and No Additional Shielding 

Submit a letter signed by the RSO that states the following information: 

  • That the new/replacement accelerator has been installed in the same orientation, has the same energy or less than the previous accelerator, and no additional shielding is required 

  • The manufacturer, model, and serial numbers of the machine(s) 

  • A copy of the post-installation survey 

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Registering a Linear Accelerator under 1 MeV 

  • Registering an Electronic Brachytherapy Machine (EBT) 
    See form RC 229-02 Electronic Brachytherapy Registration. 
     

  • Superficial Radiation Therapy (SRT) Machine 
    See RC 229-03 Superficial Radiation Therapy Registration 
     

Registering an Electronic Brachytherapy Machine (EBT) 

For information on medical Accelerators or Electronic Brachytherapy Devices, contact the medical x-ray registration program at 737-218-7110. 

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Additional Information 

For a list of frequent questions, please see the Medical X-Ray Registration FAQs page. 

If you have further questions regarding registration procedures, contact us

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Contact Information 

Texas Department of State Health Services 
Radiation Machine Source Unit 
Mail Code 2003 
P. O. Box 149347 
Austin, TX 78714-9347 

Phone: 737-218-7110  
Fax: 512-206-3787  

Applications and Forms - X-Ray Registration and Services

X-Ray Machines 

Document Number 

Title 

 RC 17-R 

Termination Form  

 RC 42-I 

Industrial Radiation Safety Officer (RSO) Form 

 RC 42-IR 

Industrial Radiography Radiation Safety Officer (RSO) Form 

 RC 42-R 

Radiation Safety Officer (RSO) Form 

 RC 204 

Radiation Machine Source Unit Fee Schedule 

 RC 226-01 

Business Information Form - Registration 

 RC 226-02 

Radiation Machine Application - New & Renewal 

 RC 226-03 

Radiation Machine Application - Amendment 

 RC 226-04 

Industrial Radiation Machine Application - New, Reciprocity, & Renewal 

 RC 226-05 

Industrial Radiation Machine Application - Amendment 

 RC 226-06 

Radiation Machine Services Application - New, Renewal, & Amendment 

 RC 226-08 

Mobile Services 

 RC 226-09 

Coronary Calcium Screening 

 RC 226-10 

Osteoporosis Screening 

 RC 226-11 

CT Lung Screening 

 RC 229-01 

Additional Information for Accelerator Registration 

 RC 229-02 

Electronic Brachytherapy Registration 

 RC 229-03 

Superficial Radiation Therapy (SRT) Registration 

 

Equipment Performance Evaluation 

Please contact Trae Windham via email or telephone at (737) 218-7084, about any other inspection forms. 

Document Number 

Title 

EPEDent-1 

Equipment Performance Evaluation, Dental Radiographic Unit (PDF, 776KB) 

EPERad-1 

Equipment Performance Evaluation, Radiographic Unit (PDF, 92KB) 

EPEVet-1 

Veterinary Equipment Performance Evaluation (PDF, 72KB) 

 

Notice to Employees 

Document Number 

Title 

RC 203-1 

Notice to Employees  

RC 232-1 

Notice to Employees (Dentists Only)  

RC 233-2 

Notice to Employees (Vets Only)  

 

Licensing Reciprocity 

Document Number 

Title 

RC 203-1 

Notice to Employees  

RC 232-1 

Notice to Employees (Dentists Only)  

RC 233-2 

Notice to Employees (Vets Only)