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: 

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. 

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. 

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. 

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. 

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: 

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. 

Terminating a Certificate of Registration 

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

Disposing of an X-Ray Unit 

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

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: 

Mobile Services 

Authorization is required prior to providing mobile services. 

See form RC 226-08 Mobile Services for requirements. 

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 
 

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 

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. 

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. 

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  

X-Ray Machines 

Equipment Performance Evaluation 

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

Notice to Employees 

Licensing Reciprocity