Applications and Forms
Table of Contents
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 |
|---|---|
| None | Notice of Intent to Work in Texas Under Reciprocity - Non Industrial-Radiography (PDF, 132KB) |
| None | Notice of Intent to Work in Texas Under Reciprocity - X-Ray Services (PDF, 204KB) |