Medical and Academic X-Ray Machine Registration
All applications with fees are to be sent to this address:
Department of State Health Services
Cash Receipts Branch – MC 2003
PO Box 149347
Austin, TX 78714-9347
Table of Contents
- Obtaining a Certificate of Registration
- Fee Schedule
- Biennial Fees
- Amending a Certificate of Registration
- Technical Renewal
- Terminating a Certificate of Registration
- Disposing of an X-Ray Machine
- Operating and Safety Procedures
- Mobile Services
- Screening Programs
- Registering a Linear Accelerator over 1 MeV
- Registering a Linear Accelerator under 1 MeV
- Additional Information
- Contact Information
For a medical or academic certificate of registration, submit the following forms with the appropriate fee:
|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|
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||Radiographic Machine, Bone Densitometer, Cone Beam CT used in Medical Office||$600|
|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.
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 Payment of Fees.
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.
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:
|RC 226-02||Radiation Machine Application - New & Renewal||See Note|
|RC 226-01||Business Information Form||None|
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.
To terminate the registration, complete and submit RC-17-R Termination Form.
For information on disposing of X-ray equipment in Texas, visit the Texas Commission on Environmental Quality website.
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|
Authorization is required prior to providing mobile services.
See form RC 226-08 Mobile Services for requirements.
Authorization is required prior to initiating any self-referred screening program.
Coronary Heart Disease or Atherosclerosis Screening Utilizing a CT MachineSee form RC 226-09 Coronary Calcium Screening
Osteoporosis Screening Utilizing a Bone Density MachineSee form RC 226-10 Osteoporosis Screening
Low Dose Lung Screening Utilizing a CT MachineSee form RC 226-11 CT Lung Screening
Registration of a New AcceleratorSee form RC 229-01 Additional Information for Accelerator Registration.
Registration of an Existing Accelerator Due to Ownership Change
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 ShieldingSubmit 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), and
- A copy of the post-installation survey
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.
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.