Radiologic Technologist Forms and Documents

All files are 500 KB or less unless otherwise specified.

• DH Form 1005, version 07/16, adopted February 7, 2017, in Rule 64E-3.003, FAC
  Application form and instructions for certification as a General Radiographer, Nuclear Medicine Technologist, Radiation Therapy Technologist, Radiologist Assistant, Computed Tomographer, Mammographer, or Positron Emission Tomographer.

• DH Form 1006, version 07/16, adopted February 7, 2017, in Rule 64E-3.003, FAC
  Application form for certification as a Basic X-ray Machine Operator or Basic X-ray Machine Operator-Podiatric.

• DH Form 4127, version 10/07, adopted March 4, 2008, in Rule 64E-3.003, FAC
  Background History Report Form.

• DH Form 4128, version 10/07, adopted March 4, 2008, in Rule 64E-3.003, FAC
  License Verification Form.

• RT Programs List
  Database of accredited Radiologic Technology (RT) training programs in Florida and other states.

• Content Specifications
  Content Specifications for all of the ARRT's radiologic technology examinations. The department uses these exams for Florida certification.

• Therapy Assistance Curriculum
  Training Program Curriculum and Objectives for Therapy Assistance by General Radiographers.

• Continuing Education Provider List
  List of Approved Continuing Education (CE) Providers.

• DH Form 374, version 02/16, adopted July 20, 2016 in Rule 64E-3.009, FAC.
  Request for Approval of Continuing Education Course (for CE Provider Use).

• General Guidelines and Requirements for Providers of Radiologic Technology Continuing Education.

*Note: This page contains materials in the Portable Document Format (PDF). The free Adobe Reader may be required to view these files.