Skip Global navigation and goto content

It's a New Day in Public Health.

The Florida Department of Health works to protect, promote, and improve the health of all people in Florida through integrated state, county, and community efforts.

Skip MegaMenu and goto content
Megamenu requires javascript to be enabled in your browser.
Left navigation requires javascript to be enabled in your browser.

Applications and Forms

MQA RT Certification Office

Customer Contact CenterCouncil OfficeMailing Address
  •  

    Department of Health | Radiologic Technology Certification

    4052 Bald Cypress Way 

    Bin C-85 

    Tallahassee, FL 32399-3285

For Applications and Fees (Regular Mail)

  • P.O. Box 6330 

    Tallahassee, FL 32314-6330


Apply Online for Licensure: Eliminate mailing time and expedite your application! Apply online, using your user id and password, and receive a response within 10-13 business days!

*You must use the legal name shown on your government issued ID on your application. A legal name is defined as the name appearing on your birth certificate, marriage certificate or legal name change document.
*You must provide your social security number, in order for your application to be processed.

Applications include a Background History Report Form, Military Fee Waiver Form, and License Verification Form.

  • Printable Forms

Certified Radiologic Technologist Application

Basic X-ray Machine Operator & Basic X-ray Machine Operator – Podiatric Application

Background History Report Form

License Verification Form

Military Veteran or Spouse Waiver Request Form

Name Change Form (pdf)

Address Change Form (pdf)