All files are offered in PDF format, which can be read by the Adobe Acrobat Reader. Radiation Control is working towards providing forms in Microsoft Word, also. If a form is available in Word, it is posted below.
You will need to download the Adobe Acrobat Reader to access files on this Web site. Some files require you to install the newest version of the Adobe Acrobat Reader.
MORE INDUSTRIAL RADIOGRAPHER FORMS AND INFORMATION MAY BE FOUND ON THE INDUSTRIAL RADIOGRAPHY PAGE.
Links to Applications and Forms
LICENSE APPLICATIONS AND FORMS
| App/Form Number |
Title |
PDF File |
WORD File |
| RC 203-1 |
Notice to Employees |
PDF 10 KB |
n/a |
| RC 251-1 |
Acknowledgement to Use the General License for In Vitro Clinical or Laboratory Testing |
PDF 43KB |
WORD 72KB |
| RC 251-2 |
General License Acknowledgement of Devices Containing Radioactive Material |
PDF 87KB |
WORD 85KB |
| CI-40 |
General License Acknowledgement Self-Evaluation Form |
PDF 147KB |
WORD 164KB |
| RC 252-1 |
Business Information Form - License |
PDF 74KB |
WORD 62KB |
| RC 252-2 |
Radioactive Material License |
PDF 321KB |
WORD 118KB |
| RC 252-2a |
Radioactive Material License -- Medical Uses |
PDF 28KB |
WORD 130KB |
| RC 252-2b |
Preceptor Statement for License Application -- Medical |
PDF 28KB |
WORD 128KB |
| BRC 252-3 |
Notice of Intent to Work in Texas Under Reciprocity |
PDF 27KB |
WORD 58KB |
Back to Top
REGISTRATION APPLICATIONS AND FORMS
| App/Form Number |
Title |
PDF Files |
WORD File |
RC 203-1
BRC 232-1
BRC 233-2
|
Notice to Employees
Notice to Employees (Dentists only)
Notice to Employees (Vets only)
|
PDF 10 KB
PDF 9KB
PDF 64KB
|
n/a
n/a
n/a
|
| RC 204 |
Schedule of Biennial Fees for Medical for Educational/Healing Arts Certificate of Registration for Radiation Machines |
PDF 25 KB |
n/a |
| RC 226-1 |
Business Information Form - Registration |
PDF 24KB |
n/a |
| RC 226-2 |
Registration Application for Users of Radiation Machines in Healing Arts, Veterinary Medicine and Academic Facilities |
PDF 27KB |
n/a
|
RC 226-3
|
Registration Application for Industrial Radiation Machines
Instructions
|
PDF 32KB
PDF 17KB
|
WORD 74KB
|
RC226-5
|
Registration Application for Industrial Radiation Machine Services
Instructions
|
PDF 38KB
PDF 67KB
|
WORD 69KB
n/a
|
| RC 226-8 |
Registration of Mobile Services Used in the Healing Arts and Veterinary Medicine |
PDF 41KB |
n/a
|
| RC 226-9 |
Healing Arts Screening Requirements for Atherosclerosis |
PDF 18KB |
WORD 55KB |
| RC 226-10 |
Healing Arts Screening Requirements for Osteoporosis |
PDF 18KB |
WORD 47KB |
| BRC 252-3 |
Notice of Intent to Work in Texas Under Reciprocity |
PDF 27KB |
WORD 58KB |
| RC 301-2 |
Application for Lasers |
PDF 23KB |
WORD 54KB |
| RC 301-3 |
Written Notice for Laser Light Show in Texas |
PDF 11KB |
n/a |
| RC 301-4 |
Registration Application for Laser Services |
PDF 35KB |
WORD 74KB |
| RC 302-2 |
Application for Laser Hair Removal Certifying Entities |
PDF 264KB |
n/a |
| RC 302-3 |
Registration Application for Laser Hair Removal Training Programs |
PDF 470KB |
n/a |
| RC 302-4 |
Registration Application for Laser Hair Removal Facility |
PDF 94KB |
WORD 95KB |
| RC 302-5 |
Registration Application for Laser Hair Removal Appretice in Training |
PDF 30KB |
WORD 70KB |
| RC 302-6 |
Registration Application for Laser Hair Removal Technician |
PDF 41KB |
WORD 116KB |
| RC 302-7 |
Registration Application for Laser Hair Removal Senior Technician |
PDF 52KB |
WORD 163KB |
| RC 302-8 |
Registration Application for Laser Hair Removal Professional |
PDF 52KB |
WORD 159KB |
| RC-17-R |
Termination of a Certificate of Registration |
PDF 24KB |
n/a |
| RC-17-L |
Termination of Laser Registration |
PDF 24KB |
WORD 44KB |
| RC 18-L |
Laser Transfer/Disposal Form |
PDF 16KB |
WORD 43KB |
| RC 18-R |
Radiation Machine Transfer/Disposal Form |
PDF 16KB |
n/a |
| LRS-35 |
Additional Information for Accelerator Registration, Includes Shielding Form |
PDF 21KB |
WORD 32KB |
| RC 42-L |
Laser Safety Officer (LSO) Information |
PDF 32KB |
WORD 53KB |
| RC 42-3 |
RSO Information for Registration |
PDF 24KB |
n/a |
Back to Top
MAMMOGRAPHY APPLICATIONS AND FORMS
Please contact Jo Turkette via email about other Mammography forms or telephone 512-834-6688
| App/Form Number |
Title |
PDF Files |
WORD File |
| RC 230 R-1 |
Application for New Mammography Certification Facility |
PDF 88KB |
WORD 73KB |
| RC 230 R-1A |
Renewal Application for Mammography Certification |
PDF 54KB |
WORD 65KB |
| RC 230 R-1B |
Request for Amendment |
PDF 73KB |
WORD 75KB |
| RC 230 R-1D |
Application for New Stereotactic Biopsy, Needle Localizations or Image Guided Radiotherapy Facility |
PDF 26KB |
WORD 60KB |
| RC 230 R-1E |
Renewal Application for Stereotactic Biopsy, Needle Localizations or Image Guided Radiotherapy |
PDF 19KB |
WORD 52KB |
| RC 230 R-1F |
Amendment Application for Stereotactic Biopsy, Needle Localizations or Image Guided Radiotherapy |
PDF 19KB |
WORD 52KB |
| RC 17-M |
Termination of Certification of Mammography Systems |
PDF 17KB |
WORD 47KB |
| RC 18-M |
Mammography Machine Transfer/Disposal Form |
PDF 17KB |
WORD 46KB |
Back to Top
EQUIPMENT PERFORMANCE EVALUATION FORMS
Please contact Jerry Cogburn via email or telephone at 512-834-6767, about any other inspection forms
| App/Form Number |
Title |
PDF Files |
WORD File |
| EPEDent-1 |
Equipment Performance Evaluation, Dental Radiographic Unit |
PDF 90KB |
WORD 96KB |
| EPEVet-1 |
Veterinary Equipment Performance Evaluation |
PDF 72KB |
WORD 45KB |
| EPERad-1 |
Equipment Performance Evaluation, Radiographic Unit |
PDF 92KB |
WORD 97KB |
Back to Top