RADIATION CONTROL PROGRAM

This page will assist you in providing the correct information needed to amend or terminate your Certificate of Registration for medical and industrial x-ray equipment.
Mail all correspondence or forms to:
Radiation Machine Source Group MC 2003
Texas Department of State Health Services P. O. Box 149347
Austin, Texas 78714-9347 
AMENDING YOUR MEDICAL CERTIFICATE OF REGISTRATION
When submitting a request to amend your MEDICAL registration, you may write a letter describing the necessary change or complete RC Form 226-2, indicating the change in item 3. Either way, always reference your registration number and include any additional information needed to process your request.
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"
Radiation Safety Officer Change - Complete appropriate section of RC Form 42-3
Deleting an X-ray Machine - Complete transfer/disposal form RC 18-R.

AMENDING YOUR INDUSTRIAL CERTIFICATE OF REGISTRATION
When submitting a request to amend your INDUSTRIAL registration, you may write a letter describing the necessary change or complete BRC Form 226-3, indicating the change in item 9. Either way, always reference your registration number and include any additional information needed to process your request.
Name and/or Ownership Change
Radiation Safety Officer Change - Submit a letter requesting the change with documentation of training and experience with the type of x-ray equipment you are registered for.
Deleting an X-ray Machine - Complete the "Radiation Machine Transfer/Disposal" form RC-18-R.

REQUESTING TERMINATION OF YOUR CERTIFICATE OF REGISTRATION
To terminate a medical or industrial registration, complete the "Request For Termination of Registration" form RC-17-R.

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Division for Regulatory Services - P. O. Box 149347 - Austin, Texas 78714-9347 - (512) 834-6770