Table of Contents
Obtaining a Certificate of Registration
For a medical or academic certificate of registration, submit the following forms with the appropriate fee:
Fee Schedule for New Certificates of Registrations
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.
Schedule of Application Fees for Medical X-Ray Registration
||Type of Use
||Accelerator, Simulator, or Other Therapeutic Radiation Machine, Electronic Brachytherapy Machine
||Computed Tomography (CT)
||Fluoroscopy, C-Arm, Mini C-Arm, O-Arm, R/F, Lithotriptsy
||Radiographic Machine, Bone Densitometer, Cone Beam CT used in Medical Office
|Machines for Non-Human Use, Including CT, Fluoroscopy, and Accelerators
||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 for X-Ray Registration
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 Biennial Fees for X-Ray Registration.
Amending a Certificate of Registration
When submitting a request to amend a medical registration, complete RC 226-2, Registration Application for Users of Radiation Machines in Healing Arts, Veterinary Medicine and Academic Facilities (PDF, 27KB), indicating the change in item 3, or, submit a letter signed by the RSO. Describe the change, reference the registration number, and include any additional information necessary to process the 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 (PDF, 27KB).
Radiation Safety Officer Change - Complete appropriate section of RC 42-3, Radiation Safety Officer (RSO) Information for Registration (PDF, 301KB).
Technical Renewal of Certificate of Registration
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:
Submit one application form, RC 226-2 for each use location. Report any special authorizations such as mobile or self-referred screening on the application.
Deleting or Transferring a Machine
To delete or transfer an X-ray machine, complete and submit RC-18R, Radiation Machine Transfer/Disposal Form (PDF, 16KB).
Deletions with a replacement in the same category do not need to be reported. Keep all installation and transfer/disposal records on-site for inspection purposes.
Operating and Safety Procedures
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:
Self-Referred Healing Arts Screening
Authorization is required prior to initiating any self-referred screening program.
Registering a Linear Accelerator over 1 MeV
Registration of a New Accelerator
See form LRS-35, Additional Information for Accelerator Registration, Includes Shielding Form (PDF, 21KB).
Registration of an Existing Accelerator Due to Ownership Change
See Regulatory Guide 8.2: Guidelines for Issuing Certificates of Registration Due to a Change in Name and/or Ownership (PDF, 42KB)
Submit an amendment application RC 226-2 (PDF, 27KB) 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 Shielding
Submit 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 Pat Parma at (512) 834-6688 ext. 2241.