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

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Radiologic Technologist Forms and Documents

Contact the Bureau of Radiation Control

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.



  • 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).

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