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It's a New Day in Public Health.

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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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)