Mississippi State Department of Health

Radiological Health Applications

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Links referenced on this page
Application for Registration of Radiation Services    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=ef5999b3-6e72-40bc-801b-c14579c72446&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Application for Registration of Healing Arts or Veterinary X-Ray Units    https://powerforms.docusign.net/292fca76-459e-40b1-b8e2-0fc5b44c9030?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
Application for Radioactive Material License    https://powerforms.docusign.net/c2d0a96b-ef33-41bf-8f6b-b6e4526b5e28?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
Application for Registration of Ionizing Radiation Device    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=37e76750-1d42-4813-a699-16ff59c6d566&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Transfer Receipt Record    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=7b7e7093-0a3a-493e-9206-20c56e036d5d&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Reciprocity Notice of Intent    https://powerforms.docusign.net/57033a26-b6fc-42bd-a662-584d71e0a35f?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
FDA Report of Assembly of a Diagnostic X-Ray System    https://powerforms.docusign.net/b6c82b16-2137-4e68-a21a-c8345268f055?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
xrayregistration@msdh.ms.gov    mailto:xrayregistration@msdh.ms.gov

Find this page at https://msdh.ms.gov/page/30,0,102,1058.html

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