Mississippi State Department of Health
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Division of Radiological Health

The Division of Radiological Health protects the public from unnecessary radiation exposure by ensuring the safe use of radioactive materials and radiation-producing equipment.

Through regulatory oversight, environmental monitoring, and radiation safety programs, the Division supports public health across healthcare, industry, research, education and the environment.

In partnership with the Mississippi Emergency Management Agency (MEMA), the Division also enhances the state's preparedness for radiological emergencies by participating in planning, training, and federally evaluated emergency response exercises for the Grand Gulf Nuclear Station.

Director

Ronald "Ron" Rogers
Phone: (601) 987-6894
Email: Ronald.Rogers@msdh.ms.gov

Mississippi State Department of Health
Division of Radiological Health
310 Airport Road
Pearl, MS 39208
(601) 987-6893

Branches

Radioactive Materials
Materials used in medicine, industry, research, and education

X-ray
Registration and certification of diagnostic imaging equipment

Environmental
Monitoring around the Grand Gulf Nuclear Station and the Salmon Test Site

Facility Forms

Quick Links



Links referenced on this page
Ronald.Rogers@msdh.ms.gov    mailto:Ronald.Rogers@msdh.ms.gov
Radioactive Materials    http://msdh.ms.gov/msdhsite/index.cfm/30,31033,102,1106,html ok
X-ray    http://msdh.ms.gov/msdhsite/index.cfm/30,31032,102,1106,html ok
Environmental    http://msdh.ms.gov/msdhsite/index.cfm/30,31034,102,1106,html ok
Application for Registration of Healing Arts or Veterinary X-ray Units (Form 803)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=ef5999b3-6e72-40bc-801b-c14579c72446&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Transfer Receipt Record (Form 1360)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=7b7e7093-0a3a-493e-9206-20c56e036d5d&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Application for Radioactive Material License (Form 844)    https://powerforms.docusign.net/c2d0a96b-ef33-41bf-8f6b-b6e4526b5e28?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
FDA Report of Assembly of a Diagnostic X-ray System (Form 2579)    https://powerforms.docusign.net/b6c82b16-2137-4e68-a21a-c8345268f055?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
Application for Registration of Healing Arts or Veterinary X-ray Units (Form 803)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=ef5999b3-6e72-40bc-801b-c14579c72446&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Transfer Receipt Record (Form 1360)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=7b7e7093-0a3a-493e-9206-20c56e036d5d&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
FDA Report of Assembly of a Diagnostic X-ray System (Form 2579)    https://powerforms.docusign.net/b6c82b16-2137-4e68-a21a-c8345268f055?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
Application for Registration of Healing Arts or Veterinary X-ray Units (Form 803)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=ef5999b3-6e72-40bc-801b-c14579c72446&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Transfer Receipt Record (Form 1360)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=7b7e7093-0a3a-493e-9206-20c56e036d5d&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
FDA Report of Assembly of a Diagnostic X-ray System (Form 2579)    https://powerforms.docusign.net/b6c82b16-2137-4e68-a21a-c8345268f055?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
Application for Registration of Healing Arts or Veterinary X-ray Units (Form 803)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=ef5999b3-6e72-40bc-801b-c14579c72446&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Transfer Receipt Record (Form 1360)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=7b7e7093-0a3a-493e-9206-20c56e036d5d&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
FDA Report of Assembly of a Diagnostic X-ray System (Form 2579)    https://powerforms.docusign.net/b6c82b16-2137-4e68-a21a-c8345268f055?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
Application for Registration of Healing Arts or Veterinary X-ray Units (Form 803)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=ef5999b3-6e72-40bc-801b-c14579c72446&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
FDA Report of Assembly of a Diagnostic X-ray System (Form 2579)    https://powerforms.docusign.net/b6c82b16-2137-4e68-a21a-c8345268f055?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef
Application for Radiation Services (Form 773)    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=ef5999b3-6e72-40bc-801b-c14579c72446&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Regulations    http://msdh.ms.gov/msdhsite/index.cfm/30,0,102,60,html ok
Fees    http://msdh.ms.gov/msdhsite/index.cfm/30,21819,102,pdf/Fee_Schedule_2026.pdf
Resources    http://msdh.ms.gov/msdhsite/index.cfm/30,0,102,86,html ok
Apply for a 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
Register an X-ray Device    https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=ef5999b3-6e72-40bc-801b-c14579c72446&env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&v=2
Report Assembly of Diagnostic X-ray Equipment    https://powerforms.docusign.net/b6c82b16-2137-4e68-a21a-c8345268f055?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef

Resources referenced
Fees    https://msdh.ms.gov/msdhsite/index.cfm/30,21819,102,pdf/Fee_Schedule_2026.pdf ok

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

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