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This document is an addendum form for applying for the use of radioactive material in industrial radiography within the corporate structure in Alabama. It provides additional information and requirements specific to this type of application.
This Form is used for authorized nuclear pharmacists in Alabama to document their training and experience, as well as for their preceptors to attest to their qualifications.
This form is used for registering for a general license in the state of Alabama.
This form is used for requesting permission to work in Alabama under reciprocity.
This form is used for authorized medical physicists in Alabama to document their training and experience. It also requires a preceptor attestation.
This Form is used for obtaining a Certificate of Disposition of Radioactive Materials in the state of Alabama.
This Form is used for authorized user training and experience and preceptor attestation in the state of Alabama.
This Form is used for Radiation Safety Officer (RSO) training and experience documentation in Alabama, including the attestation by a preceptor.
This form is used for reporting medical misadministration incidents in the state of Alabama. It helps to document and address any errors or accidents that occur during medical procedures.
This form is used for applying for a non-medical X-ray registration in the state of Alabama.
This document is for registering radiation services for medical X-ray equipment in Alabama.
This form is used for applying for a Notice of Registration in the state of Alabama.
This form is used for applying for a Notice of Registration in the state of Alabama. It is the official document required to register and obtain legal recognition for specific activities or purposes.
This document is for registering radiation services for non-medical X-Ray equipment in the state of Alabama.
This form is used for registering radiation services as an individual in Alabama.
This document is a request for a waiver to a specific rule related to radiation control for bone densitometry x-ray units in Alabama.
This form is used for Industrial Radiographer on-the-job training (OJT) in Alabama. It includes a Radiographer OJT card for tracking training progress.
This Form is used for individuals to apply for radiographer qualifications in the state of Alabama.
This form is used for applying for a Source Material License in Alabama.
This Form is used for filing a complaint regarding health information privacy and security in Alabama. It allows individuals to report any concerns or violations related to the protection of personal health information.
This form is used for authorizing students or volunteers to access protected health information in the state of Alabama.
This form is used for authorizing the disclosure or requesting of protected health information (PHI) in the state of Alabama.
This form is used for authorized user training and experience and preceptor attestation in the state of Alabama. It is a document that verifies the training and experience of individuals who are authorized to handle radioactive materials.
This Form is used for reporting the assembly of non-certified X-Ray systems in Alabama that are not reported on the Federal Form FD2579.
This Form is used for notifying the acceptance of an amendment to Form D in the state of Alabama.
This Form is used for requesting an accounting of disclosures of personal information in Alabama.
This Form is used for requesting to amend or limit protected health information in Alabama.
This form is used for documenting and tracking an individual's cumulative occupational exposure history in the state of Alabama. It helps to record information about the various job-related exposures to hazardous materials or substances that a person may have been subjected to over time.
This document is used for sending confidential faxes in the state of Alabama.
This Form is used for requesting a release of information in the state of Alabama.
This document is used for declaring U.S. citizenship or lawful presence of an alien in the state of Alabama.
This form is used for applying for an individual critical care endorsement in Alabama. It is specifically for individuals who want to add the critical care specialty to their existing license.
This Form is used for applying to a critical care program in Alabama.
This form is used to request the National Registry Exam in Alabama. The National Registry Exam is a certification exam for emergency medical service providers.