This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is State Form 53194?
A: State Form 53194 is an application for proficiency certification for limited radiographer in Indiana.
Q: Who can use State Form 53194?
A: Individuals who want to obtain a proficiency certification for limited radiographer in Indiana can use State Form 53194.
Q: What is a limited radiographer?
A: A limited radiographer is a healthcare professional who performs specific radiologic procedures under the supervision of a licensed radiologist or physician.
Q: What is the purpose of State Form 53194?
A: The purpose of State Form 53194 is to apply for proficiency certification as a limited radiographer in Indiana.
Q: What information is required on State Form 53194?
A: State Form 53194 requires personal information, education and training details, and documentation of completed procedures.
Q: Are there any fees associated with State Form 53194?
A: Yes, there are fees associated with State Form 53194. The fee amount may vary, so it's recommended to check the current fee schedule.
Q: How long does it take to process State Form 53194?
A: The processing time for State Form 53194 may vary. It's advisable to contact the Indiana State Department of Health for an estimate of the processing time.
Q: What happens after submitting State Form 53194?
A: After submitting State Form 53194, the application will be reviewed by the Indiana State Department of Health. If approved, a proficiency certification as a limited radiographer will be issued.
Q: Can I practice as a limited radiographer without a proficiency certification?
A: No, a proficiency certification is required to practice as a limited radiographer in Indiana.
Form Details:
Download a fillable version of State Form 53194 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.