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 Form 53193?
A: Form 53193 is the Application for Approval of Radiology Program in Indiana.
Q: Who needs to fill out Form 53193?
A: Individuals or institutions seeking approval for a radiology program in Indiana need to fill out this form.
Q: What information is required on Form 53193?
A: The form requires information about the applicant, program details, curriculum, faculty qualifications, and clinical training sites.
Q: What is the purpose of Form 53193?
A: The purpose of Form 53193 is to apply for approval of a radiology program in Indiana, ensuring compliance with regulations and standards.
Form Details:
Download a fillable version of State Form 53193 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.