Radiation Control Program Registration Form for Radiation Therapy or Radiologic Imaging Prior to 1-1-2020 is a legal document that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada.
Q: What is the purpose of the Radiation Control Program Registration Form?
A: The purpose of the form is to register radiation therapy or radiologic imaging facilities.
Q: Who needs to complete the form?
A: Facilities providing radiation therapy or radiologic imaging need to complete the form.
Q: Is the form only applicable to facilities in Nevada?
A: Yes, the form is specific to Nevada.
Q: What is the deadline for completing the form?
A: The form needs to be completed prior to January 1, 2020.
Q: What type of facilities does the form apply to?
A: The form applies to facilities offering radiation therapy or radiologic imaging services.
Q: Are there any fees associated with the form?
A: No information is provided about any fees associated with the form.
Q: What if a facility misses the deadline to complete the form?
A: The consequences for missing the deadline are not specified in the document.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.