Clinical Experience Form PDF Details

The ARRT Clinical Experience Form documents specific CT procedures required for certification. Beginning July 1, 2011, with subsequent revisions in 2012 and 2013, the current version requires candidates to list each procedure performed under qualified supervision within 24 months before application submission. Provided instructions on the form guide candidates through each page, with approximately 40 procedures across CT specialties including colonography and musculoskeletal imaging.

A qualified professional or supervisor at your facility reviews and verifies the completed form. Questions about specific procedures and required documentation are addressed in the ARRT® guidelines. This verification form is submitted as part of your standard application form. See also related documents: the Clinical Social Experience Verification and the ANCC Certification Verification form.

QuestionAnswer
Form NameClinical Experience Form
Form Length7 pages
Issued ByAmerican Registry of Radiologic Technologists® (ARRT®)
PurposeCT Certification Experience Verification
Supervisor RequiredYes
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namesct clinical experience document, ct clinical experience documentation form, Technologist, colonography