Navigating the path to becoming an X-ray technician in California involves several steps, one of which is filling out the CDPH 8232 form, a crucial document managed by the California Department of Public Health's Radiologic Health Branch. This form serves as an application for a Limited Permit X-Ray Technician, a requirement for individuals planning to perform radiographic examinations in specific areas such as the chest, extremities, skull, and more, under the oversight of a certified supervisor. The form is not just a simple application; it demands accurate personal information, educational credentials, and a non-refundable fee for each permit category the applicant wishes to be licensed in. Additionally, the form outlines the necessity of providing a social security number for identification purposes, a measure enforced by sections of both the California Health and Safety Code and the California Family Code. It's pivotal for applicants to understand that this form not only facilitates the legal avenue to practice radiography in California but also sets in motion the process for examination and certification, underscored by the provision of detailed instructions on how to proceed post-submission. By ensuring applicants are fully apprised of the status of their application within 30 days—including whether further information is needed or what exams must be passed—the CDPH 8232 form stands as a beacon for prospective X-ray technicians on their journey towards certification and the privilege to safely use X-rays for the well-being of patients.
| Question | Answer |
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| Form Name | Form Cdph 8232 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | ureters, Radiologic, X-Ray, cdph radiologic health branch |
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California Department of Public Health |
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Radiologic Health Branch |
(Failure to use your full legal name may result in entrance into the examination being denied.)
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Pursuant to the authority found in Section 114870 of the California Health and Safety Code and as required by Section 17520 of the California Family Code, providing the social security number is mandatory. The social security number will be used for purposes of identification. The information on this form may be provided to federal, state, or local agencies for law enforcement purposes. This information may also be provided to the American Registry of Radiologic Technologists for examination purposes. For information or access to your records, contact the Registration and Certification Support Unit at the California Department of Public Health, Radiologic Health Branch
HOW DO I OBTAIN A CALIFORNIA
1)You must check the box below for each permit category for which you are applying:
PLEASE NOTE: You must submit all supporting documents and the payment for the non- refundable application fee of $75.00, for each category selected.
Chest radiography permit: radiography of the heart and lungs.
Extremities radiography permit: radiography of the upper extremities, including shoulder girdle, and lower extremities, excluding pelvis.
Skull radiography permit: radiography of the bone and soft tissues of the skull and upper neck.
Dental laboratory radiography permit: radiography of the
IMPORTANT: Do not submit this form for an
2)You must take and pass an examination for each permit category selected, provided you meet the requirements to sit for the examination. You must return this application along with the following:
A copy of your limited permit
The
CDPH 8232 (10/13) |
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State of |
California Department of Public Health |
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Radiologic Health Branch |
(Failure to use your full legal name may result in entrance into the examination being denied.)
Last Name (Please Print)
First Name
Middle Name
HOW WILL I BE NOTIFIED ABOUT THE STATUS OF MY APPLICATION?
Within 30 calendar days of receipt of your application,
•That your application is acceptable and what examination you must pass within 1 calendar year in order to obtain the certificate/permit, and instructions on how to submit payment of the
•That your application is not accepted for filing and what specific information, documentation or fee you must submit within 30 calendar days in order for
CAN I TAKE MORE THAN ONE EXAMINATION ON THE SAME DATE?
Yes! You can take chest, extremities, skull,
HOW DO I SUBMIT MY APPLICATION?
Please mail this application, all supporting documents, and payment for the
California Department of Public Health
Radiologic Health Branch, MS 7610
Accounts Receivable and Cashiering Unit
P.O. Box 997414
Sacramento, CA
I certify that the information provided with this application is true and correct. I understand that the California Department of Public Health may revoke permits that are procured by fraud, misrepresentation, or mistake, or for the nonpayment of fees. Further, I am aware that it is unlawful to use
Signature
Date
CDPH 8232 (10/13) |
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