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Applications & Forms

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Contact Information
Contact Info

Phone: 573-751-6083
Fax: 573-751-6158

Email
mrcp@health.mo.gov
Address

Section for Health Standards and Licensure
Missouri Department of Health and Senior Services
PO Box 570
Jefferson City, MO 65102-0570

Radiation Control

  • Out-of-State Radiation Machine Registration Form (PDF)
    Out-of-State Radiation Machine Registration Form (DOC)
  • Missouri Radiation Machine Registration Form
  • Mammography Authorization Form (XLS)
    Mammography Authorization Form (PDF)
  • Radiology Service Company Registration Form (PDF)
    Radiology Service Company Registration Form (DOC)
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  • Qualified Expert Application
  • Qualified Expert Survey Summary Form (PDF)
    Qualified Expert Survey Summary Form (XLS)
  • Reduced Radiation Hazard-Inspection Extension Form
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