What is the CDPH 8218 form?
The CDPH 8218 form is an application for the Radiologic Technologist Fluoroscopy Permit provided by the California Department of Public Health. It is specifically designed for applicants who wish to use fluoroscopy equipment as part of their radiologic technology practice in California. Completing this form is the first step to obtaining permission to operate fluoroscopy devices.
What are the requirements for submitting the CDPH 8218 form?
To submit the CDPH 8218 form, applicants must provide several key pieces of information, including their full legal name, date of birth, Social Security number, contact information, and payment. Additionally, they must include documentation confirming graduation from an approved school or program in radiologic technology, along with a non-refundable application fee of $88.00.
How do I pay the application fee?
The application fee of $88.00 can be paid via a personal check, cashier’s check, certified check, or money order. Make sure that the payment is payable to "CDPH-RHB." It is vital to include this payment with your application to ensure it is processed without delays.
How long will it take to hear back about my application?
Once your application is submitted, you can expect a notification letter from the CDPH-RHB within 30 calendar days. This letter will notify you if your application was accepted or if further documentation is needed.
What happens if my application is not accepted?
If your application is not accepted, the notification letter will provide specific details regarding what information, documentation, or fees are still required. You will have 30 calendar days to address these issues to have your application reconsidered.
How can I submit the CDPH 8218 form?
The application can be mailed directly to the California Department of Public Health at the address specified in the form: Radiologic Health Branch, MS 7610, Accounts Receivable and Cashiering Unit, P.O. Box 997414, Sacramento, CA 95899-7414. Be sure to include all supporting documents and your payment along with your application.
What should I do with my Social Security number on the application?
It is mandatory to provide your Social Security number on the CDPH 8218 form. This information will be used for identification purposes and may be shared with federal, state, or local agencies as necessary. It is essential to provide your correct Social Security number to avoid any issues with your application.
What if I have not graduated from an approved program?
If you have not graduated from a program that is recognized by the CDPH-RHB, you will need to meet specific prerequisites to qualify for the application. This may include enrolling in a CDPH-RHB approved school or obtaining your credentials through other recognized organizations, such as the American Registry of Radiologic Technologists (ARRT).
What are the potential consequences of providing false information?
If you provide false information on the CDPH 8218 application, it may lead to serious consequences. The California Department of Public Health has the authority to revoke any certificates or permits obtained through fraud or misrepresentation. It is crucial to ensure that all information provided is accurate and truthful.
How can I contact the CDPH-RHB for more information?
If you have further questions or need assistance with your application, you can contact the Registration and Certification Support Unit at the California Department of Public Health. They can be reached at (916) 327-5106 or by mail at the Radiologic Health Branch, MS 7610, P.O. Box 997414, Sacramento, CA 95899-7414.