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Permanent License Applications & Forms

 

Permanent Medical Imaging License Application

Permanent Initial Medical Imaging License - (1st Time Permanent License)
 

Temporary Medical Imaging License Application(s)

Temporary Initial Medical Imaging License - (For Students Only)
 

(*This license is only available to current Oregon medical imaging licensees that are trying to meet their registry's clinical requirements needed to be able to sit for a post-primary examination in a different medical imaging modality.  Temporary Post-Primary License are only valid for a period of 6-months.  Temporary Post-Primary License may be renewed for an additional 6-months.  You may also use this same application to renew.
 

Renewal Application(s)

Permanent Renewal Medical Imaging License - (Renew Your Permanent License)

Temporary Renewal Medical Imaging License - (Student's Only - Renew Your Temporary License)

Forms: 

Duplicate License Form*
*Use this form to: Add a new Modality to your existing license.
                           Add a new Subspecialty to your existing license.
                           Request a Replacement copy of your license.

License Verification Form - Out of state verification of your permanent Oregon license or permit.

Updated Information Form: - Keep us updated with your - New Address - New Name - New Employer.