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Permanent License Applications & Forms


These applications are made so you can type right into them using your keyboard.

Use your "Tab" key to navigate from field to field.​

This will assist us greatly in expediting the processing of your application.


Permanent Medical Imaging License Application


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

 

Temporary Medical Imaging License Application(s)


Tempor​​ary Initial Medical Imaging License -
 (For Students Only)


Temporary Computed Tomography License 
This License Allows You To Work Towards Your Registry Certification.
(*This temporary license is only available to current Oregon medical imaging licensees that are working to add a CT certification to their existing license.  A Temporary CT license is only valid for 6- months.  You may renew this license a second time for an additional 6- months.  Use this same application to renew.)
 

Temporary Post-Primary License​​ - (MRI - Nuclear Medicine Technology - Sonography Only.)
(*This temporary 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.  A Temporary Post-Primary License is only valid for a period of 6- months.  Temporary Post-Primary License may be renewed for an additional 6-months.  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.

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