The SDMS provides various products for the sonography community. Oakbrook Terrace, IL:2018:HR-3. Note: Other Verification Resources includes Retired List, Sanctioned List, Request Status Letter, etc.). Enter the licensee number for the license you would like verified. In those states, you must obtain a state license before you can work as a radiologic technologist. Privacy Terms of Use Contact Us System RequirementsSupport Refund Policy. Individuals on this list are considered to be Active and In Good Standing and not involved in pending litigation or ongoing investigations as of the date listed. In those states, you must obtain a state license before you can work as a radiologic technologist. Santa Fe, NM 87505, Environmental Emergencies: 505-827-9329 (24 hours), Asbestos Government Ordered Demolition form, Permitting Administrative Multi-Form (PAM), GCP-Oil and Gas Registration Form Part 1 of 2, GCP-Oil and Gas Registration Form Part 2 of 2, GCP-2 Multi-Form for Quarrying, Crushing, and Screening Facilities, GCP-3 Multi-Form for Hot Mix Asphalt Plants, GCP-3 Hot Mix Asphalt Plants Carbon Monoxide Emission Calculation Tool, GCP-5 Multi-Form for Concrete Batch Plants, CommForm Communication Updates for Air Quality Permits or Notices of Intent, GCP-6 Storage Vessels Section 9: Emission Reduction Calculation Table, GCP-Temporary Control Minor Registration Form, GCP-Temporary Control Major Registration Form, Acid Rain Program Instructions for Phase II Permit Application, Landfill Control Equipment Removal Report, Relocation Form For Portable Streamline Compressor Engines, Engine Replacement Form Plume Dispersion Energy Comparison, Small Business Compliance Assessment Program Disclosure form, Smoke Management Ventilation Category Tracking form, Smoke Management Statewide Waiver Reporting form, Dry Cleaning Notice of Compliance Status Form, Initial Notification and Notification of Compliance Status Form for Gasoline Dispensing Facilities, Universal Test Notification and Report form, Universal Test Notification and Report Instructions, Universal Test Notification and Report example, Air Dispersion Modeling Waiver Request form, Hemp Extraction Facility Permit Application, Hemp Manufacturing or Processing Facility Permit Application, Edible and Topical Cannabis Manufacturer Certification Form, Cannabis Edible Manufacturing Permit Application, Environmental Information Document (EID) Outline, Request for Proposals (RFP) for Design Professional Services Template, Preliminary Engineering Report (PER) Requirements Guide_USDA bulletin 1780-2, Preliminary Engineering (PER) Report Review Checklist used by CPB, Engineering Contract Template For All Funding Programs, Engineering Contract Template Attachment I Insurance, Engineering Contract Template Attachment II Planning Phase, Engineering Contract Template Attachment III Design Phase, Engineering Contract Template Attachment IV Construction Phase, Engineering Contract Template Attachment V Operation Phase, Engineering Contract Template Attachment VI Amendment to Engineering Contract, Distribution System Sampling Plan template, Surface Water Treatment System Monthly Operating Report, Construction or Modification of Public Water Supply System Application, Virus Inactivation by Chlorine Certification (hypochlorination), Virus Inactivation Certification Checklist, Drinking Water Laboratory Certification Program (DWLCP) Guidance Manual, Application for Laboratory Certification Appendix A, Checklist for Laboratory Certification Application Appendix B, Laboratory Certification Best Practices Appendix C, Public Water System Emergency Response Plan template, Public Water Systems Operation & Maintenance Plan template, Liquid Waste Permit Search Request Auto Fill PDF Form, Liquid Waste Permit Application Auto Fill PDF, Liquid Waste Permit or Registration Application printable version, Affidavit to keep lots/parcels adjoined in perpetuity, Sample letter for public notice of variance, Septage Pumper Qualification Certificate application, Installer Specialist Qualification Certificate application, ATS Maintenance Service Provider (MSP) Qualification Certificate application, Third Party Evaluator Qualification Certificate application, Requirements for Qualification of On-Site Professionals, Application for Homeowner Qualification Certificate, Application for Permit to Operate Food Establishment, Mobile Food Establishment (Food Truck), Food Processing Plant, or Mobile Support Unit, Registration form for baked goods prepared on tribal lands and sold in state, Ground Water Quality Bureau Discharge Permit Application (Non-dairy), Wastewater Land Application Data Sheet- 200 lbs/ac, Wastewater Land Application Data Sheet 125%, Surface Disposal Data Sheet Chile Processing Facilities, Wastewater Sampling Log- Chile & Food Processing Facilities, Dairy Discharge Permit Renewal and/or Modification Application, Dairy Discharge Permit Renewal for Closure Application, Business Concern (Public Owner, Private Operator) Disclosure Statement, Hard copy RCRA Subtitle C Activities Site Identification Form 8700-12, RCRA Subtitle C Activities Site Identification Instructions, OSHA 300, 300A, 301 Formsand Instructions, Initial Incident Report (must be filed within 24 hours of discovering a release), Instructions for completing Initial Incident Report, 30-Day Notification Form for Installations, Modifications, and Repairs, 30-Day Notification Form for Permanent Closure and Changes in Service, 30-Day Notification Form for Temporary Closure, Tank Installer, Qualified Tester, and Operator Trainer Forms, ALLD and Electronic Sump Sensor Testing Evaluation Work Sheet, ATG (Automatic Tank Gauge) and Interstitial or Sump Sensor Test and Inspection Form, Forms for inspection and testing of spill and overfill prevention equipment and containment sumps, Request for Extension of Temporary Closure of Storage Tank System, Petroleum Storage Tank Registration Instructions, Corrective Action Fund Pamphlet: Processes for Payment from the Corrective Action Fund, CAF Reimbursement Applications Instructions, Responsible Party Reimbursement Claim Form, Application form for first time installer certification, Application form for renewal of installer certification, Application form for first time Junior Installer certification, Operator Training Review Application and Matrix, Variance Indemnification / Release of Liability Form, License Renewal Application form for Medical Imaging or Radiation Therapy, InitialLicensure for Medical Imaging or Radiation Therapy Application form, Duplicate or Replacement Certificate of Licensure Application form, Temporary Licensure for Medical Imaging or Radiation Therapy Application form, Request for Written Verification Application form, Particle Accelerator Facility Registration, Amendment or Renewal form, Registration to Operate Radiation Machine form, Instructions for Applying to use Radiation Machines, Medical Diagnostic or Industrial Radiation Machine Facility Application, Form Required for Change of Control or Change of Ownership or both (including name change), Authorized Medical Physicist Preceptor (pdf), Authorized Nuclear Pharmacist Perceptor (pdf), Authorized User Diagnostic Use Preceptor (pdf), Authorized User Therapy Use Preceptor (pdf), Authorized User Sealed Source Therapy Use Preceptor (pdf), Instruction on How to fill-out Preceptor Form (pdf), Licensee Ownership Transfer Name Change Form, General License Application Small Uranium Thorium water filtration systems, General License Registration Form Device Attachment, Out of State Radiation Machine 2 day notification, Reciprocity Recognition form instructions, Financial Assurance Estimate Summary (for landfills), Financial Assurance Estimate Summary Simplified (for transfer stations), 2022 Annual Report Form: Tire Recycling Facility, 2022 Annual Report Form: Scrap Tire Hauler, 2022 Annual Report Form: Civil Engineering Applications, Collection Center Registration Application, Compost Facility Registration Application, Recycling Facility Registration Application, Air Curtain Incinerator Registration Application, Small Animal Crematorium Registration Application, Annual Financial Assurance Cost Estimate Form Transfer Station, Annual Financial Assurance Estimate Worksheets, Irrevocable Standby Letter of Credit (NM Gov Ent as Payee), Irrevocable Standby Letter of Credit (NMED as Payee), Performance Bond (NM Gov Ent as Beneficiary), Standby Trust Agreement (NM Gov Ent as Beneficiary), Standby Trust Agreement (NMED as Beneficiary), Trust Agreement (NM Gov Ent as Beneficiary), Commercial & Special Waste Hauler Registration Form, Help Completing Contingency Plan (Special Waste Haulers Only), Scrap Tire Manifest for Generators (for scrap tire generators that self-haul), Tire Recycling/Storage Facility Application, Affidavit Of Compliance with Local Regulations, Property Owner Affidavit of Acknowledgement, Operator Certification Application (Initial), Operator Certification Application (Renewal), FY24 RAID Grant Illegal Dumpsite Abatement Application, FY24 RAID Grant Additional Dumpsite Information page, On-Site Disposal of Domestic Waste Request Form. The SDMS offers resources for the sonography industry. Note that to be licensed as a sonographer, NM requires at least one current sonography certification/credential from the American Registry for Diagnostic Medical Sonography (ARDMS), Cardiac Credentialing International (CCI), or American Registry of Radiologic Technologists (ARRT). Reciprocal recognition of a radiation machine registration will allow the registrant to work on sites within the State of New Mexico for not more than 180 days in a calendar year. Do you have questions or comments regarding reciprocity in New Mexico? Welcome to Web Lookup/Verification. If you believe you should have access to this part of our website but do not have a working username and password, please contact the NMTCB office at (404) 315-1739. Indianapolis, Indiana 46204-3003. With approximately 350,000 registrants, we promote high standards of patient care with each new credential we award. Primary source verification is often required during the sonographer hiring process or when a sonographer certification, credential, registration, orstate licenseis renewed (e.g., asrequired by The Joint Commission's Standard HR.01.01.01 EP2 & EP31). Santa Fe, New Mexico 87505, Harold L. Runnels Building // 1190 St. Francis Drive, Suite N4050 // Santa Fe, New Mexico 87505 // tel (800) 219-6157, (505) 827-2855, Welcome to the Medical Imaging & Radiation Therapy Program, To view a list of Active NM Medical Imaging and Radiation Therapy Professionals Licensees. Box 5469, Santa Fe, NM 87502-5469; fax 505-476-8654. Initial Licensure for Medical Imaging and Radiation Therapy application Duplicate or Replacement of Certificate of Licensure application Temporary License application Request for Written Verification form Legal Name Change form Provisional License Application Contact us RCB Main Phone Number: 505-476-8600 Paul, MN 55120-1155. 7. After you send me the email, please make sure that you get an email reply from me confirming receipt of your application packet. PO Box 5469 Start by asking if your state requires ARRT certification and registration or if it uses ARRT as its exam administrator for state licensing purposes. Examination Content Specifications outline the topics that appear on our Nuclear Medicine Technology exams. If you would like to know how to pay your fees electronically please, Click Here. Application Forms are below the following notice. The ARRT Verify Credential page is located on their web site, click on the following link https://www.arrt.org/pages/verify-credentials Initial Licensure for Medical Imaging and Radiation Therapy Application Form Duplicate or Replacement of Certificate of Licensure Application Form Temporary License Application Form This will switch to yes when the EIB approves the motion for the ARRT(CT) credential only. Any work in the State of New Mexico using out-of-state radiation producing devices is prohibited unless a reciprocal recognition letter from the Department Radiation Control Bureau is issued to the applicant. It will take time and commitmentbut your hard work will pay off. If a nuclear medicine technologist is not certified in diagnostic radiography but is certified in CT can they perform diagnostic CT on a standalone CT scanner? Please forward that email to. Start by reviewing anoverview of the application processand downloading our primary eligibility pathway application handbook below. Tel: +1 214.473.8057 or 1.800.229.9506 We have a range of resources to guide you. Contact us at 651.687.0048, then choose the option for earning an ARRT credential. Legislation, Regulations and Advocacy Legislation, Regulations and Advocacy Individual State Licensure Information In This Section Listed below are links to each state's information regarding radiologic technologist licensure, certification or recognition. Learn more about therequirements you'll need to meet along the way, including those in education, ethics, and examination. @Copyright 2022 NewMexico.gov | Contact | Online Services | Departments & Agencies, Below you will find helpful information categorized by topic. Working as a Nuclear Medicine Technologist. No. Fax: +1 214.473.8563, 2023 Society of Diagnostic Medical Sonography All certificants may access this portion of the website in order to see the contact information currently on file for them individually. Does your state require a specialty license for CT attenuation correction. Apply to the NM Board of Dental Health Care for a training permit, valid for six months, AND; Pass a state radiography clinical exam, within six months of passing the DANB RHS exam, AND; Pass the New Mexico state jurisprudence exam (take-home), AND; Apply to the New Mexico Board of Dental Health Care for certification to perform radiography. LOG IN. This resource simply links users to each available primary source for verification of sonographer certifications, credentials, registrations, and licenses. Voluntary assistance programs help businesses to meet and go beyond compliance and also offer leadership recognition. Electronic Payments will only be accepted AFTER the MIRTP has determined that you have submitted a complete application packet and AFTER an invoice of the total fee amount due has been created by the MIRTP. New Jersey licensed doctors also are permitted to perform x-ray or radiation therapy procedures provided that they are practicing within the scope of their licenses. If you have partial information, or not sure of the exact name etc., you may use a wildcard search by placing a '*' following the partial data . 3tene not detecting webcam, schmerzen an der stelle wo die gallenblase war,
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