Mississippi State Department of Health

Reciprocity Notice of Intent
Form 1043. Required prior to engaging in an activity involving the use of radioactive material (RAM) or x-ray producing machines.

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Reciprocity Notice of Intent    https://powerforms.docusign.net/57033a26-b6fc-42bd-a662-584d71e0a35f?env=na3&acct=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef&accountId=ca3d40be-4f16-4a6a-892e-a0fe14f1a6ef

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