- Application for Registration of Radiation Services 773
- Application for Registration of Healing Arts or Veterinary X-Ray Units 803
- Application for Radioactive Material License 844
- Application for Registration of Ionizing Radiation Device
- Transfer Receipt Record 1360
- Reciprocity Notice of Intent 1043 Required prior to engaging in an activity involving the use of radioactive material (RAM) or x-ray producing machines.
- FDA Report of Assembly of a Diagnostic X-Ray System 2579
Note: If you have a completed the FDA Form 2579 above, please e-mail to xrayregistration@msdh.ms.gov or mail to:
MSDH Division of Radiological Health
310 Airport Road
Pearl, MS 39208
Radiological Health Applications
This page has been automatically translated from English. MSDH has not reviewed this translation and is not responsible for any inaccuracies.
Mississippi State Department of Health • 570 East Woodrow Wilson Dr • Jackson, MS 39216 • 866‑HLTHY4U • Contact and information
