Forms & Applications

Radiography, Nuclear Medicine, Radiation Therapy, and Radiologist Assistant Applications*:
 *See below for information regarding reinstatement of a lapsed license.
 
Limited X-ray Machine Operator Applications*:
ATTN LXMO Applicants: If you are applying for a Limited X-ray Machine Operator license and have completed your training out-of-state please contact the KBMIRT office for further instructions on documentation that needs to accompany the application.
 *See below for information regarding reinstatement of a lapsed license.
 
Other Forms:
 
Reinstatement Process: Following the expiration of a license, an individual may apply for reinstatement using the following guidelines.  Please note, the $100 reinstatement fee applies in each of the guidelines listed below.
Radiography, Nuclear Medicine, Radiation Therapy, and Radiologist Assistant Reinstatement:

Limited X-ray Machine Operator Reinstatement:

 

Please note: An initial or temporary license application must include the results of a state criminal background check for any state in which the applicant has lived or worked within the past 5 years.  The results must have been completed within 6 months of the application.