{"id":137,"date":"2016-01-29T16:00:00","date_gmt":"2016-01-29T16:00:00","guid":{"rendered":"https:\/\/www.vdh.virginia.gov\/radiological-health\/?page_id=137"},"modified":"2025-04-15T18:45:18","modified_gmt":"2025-04-15T18:45:18","slug":"x-ray-forms","status":"publish","type":"page","link":"https:\/\/www.vdh.virginia.gov\/radiological-health\/radiological-health\/x-ray-machine-program\/x-ray-forms\/","title":{"rendered":"X-ray Forms"},"content":{"rendered":"<h3>General Information on .pdf files located on this page:<\/h3>\n<p>Please use Adobe Reader to utilize the form features for all forms listed on this page: Registration, Inspection and Postings&#8221;.<\/p>\n<p>Browser &#8220;lite&#8221; versions and &#8220;Extensions&#8221; of .pdf readers in Chrome, Safari etc. may not have the same full functionality as Adobe Reader.<\/p>\n<p>You will likely find it best to download the forms and open them locally using Adobe Reader.<\/p>\n<p>To set up Adobe Acrobat Reader DC as your default application for .pdf:<\/p>\n<ol>\n<li>Right click the downloaded form file<\/li>\n<li>Select &#8220;Open with&#8221;<\/li>\n<li>Select &#8220;Choose another App&#8221;<\/li>\n<li>Select &#8220;Adobe Acrobat Reader DC&#8221;<\/li>\n<li>Click the &#8220;Always use this app to open .pdf files&#8221;<\/li>\n<li>Click OK.<\/li>\n<\/ol>\n<hr \/>\n<h3>Registration<\/h3>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-MedicalRegistration.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Medical Registration Form: RH-F-2 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-NonMedRegistration.pdf\">Non Medical Registration Form RH-F-3 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2025\/03\/Notification-of-Out-of-State-or-Temporary-Use-Machines.docx\">Out of State \/ Temporary Use Machines (03\/2025)<\/a><\/p>\n<hr \/>\n<h3>Inspection Reporting<\/h3>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/GeneralAdministration05272021a.pdf\">X-Ray Machine Inspection Report: RH-F-21 (05\/27\/2021)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-Radiographic.pdf\">Radiographic Form: RH-F-22 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-IntraOral.pdf\">Dental Intra-Oral Form: RH-F-23 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2020\/05\/Form-0120-PanoramicCBCT.pdf\" rel=\"\">PanoramicCBCT Form: RH-F-26 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-Veterinary-01012020b.pdf\">Veterinary Form: RH-F-25 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-Fluoroscopic.pdf\">Fluoroscopic Radiographic System: RH-F-24 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-CT.pdf\" rel=\"\">Computed Tomography Systems: RH-F-28 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-Theraputic.pdf\" rel=\"\">Therapeutic Units: RH-F-29 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2025\/04\/Form-BoneDensity-01012020c-Edited-4-15-25.pdf\">Bone Density Form RH-F-36 (04\/2025)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-Podiatric.pdf\">Podiatric Form: RH-F-37 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2021\/02\/Form-0120-Specimen.pdf\">Specimen Form: RH-F-45 (01\/2021)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/Form-0120-NonMedical.pdf\">Non-Medical Form: RH-F-33 (01\/2020)<\/a><\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h3>Useful Postings<\/h3>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/NOTICE-TO-EMPLOYEES-012020.pdf\">Notice to Employees Form: RH-F-12 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/RH-F-31-X-RAY-OPERATORS-LIST-012020.pdf\" rel=\"\">Operator\u2019s List Medical RH-F-31 (01\/2020)<\/a><\/p>\n<p><a href=\"https:\/\/www.vdh.virginia.gov\/content\/uploads\/sites\/7\/2019\/12\/NON-MEDICAL-X-RAY-OPERATORS-LIST-012020.pdf\" rel=\"\">Operator\u2019s List Non-Medical RH-F-44 (01\/2020)<\/a><\/p>\n<p>ORH-744: <a href=\"https:\/\/townhall.virginia.gov\/L\/GetFile.cfm?File=C:\\TownHall\\docroot\\GuidanceDocs\\601\\GDoc_VDH_6905_v2.pdf\" rel=\"\">Radiation Safety Practices for General Radiography<\/a><\/p>\n<p>ORH-745: <a href=\"https:\/\/townhall.virginia.gov\/L\/GetFile.cfm?File=C:\\TownHall\\docroot\\GuidanceDocs\\601\\GDoc_VDH_6906_v2.pdf\" rel=\"\">Radiation Safety Practices for Dental Offices<\/a><\/p>\n<p>ORH-746: <a href=\"https:\/\/townhall.virginia.gov\/L\/GetFile.cfm?File=C:\\TownHall\\docroot\\GuidanceDocs\\601\\GDoc_VDH_6907_v2.pdf\" rel=\"\">Radiation Safety Practices for Veterinary Offices<\/a><\/p>\n<p>ORH-747: <a href=\"https:\/\/townhall.virginia.gov\/L\/GetFile.cfm?File=C:\\TownHall\\docroot\\GuidanceDocs\\601\\GDoc_VDH_6908_v2.pdf\" rel=\"\">Radiation Safety Practices for Non-medical Devices<\/a><\/p>\n<hr \/>\n<p style=\"text-align: center;\">Office of Radiological Health | 109 Governor Street,\u00a0 7th Floor | Richmond, VA\u00a0 23219<\/p>\n<p style=\"text-align: center;\">Telephone (804) 864-8150 | X-ray Fax: (804) 864-8175<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>General Information on .pdf files located on this page: Please use Adobe Reader to utilize the form features for all forms listed on this page: Registration, Inspection and Postings&#8221;. Browser &#8220;lite&#8221; versions and &#8220;Extensions&#8221; of .pdf readers in Chrome, Safari etc. may not have the same full functionality as Adobe Reader. You will likely find [&hellip;]<\/p>\n","protected":false},"author":19,"featured_media":0,"parent":143,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","footnotes":""},"tags":[],"class_list":["post-137","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>X-ray Forms - Radiological Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.vdh.virginia.gov\/radiological-health\/radiological-health\/x-ray-machine-program\/x-ray-forms\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"X-ray Forms - Radiological Health\" \/>\n<meta property=\"og:description\" content=\"General Information on .pdf files located on this page: Please use Adobe Reader to utilize the form features for all forms listed on this page: Registration, Inspection and Postings&#8221;. 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