Facility Registration Forms |
Non-Ionizing Facility Registration (ARRA-NIR) - For Registering New Facilities | Update Exisiting Facility Information | Renew Exisiting Registration |
Non-Ionizing Machine Information (ARRA-NIMI) - For Registering Nonionizing Devices (Each Device Being Registered Requires a Seperate Form) |
Nonionizing Annual and Registration Fee Schedule |
Acknowledgement Forms |
LSO Acknowledgement Statement - Form for Laser Safety Officers |
RF Acknowledgement Statement |
Cosmetic Facility Medical Director Acknowledgement - Form for IPL/Laser Hair Removal and/or Laser Cosmetic Facilities |
Medical Director Acknowledgement (Non-Cosmetic) - Form for Medical Facilities (Dental Offices, Hospitals, Medical Offices, Veterinary Offices, Podiatric) |
Medical Director Acknowledgement (Chiro) - Form for Chiropractic Offices |
Individual/Professional Attestation Forms |
Medical Director/Prescribing Official Application/Attestation - Application Form for Medical Director Training and Experience Attestation (MD, DO, NMD, NP) |
Health Professional Training Application/Attestation - Application Form for Health Professional Training and Experience Attestation(RN or PA |