Ariz. Admin. Code § R9-16-611 - Student Mammography Permits
A.
Before beginning the initial training in
21 CFR
900.12 under
R9-16-610(A)(3)(b),
an individual shall obtain a student mammography permit from the
Department.
B. An applicant for a
student mammography permit shall submit an application to the Department that
includes:
1. The information and documents
required under
R9-16-619; and
2. A Department-provided agreement form that
includes the following:
a. The name and date
of birth of the applicant;
b. The
name, license number, e-mail address, and telephone number of a radiologist,
licensed under A.R.S. Title 32, Chapter 13 or 17 and certified in radiology by
the American Board of Radiology;
c.
A statement that the licensed radiologist is accepting responsibility for the
applicant's supervision and training; and
d. The licensed radiologist's signature and
date of signing.
C. The Department shall approve or deny an
individual's application for a student mammography permit according to
R9-16-621.
D. A student mammography permit is valid for
one year from the date issued and may not be renewed.
Notes
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