Ariz. Admin. Code § R9-16-612 - Application for Initial Certification as a Mammographic Technologist

A. Except as provided in subsection (B), an applicant for initial certification as a mammographic technologist shall submit an application to the Department that includes:

1. The information and documents required in R9-16-619;

2. The applicant's current radiology technologist certificate number;

3. The applicant's current student mammography permit number, if applicable;

4. Either:

a. A copy of current ARRT certification in mammography; or

b. Documentation of:

i. Completing of initial education and training that meets the requirements specified in 21 CFR 900.12, and

ii. Having a passing score on a Department-approved examination in mammography; and

5. The applicable fee in R9-16-623.

B. If an applicant for initial certification as a mammographic technologist may be eligible for certification under A.R.S. § 32-4302(A), the applicant shall submit an application to the Department that includes:

1. The information and documentation required in R9-16-619;

2. Documentation of the license or certification as a mammographic technologist issued to the applicant by each state in which the applicant holds the license or certification;

3. A statement, signed and dated by the applicant, attesting that the applicant:

a. Has been licensed or certified as a mammographic technologist in another state for at least one year;

b. Has met minimum education requirements and, if applicable, work experience and clinical supervision requirements, according to A.R.S. § 32-4302(A)(3);

c. Has not voluntarily surrendered a license or certification in any other state or country while under investigation for unprofessional conduct; and

d. Does not have any complaint, allegation, or investigation pending before another regulatory entity in another state or country related to unprofessional conduct; and

4. The applicable fee in R9-16-623.

C. The Department shall approve or deny an individual's application for initial certification as a mammographic technologist according to R9-16-621.

Notes

Ariz. Admin. Code § R9-16-612

Adopted by final expedited rulemaking at 25 A.A.R. 2409, effective 8/27/2019. Amended by final expedited rulemaking at 31 A.A.R. 672, effective 2/4/2025.