Bone Densitometry Operator Registration and Renewal

All registrations of Bone Densitometry Equipment Operators are issued in accordance with the requirements contained in the Colorado Rules and Regulations Pertaining to Radiation Control, 6 CCR 1007-1, Part 2, Appendix 2F. For questions about completing this form, please call (303) 692-3448 or (888) 569-1831 ext. 3448 toll-free (outside the 303 area code) or fax (303) 691-7841 Attention: X-ray Certification Unit.

Application section

Application category

New application

ARRT retake examination

Renewal of registration

BDEO registration number

BDEO expiration date +

Renewal attachments

Documentation of 18 continuing education units (CEU’s) attached if took ARRT registry.
ISCD certification attached if applicable.

Please use the same upload button for all attachments.

ISD certification number

ISD certification expiration date +

Payment options

Mail a check or money order for the application processing fee of $60.00 payable to the CDPHE-XRC - instructions will be emailed once application is submitted.

Make your $60.00 payment via the online payment portal - instructions will be emailed once application is submitted.

Applicant information

First name

Last name

Mailing address

City

State

Zip code

Cell phone number

Other phone number

Email address

Please confirm your email address.

Employer business name

Facility registration number

Employer/business address

City

State

Zip code

Didactic training and clinical experience

Didactic Requirement (Colorado Rules and Regulations Pertaining to Radiation Control, 6 CCR 1007-1, Part 2, Appendix 2F, Section 2F.2.1)

The student must complete at least 30 hours of classroom training in the following topics: Basic X-ray Physics (2 Hours), Radiobiology (2 Hours), Radiation Protection (5 Hours), Basic Concepts (8 Hours), Equipment Operation and Quality Control (6 Hours), DXA Scanning of Forearm (2 Hours), DXA Scanning of Finger and Heel (1 Hour ), DXA Scanning of Lumbar Spine (2 Hours), DXA Scanning of Proximal Femur (2 Hours).

Name of school

School address

City

State

Zip code

Beginning attendance date +

Ending attendance date +

Educator's name

Educator's phone

Please upload a signed and dated letter from your educator affirming that you have fulfilled the requirements of 6 CCR 1007-1, Part 2, Appendix 2F, Section 2F.2.1. Or submit a copy of your ISCD/ or other training certification/s for at least (30) hours didactic training.

Clinical requirement

The student must complete at least 480 hours of clinical experience under direct supervision of a qualified trainer (supervisor must be present in building). No more than 160 hours may come from non-clinical, laboratory experience. During the clinical experience the student must perform at least 10 each of the following imaging exam procedures: DXA scanning of Forearm, DXA scanning of Lumbar Spine, and DXA scanning of Proximal Femur.

Name of the clinic

Facility registration number

Clinic's address

Clinic's city

State

Zip code

Beginning date of clinical experience +

Ending date of clinical experience +

Name of supervisor

Please upload a signed and dated letter from your supervisor affirming that you have fulfilled the requirements of 6 CCR 1007-1, Part 2, Appendix 2F, Sections 2F.2.2 and 2F.2.3 as described above. Or submit a completed and signed list of (30)completed exams as required by 2F.2.2. *

If you need special accommodations, please review the information on disability accommodations related to ARRT testing.

Examinees who do not attend a scheduled appointment, who do not cancel an appointment on time, or who let the assigned window-date expire, will lose exam eligibility. Exam windows may be extended at the department’s discretion after confirming receipt of written request from the examinee. Persons who fail to test during the 90-day window forfeit the processing fee and will have to re-apply and pay the complete registration fee for another 90-day window. No training materials are provided by the Department or the ARRT. If you have not received a confirmation notice regarding this registration within 4 weeks after submitting this form, please contact the us at 303-692-3448. Once submitted, you will receive instructions regarding your exam from the American Registry of Radiologic Technologist (ARRT) in Minnesota before your scheduled exam date.

Applicant affirmation and signature

I affirm that I have read and understand the statements contained on this form, and that I have fulfilled the requirements of 6 CCR 1007-1, Part 2, Appendix 2F, Sections 2F.2.1, 2F.2.2, and 2F.2.3 and that all the information entered on this application is true and correct.

As a Colorado state registered Bone Densitometry Equipment Operator, I affirm that I have maintained my ISCD certification or have completed 18 hours of continuing education as required by Appendix 2F, Section 2F.2.5. I also understand that if I do not meet the requirements of Appendix 2F, I will no longer be a registered Bone Densitometry Equipment Operator. The applicant named in the application certifies that this application is prepared in conformity with the Colorado Rules and Regulations Pertaining to Radiation Control and that all information contained herein, including any attachments hereto, is true and correct to the best of my knowledge and belief.

For the purposes of this form, the Colorado Department of Public Health and Environment accepts your typed name and date as an electronic signature equivalent to your valid signature on a paper copy of the form. As such, this electronically completed form subjects the signatory to the same responsibilities as a hand-signed form. Per Section 18-8-306, C.R.S., it is a felony to submit false information to a state official.

Applicant signature

Date +