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Medical and Academic X-Ray Machine Registration


Program Update
11/19/2021
EFFECTIVE IMMEDIATELY


All applications with fees are to be sent to this address:

Department of State Health Services
Cash Receipts Branch – MC 2003
PO Box 149347
Austin, TX 78714-9347



Table of Contents


Obtaining a Certificate of Registration

For a medical or academic certificate of registration, submit the following forms with the appropriate fee:

Medical and Academic X-Ray Machine Applications and Forms
Document Number Title
RC 226-02  Radiation Machine Application - New & Renewal
RC 226-01  Business Information Form - Registration 
RC 42-R  Radiation Safety Officer (RSO) Form
RC 204  Radiation Machine Source Unit Fee Schedule

Fee Schedule for New Certificates of Registration

The table below outlines fees pertaining to the issuance of a single certificate of registration for medical use.

For a complete listing of all types of radiation machines and their associated fees, see 25 TAC, §289.204.

Schedule of Application Fees for Medical X-Ray Registration
Category Type of Use Fee
Medical Accelerator, Simulator, or Other Therapeutic Radiation Machine, Electronic Brachytherapy Machine $1,910
Medical Computed Tomography (CT) $1,910
Medical Fluoroscopy, C-Arm, Mini C-Arm, O-Arm, R/F, Lithotriptsy $940
Medical Podiatric Radiographic $420
Medical Radiographic Machine, Bone Densitometer, Cone Beam CT used in Medical Office $600
Morgues and
Educational Facilities
Machines for Non-Human Use, Including CT, Fluoroscopy, and Accelerators $670
Reciprocity Out of State Reciprocal Recognition Fee of Applicable Category

Each initial application for a certificate of registration shall be accompanied by a non-refundable fee equal to the appropriate biennial fee. Fee payments by check or money order shall be made payable to Texas Department of State Health Services.

Multiple Categories of Use

In the case of a single certificate of registration that authorizes more than one category of use, the total fee is the category listed in 25 TAC, §289.204 with the highest corresponding fee. If the certificate of registration has additional authorized use locations, the registrant shall pay an additional 30% of the highest fee category for each additional use location.


Biennial Fees for X-Ray Registration

Biennial fees must be paid every two years in order to continue operating X-ray devices. The fee covers all direct and indirect costs associated with licensing a company or individual.

For detailed information on biennial fees and payment methods accepted, see Biennial Fees for X-Ray Registration.


Amending a Certificate of Registration

To amend a medical or academic registration, submit RC 226-03

Name and/or Ownership Change - See Regulatory Guide 8.2: Guidelines for Issuing Certificates of Registration Due to a Change in Name and/or Ownership (PDF, 27KB).

Radiation Safety Officer Change - Complete form RC-42-R.


Technical Renewal of Certificate of Registration

Renewal applications shall be submitted every eight years. The agency will send a renewal reminder letter and application by mail 45 days prior to the expiration date.

To renew a Certificate of Registration, complete and submit the following forms:

Technical Renewal of Certificate of Registration
Document Number Title Notes
RC 226-02  Radiation Machine Application - New & Renewal See Note
RC 226-01  Business Information Form None


Section Notes:

Submit one application form, RC 226-02 for each use location. Report any special authorizations such as mobile or self-referred screening on the application.


Terminating a Certificate of Registration

To terminate the registration, complete and submit RC-17-R Termination Form.


Disposing of an X-Ray Unit

For information on disposing of X-ray equipment in Texas, visit the Texas Commission on Environmental Quality website.


Operating and Safety Procedures

Title 25 of the Texas Administrative Code (TAC) §289.227 and §289.229 requires each registrant to have and implement written operating and safety procedures. The following Regulatory Guides can be used to help assist registrants in developing procedures unique to individual facilities. For mobile services, include specific procedures unique to your mobile operation. Choose the appropriate guide:


Operating and Safety Procedures
Document Number Regulatory Guide Title
4.3 Operating and Safety Procedures for the Healing Arts or Medicine, Podiatry, and Chiropractic 
4.6 Operating and Safety Procedures for Accelerators, Therapeutic Radiation Machines, and Simulators 

Mobile Services

Authorization is required prior to providing mobile services.

See form RC 226-08 Mobile Services for requirements.


Self-Referred Healing Arts Screening

Authorization is required prior to initiating any self-referred screening program.


  • Coronary Heart Disease or Atherosclerosis Screening Utilizing a CT Machine

    See form RC 226-09 Coronary Calcium Screening

  • Osteoporosis Screening Utilizing a Bone Density Machine

    See form RC 226-10 Osteoporosis Screening

  • Low Dose Lung Screening Utilizing a CT Machine

    See form RC 226-11 CT Lung Screening


Registering a Linear Accelerator over 1 MeV


  • Registration of a New Accelerator

    See form RC 229-01 Additional Information for Accelerator Registration.

  • Registration of an Existing Accelerator Due to Ownership Change

    See Regulatory Guide 8.2: Guidelines for Issuing Certificates of Registration Due to a Change in Name and/or Ownership (PDF, 42KB)

    Submit RC 226-03 Registration Machine Application Amendment and include the following information:

    • Supervising Radiation Oncologist credentials to include curriculum vitae (CV), American Board of Radiology Certification and Texas Medical license
    • Written operation and safety procedures – See regulatory guide 4.6
    • Copy of most current accelerator survey to include diagram of vault and survey summary
    • Diagram of vault with shielding
    • Diagram of vault with surrounding areas shown (i.e. vault, hallways, offices, parking lot)

  • Registration of a Replacement Accelerator Installed in the Same Orientation, Same Energy or Less, and No Additional Shielding

    Submit a letter signed by the RSO that states the following information:
    • That the new/replacement accelerator has been installed in the same orientation, has the same energy or less than the previous accelerator, and no additional shielding is required,
    • The manufacturer, model and serial numbers of the machine(s), and
    • A copy of the post-installation survey

Registering a Linear Accelerator under 1 MeV

  • Registering an Electronic Brachytherapy Machine (EBT)
    See form RC 229-02 Electronic Brachytherapy Registration.

  • Superficial Radiation Therapy (SRT) Machine
    See RC 229-03 Superficial Radiation Therapy Registration

Registering an Electronic Brachytherapy Machine (EBT)

For information on medical Accelerators or Electronic Brachytherapy Devices, contact the medical x-ray registration program at (737) 218-7110.


Additional Information

For a list of frequent questions, please see the Medical X-Ray Registration FAQs page.

If you have further questions regarding registration procedures, contact us.


Contact Information

Texas Department of State Health Services
Radiation Machine Source Unit
Mail Code 2003
P. O. Box 149347
Austin, TX 78714-9347

Phone: (737) 218-7110 
Fax: (512) 206-3787 

Last updated February 25, 2022