Affiliated Clinical Sites

Any dental imaging center that wishes to become a Affiliated Clinical Site (ACS) of the AADMRT Online Program must complete an AADMRT Online ACS Application. 

Imaging Center Prerequisites for Internal Approval
  • AADMRT Membership
  • LPXT or CRT with 2+ years experience working in a dental imaging center
  • Proof of adherence to AADMRT Online: Radiation Protection Program (RPP)
  • Provide all required attachments.
  • Proof of facility registration with Radiologic Health Branch for all sources of radiation
  • Provide date of last inspection by Radiologic Health Branch and proof of compliance (Note: Pursuant to H&S Code 107035 and 107055, All ACS are subject to an unannounced inspection by the RHB.)


*45 DAY WAITING PERIOD AFTER SUBMISSION TO AADMRT ONLINE FOR REVIEW BY THE CA DEPARTMENT OF PUBLIC HEALTH RADIOLOGIC HEALTH BRANCH

Application Instructions

STEP 1

STEP 2


STEP 3
Provide all general information through the ACS application. 

Submit all required attachments via the ACS application page. Please read the instructions for the required attachments. 

Once approved internally by AADMRT Online administration, AADMRT Online will submit form CDPH 9053 - Limited Permit Affiliated Clinical Site Request, and provide the Affiliated Clinical Site Agreement. Return by mail to our headquarters.