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