XRay Permit Applications

• X-ray Permit Application

Check 'Initial Application' at the top of the form. Complete both sides of the form, print off and sign the application, and mail it along with the correct fee to:

Oklahoma State Department of Health
Consumer Protection Division
P.O. Box 268815
Oklahoma City, OK 73126-8815

Oklahoma State Department of Health
Consumer Protection Division
P.O. Box 268815
Oklahoma City, OK 73126-8815

• For a dental or podiatric unit, the fee is $30 for each tube. For example: one tube = $30. Two tubes = $60. Three tubes = $90.
• For a veterinary unit, the fee is $25 for each tube. For example: one tube = $25. Two tubes = $50. Three tubes = $75.
• For all other units such as those in a hospital, clinic, or a chiropractor or physician's office, the fee is $95 for each tube. For example: one tube = $95. Two tubes = $190. Three tubes = $285.
• The maximum permit fee is $500. This means that if a facility's calculated permit fee would be over $500 (for example a hospital with thirteen tubes which would calculate to $1,180), the facility would only pay $500. No facility should ever pay more than $500 for a single year's permit.
• A late fee is due if a facility does not renew its permit within 30 days of its expiration date. The late fee is half of the normal permit fee. For example, if a facility's normal permit fee is $30, the late fee would be $15, for a total of $45. However, this total should not exceed the maximum permit fee of $500 for a single year.