Limited Permit for DXA - Technician Training at UCSD - Course Waitlist
Please fill out this form to be added to our course waitlist. 
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Phone Number *
Which DXA machine would you prefer to complete your training on? (Please ask your supervisor/employer if you are unsure or select "No Preference") *
What city/region of California do you plan to use your DXA license in? *
Do you already have any other radiography-related certification or a medical license? If so, what?
RT, MD, DO, DCs do not need to take this course to perform DXA scans. 
*
Are you (or your staff) available to attend the class if there are last-minute cancellations (between 1-2 weeks before the scheduled start of the class)? *
Select the option that best applies to you: *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report