R9-16-611. Student Mammography Permits

A. Before beginning the initial training in 21 CFR 900.12 under R9-16-610(A)(3)(b), an individual shall obtain a student mammography permit from the Department. B. An applicant for a student mammography permit shall submit an application to the Department that includes: 1. The information and documents required under R9-16- 619; and 2. A Department-provided agreement form that includes the following: a. The name and date of birth of the applicant; b. The name, license number, email address, and telephone number of a radiologist, licensed under A.R.S. Title 32, Chapter 13 or 17 and certified in radiology by the American Board of Radiology; c. A statement that the licensed radiologist is accepting responsibility for the applicant’s supervision and training; and d. The licensed radiologist’s signature and date of signing. C. The Department shall approve or deny an individual’s application for a student mammography permit according to R9-16- 621. D. A student mammography permit is valid for one year from the date issued and may not be renewed.