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application form for license to operate a medical x ray facility 2021

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Republic of the Philippines Department of Health Food and Drug Administration CENTER FOR DEVICE REGULATION, RADIATION HEALTH, AND RESEARCH CHECKLIST OF REQUIREMENTS FOR INITIAL ISSUANCE / RENEWAL
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. 2. License-to-Operate Registration card with the applicant's photograph and signature. Copy of the applicant's passport or identification card. 3. Copy of medical certificate/medical report from the health authority which verifies the applicant is physically fit (1 copy). 4. Copy of foreign medical certificate / foreign medical report issued by a competent authority / foreign medical report of national interest for the issuance of a LTO, which verifies the applicant is physically fit (2 copies). 5. A copy of the current and valid license for the LTOs, as modified by this regulation. 6. The current license number of the LTO(s) (if different than the existing license number). It is not necessary for applicant to apply for a new license at the Department of Health. 7. The LTOs and the applicant's medical reports, together with any additional information specified during the application form or during the medical examination are to be submitted to the FOOD AND DRUG ADMINISTRATION. It is the responsibility of the LTO to obtain a copy of the foreign medical certificate / foreign medical report in order to determine whether the LTO should be issued. 8. The FOOD AND DRUG ADMINISTRATION may at any time during or after issuance/renewal of the LTO, or any other modification made pursuant to this Regulation, authorize to the FOOD AND DRUG ADMINISTRATION the extension of an existing license(s) in the LTO to cover a period of not more than 30 days, upon submission of a written request by the FOOD AND DRUG ADMINISTRATION. 1,400 pesos per month. The FOOD AND DRUG ADMINISTRATION shall issue temporary permit (TMP) to the LTO and/or transfer the fee of the LTO from the license fee to the TMP fee. If an application for an extension of a license (i) is incomplete, (ii) is not accompanied by the required medical reports as specified under Section 3, or (iii) is based wholly or partially on the opinions of other authorized professionals or on recommendations of the government agency, the FOOD AND DRUG ADMINISTRATION shall notify the FOOD AND DRUG ADMINISTRATION not to allow the extension/renewal to be based on their opinion. The FOOD AND DRUG ADMINISTRATION may then approve the extension/renewal after verifying that (i) the applicant has submitted the required
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