Reinstatement of a Lapsed License

Before applying for licensure, please familiarize yourself with the general licensing policies.

 

As part of your online application, you will upload a photo of yourself, a current current curriculum vitae (CV) or synopsis of professional activity since completion your radiography educational program and certificates of completion of 12 hours of continuing education (CE) during the one year period immediately preceding the date of application;

 

You will arrange for the submission of the following documentation to be submitted directly to this office from the source:

 

Verification of any state license held, current or expired submitted directly to this office from the source. The purpose of the verification is to document that the applicant has not been subject to disciplinary action such other state.  Please contact the jurisdiction for instructions on how to arrange for the submission of the verification;

 

Verification from the appropriate authority confirming the applicant's most recent clinical experience including dates and overall evaluation of the applicant's ability to practice with reasonable skill and safety.

 

Applications are only accepted online.  In order to submit your reinstatement application online, you will need to know your current user ID and password in DPH's system.  If you do not recall your user ID and password, you can use the recovery options as well as the 'Register' link.  If you use the 'Register' link, please disregard the language under 'PLEASE READ' and select 'NEXT' button at the bottom of the page.  On the next screen, you will need to match your first name, last name and the last 4 digits of your SSN and create a new password and validate your email address.  Please select this link to submit your online application.  The application fee is $200.

 

Typically, applicants for reinstatement who have not been in active clinical practice for longer than five years are required to complete a period of refresher training.  Applicants will receive further information from the Department upon receipt of all required documentation.

 

Please arrange for all supporting documentation to be sent directly from the source to:

 

Connecticut Department of Public Health

Radiographer Licensure

410 Capitol Ave., MS #12 APP

P.O. Box 340308

Hartford, CT 06134

Phone: (860) 509-7603

Fax:  (860) 707-1982

Email:  dph.alliedhealth@ct.gov