ARMRIT RENEWAL 2019-2021

Solution Graphics
Tech's Name:

Tech's ARMRIT Certificate number:

Email:

Address

City

State

Zip

Phone

Work Phone

Employer

City

State

Equipment Experience

Include the following:

1) Three-year Renewal fee of $300.00 is due on or before November 15, 2018.

2) Evidence of at least twenty-four (24) CME credits in MRI Technology performed in 2016, 2017, or 2018.

Proof of CME (24) credits: (choose one): MRI Subjects Only!!!

Already on file:
Will send:

Were you convicted of a felony or misdemeanor since last renewal? YES     NO

If YES, submit details for review.

Please complete the sentence: norobots

*Renewal is mandatory to maintain your Credential & Certification Registry Active status.
**A Certificate and ID Card will not be released until CME evidence is provided.
***Late Fees Apply / Failure to Renew Will Lead to Revocation (see note) after March 15, 2019..
****Not Tax Deductible.
***** Consult your Tax Advisor for Tax Deductibility.

Note: Revocation renders your Credential & Certification null & void requiring completion of an application and sitting for the examination. No exceptions!

Or Click Here for a form to fill out and fax to: 718-347-8691
or mail to:

ARMRIT
2049 E. 67th Street
Brooklyn, NY 11234