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X-ray Equipment Application - HEA5104

New facility applications are completed online at least 30 days prior to handling the equipment, after creating an account in the ODH Gateway as a new Gateway user. If adding additional equipment to your registered address, you would access your registration record via your online account and submit an online amendment(s).

Registrations are not transferrable. Possession of x-ray equipment, in storage or rendered inoperable requires a valid registration.

To apply online the following four items are required:

  • Gateway Access (e-mail address required)  (Setup ODH Gateway User account - Step One)
  • IRS 147C, CP 575 or SS-4 tax identification verification letter.  If you do not have your IRS tax identification letter available, call IRS at 1-800-829-4933 and request your “Tax Identification Verification 147C letter” and have the IRS FAX the letter to you. This process will take 1-2 minutes (W-9s WILL NOT BE ACCEPTED.)   The official name on the tax verification letter is the “Registrant Name” to be entered on the Application. The Tax ID# on the tax letter is the tax number to be entered on the Application. (Your letter from the IRS must be no more than two years old.)
  • Scan/Upload capability or electronic file of IRS tax identification letter is required to complete the application request.  You must have your IRS tax verification letter available in electronic form before you begin the application process.
  • Credit card or electronic check for payment of $262.00 is required to complete the application request.  You must have your credit card or checkbook available before you begin the application process.

Step One

Setup your ODH Gateway account or use your already established account. If you setup a new User account, you will receive an e-mail with the following: User ID, temporary password and ODH Gateway address

Step Two

Log into your ODH Gateway account and follow the online instructions to enter your facility's information, upload your tax letter and make payment for your application.

Step Three

When you have successfully completed this application process online, you will receive online confirmation your application has been submitted to the Ohio Department of Health.

Step Four

After Department review and approval, you will receive an e-mail within one to three business days confirming your registration number.

Step Five

Log into the ODH Gateway and print and post/display a new Certificate of Registration.

 

If you need a hard copy application, select the attachment, or contact our office at e-mail xrayreg@odh.ohio.gov to request form HEA5104.

If you have questions regarding your application, please contact ODH X-ray Registration at 614.995.4727, or e-mail xrayreg@odh.ohio.gov before you begin the application process.

If you experience any problems with the ODH Gateway, or have questions regarding your user ID or password, please contact ODH computer support staff at 614.752.5190 for assistance.