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Applications & Forms

SCRQSA Applications and Forms

The following SCRQSA Applications and Forms may be downloaded for your use. 

Please visit the Frequently Asked Questions pages for information on certification questions. 

Should you have any questions, please contact SCRQSA office at 877-771-6141 or

Certification Forms

Application for Certification [May 2020] - First Time Applicants 
Application for Recertification [May 2020] - Current or Lapsed Applicants
Recertification Process - How To Letter [April 2020]

Exam Applications

Limited Radiographer Examination Application
Bone Densitometry Examination Application

State Radiography, Radiation Therapy or Nuclear Medicine Application

Other Forms

Name Change/Change of Address/Reprint
Continuing Education Approval Form

Updated Statement on PET/CT Certification (2018)
Violations Reporting Form
Mailing List

Competency Checklists

CLR - General Competency Checklist
CLR-Chiropractic Competency Checklist
CLR - Chest Competency Checklist
CLR - Podiatric Competency Checklist


South Carolina Radiation Quality Standards Association
P.O. Box 7515
Columbia, SC 29202
Office: 1927 Thurmond Mall Suite 101

Columbia, SC 29201

Toll-Free (877) 771-6141
(803) 771-6141  (803) 771-8048 Fax