Application: Authorization to Order Diagnostic Imaging
I am applying for authorization to order diagnostic imaging that is limited to x-rays, magnetic resonance imaging and ultrasound imaging.
Applicant name
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Email
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(Same email that is on file with the College of Physiotherapists of Alberta)
Registration number
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Experience
I have 5 years of clinical physiotherapy practice experience completed within Canada.
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Education
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University of Alberta's REHAB 570 (formerly PTHER 410) Diagnostic Imaging for Physical Therapists Course.
University of Alberta's EXFRM 2700, 2701 AND 2702 Diagnostic Imaging for MSK Disorders in Primary Care I, II and III AND summative examination following course completion.
Copy of transcripts which includes all courses and summative examination results OR summative exam certificate of results. Files must be in a PDF document.
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*Showing completion of REHAB 570
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Declaration statements
I declare I have read, understand and agree to comply with the practice standards related to the performance of restricted activities.
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I certify and declare that the information provided in this application is true.
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Submission
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