Registration application for lasers - dshs texas 2025

1. Click ‘Get Form’ to open the Registration application for lasers in the editor.
2. Begin by entering the legal name of your business, facility, or individual as registered with the Texas Secretary of State in section 1.a.
3. In section 2, provide the physical address where laser machines will be used and records stored. If you have multiple locations, submit separate applications for each.
4. Select the type of action you are applying for in section 3 by checking all applicable boxes, such as New Registration or Renewal.
5. Fill in your contact information including telephone and fax numbers in sections 4 and 5.
6. Designate a Laser Safety Officer (LSO) in section 6.a., providing their qualifications if this is a new registration or LSO change.
7. Complete section 8 by indicating the total number of laser machines and their use categories. Ensure to check all relevant boxes.
8. Review safety procedures in section 9 and check each box to confirm compliance.
9. Obtain necessary signatures from licensed practitioners and the LSO as required in sections 10 and 11.
10. Finally, certify that all information provided is accurate by signing at the end of the application.

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