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GXMO EXAMINATION APPLICATION FORM 1101 Application

DO NOT COMPLETE THIS FORM if you have previously taken the GXMO examination: 

  •  Please contact D&SDT at (877)851-2355 to check the status of your GXMO TMU© record.
NOTE:  This application is only to be used by candidates who have not previously taken the GXMO examination and who have not been entered into the TMU© database by their training program. 
  • Per State requirements, candidates must be 18 years of age in order to be eligible to test.
To be eligible to take the GXMO exam, you need to complete a GXMO didactic educational program accredited by the Ohio Department of Health (ODH), or be a student enrolled, that has completed a minimum of one (1) year, in a radiologic technology program of study. 

INSTRUCTIONS: 
1.   Complete this GXMO Examination Application, including uploading the required documents within this application.
2.  Choose the course you successfully completed:  Didactic (GXMO didactic educational program accredited by ODH) or Radiography (a minimum of one (1) year in a radiologic technology program or study)
3.  For Didactic Course - Provide the Course Name, and ODH Accreditation Number and upload your Didactic Course Certificate                                                                                                    
4.  For Radiography Course - Provide the Course Name, ODH Accreditation Number and upload your Radiography School Transcript

Please refer to the Ohio GXMO candidate handbook for testing policies and updates.

Once you have completed all of the fields and uploaded the required documents within this application, select “Send Application" to submit your application.
Address
Choose one of the options, Didactic Course or Radiography Course
Affidavit
I have successfully completed a GXMO didactic educational program accredited by ODH Didactic Course and have:
  • included the course name, 
  • included the ODH accreditation number, 
  • and I have uploaded my Didactic Course Certificate.
-or-

I have successfully completed a minimum of one (1) year in a radiologic technology program of study Radiography Course and have: 
  • included the course name, 
  • included the ODH accreditation number, 
  • and I have uploaded my Radiography School Transcript.

By Submitting
I hereby verify that I understand and agree with the statements contained herein and the above information is true and correct.