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Form Date Description Format Contact Info
3638  04/2011 Guide for Filling Annual Reports for X-Ray Components and Systems (HTML)  (HTM - 0KB) DRH
301-796-5790
3639  04/2011 Guidance for Submission of Cabinet X-Ray System Reports Pursuant to 21 CFR 1020.40 (HTML)  (HTM - 0KB) DRH
301-796-5790
3639  03/2014 Guidance for Submission of Cabinet X-Ray System Reports Pursuant to 21 CFR 1020.40 (PDF)  (PDF - 988KB) DRH
301-796-5790
3640  12/2016 Reporting Guide for Laser Light Shows and Displays (PDF)  (PDF - 946KB) DRH
301-796-5790
3640  04/2011 Reporting Guide for Laser Light Shows and Displays (HTML)  (HTM - 0KB) DRH
301-796-5790
3641  04/2014 Cabinet X-Ray Annual Report (PDF)  (PDF - 860KB) DRH
301-796-5790
3641  04/2011 Cabinet X-Ray Annual Report (HTML)  (HTM - 0KB) DRH
301-796-5790
3642  04/2011 General Correspondence Report for CDRH Electronic Submissions (HTML)  (HTM - 0KB) DRH
301-796-5790
3643  04/2011 Microwave Oven Products Annual Report (HTML)  (HTM - 0KB) DRH
301-796-5790
3643  03/2014 Microwave Oven Products Annual Report (PDF)  (PDF - 865KB) DRH
301-796-5790
3644  04/2011 Guide for Preparing Product Reports for Ultrasonic Therapy Products (HTML)  (HTM - 0KB) DRH
301-796-5790
3644  02/2015 Guide for Preparing Product Reports for Ultrasonic Therapy Products (PDF)  (PDF - 815KB) DRH
301-796-5790
3645  06/2015 Guide for Preparing Annual Reports for Ultrasonic Therapy Products (PDF)  (PDF - 761KB) DRH
301-796-5790
3645  04/2011 Guide for Preparing Annual Reports for Ultrasonic Therapy Products (HTML)  (HTM - 0KB) DRH
301-796-5790
3646  04/2011 Mercury Vapor Lamp Products Radiation Safety Report (HTML)  (HTM - 0KB) DRH
301-796-5790
3646  04/2014 Mercury Vapor Lamp Products Radiation Safety Report (PDF)  (PDF - 886KB) DRH
301-796-5790
3647  04/2011 Guide for Preparing Annual Reports on Radiation Safety Testing of Mercury Vapor Lamps (HTML)  (HTM - 0KB) DRH
301-796-5790
3647  05/2014 Guide for Preparing Annual Reports on Radiation Safety Testing of Mercury Vapor Lamps (PDF)  (PDF - 888KB) DRH
301-796-5790
3649  04/2011 Accidental Radiation Occurrence Report (HTML)  (HTM - 0KB) DRH
301-796-5790
3649  06/2014 Accidental Radiation Occurrence Report (PDF)  (PDF - 766KB) DRH
301-796-5790
3654  04/2014 Standards Data Report for 510(K)s (PDF)  (PDF - 2.4MB) Scott A. Colburn
301-796-6287
3660  04/2011 Guidance for Preparing Reports on Radiation Safety of Microwave Ovens (HTML)  (HTM - 0KB) DRH
301-796-5790
3660  07/2007 Guidance for Preparing Reports on Radiation Safety of Microwave Ovens (PDF)  (PDF - 2.5MB) DRH
301-796-5790
3661  04/2011 A Guide for the Submission of an Abbreviated Report on X-ray Tables, Cradles, Film Changers or Cassette Holders Intended for Diagnostic (HTML)  (HTM - 0KB) DRH
301-796-5790
3661  06/2015 A Guide for the Submission of an Abbreviated Report on X-ray Tables, Cradles, Film Changers or Cassette Holders Intended for Diagnostic Use (PDF)  (PDF - 694KB) DRH
301-796-5790
3662  04/2011 A Guide for Submission of an Abbreviated Radiation Safety Reports on Cephalometric Devise Intended for Diagnostic Use (HTML)  (HTM - 0KB) DRH
301-796-5790
3662  12/2015 A Guide for Submission of an Abbreviated Radiation Safety Reports on Cephalometric Devices Intended for Diagnostic Use (PDF)  (PDF - 729KB) DRH
301-796-5790
3663  03/2016 Abbreviated Reports on Radiation Safety for Microwave Products (Other than Microwave Ovens) (PDF)  (PDF - 742KB) DRH
301-796-5790
3663  04/2011 Abbreviated Reports on Radiation Safety for Microwave Products (Other than Microwave Ovens) (HTML)  (HTM - 0KB) DRH
301-796-5790
3664  03/2011 My Medicine Record (PDF) **Note: For best form functionality, Right-click 3664 link and click Save Link As… to save to your desktop and then open the file  (PDF - 466KB) Cindi Fitzpatrick
301-796-3115

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