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Hand Grading of Examination

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The ACRRT is a testing agency that contracts with various states and organizations to provide two types of examinations depending on the level of testing required by state statute.

Exam Types:

  1. ACRRT Registry Examination Toward Certification and Membership

    Click here for the Registry Membership and Exam Application.

    The registry exam is a 270 multiple choice question examination for RT (ACRRT) candidates who complete 300 hours of study that leads to RT certification.

    The ACRRT Registry Examination is based on sound psychometric principles of evaluation and testing. It is designed to be job-related for the chiropractic paraprofessional engaged in radiologic technology. The content specifications and task analysis assures job-relatedness.

    The exam is given in two parts, on the same day. Each part must be completed within 2 hours. General Rules of Examination Conduct are to be observed, and the Test Administrator will provide applicants specific and pertinent instruction prior to commencement. The passing cut-off score for the exam shall be a standardized score of 70%.

    Each category includes weighted questions in the following general areas:

    1. Physics and Equipment of Radiographic Imaging
    2. Principles of Radiographic Exposure
    3. Radiation Protection
    4. Anatomy and Physiology
    5. Radiographic Positioning and Procedures (including patient care and management)

    Sample Exam Questions

    Results in 6 - 8 weeks unless hand grading is paid for.

    Cut-off for registration is 2 weeks before test date.

  2. State Limited Permit Examinations

    Successful completion of a "limited permit examination" (and any award of proficiency) does not meet the criteria for ACRRT certification or membership status. See ACRRT Registry Examination above.

    For the type of examination required there are several limited permit applications available:

    • Limited Permit Examination:

      This exam is a 100 multiple choice question examination for those candidates seeking limited certification who have completed 48 hours of classroom lecture sponsored by state organizations for local state certification, as defined in their state statutes.

      Click here for the Limited Permit Exam Application.

    • Pennsylvania

      Candidates for the Commonwealth of Pennsylvania Limited Examination use the Limited Permit Exam Application provided by ACRRT.

      Click here for the Limited Permit Exam Application.

      Examination dates this year: November 20th.

      Contact for more information.

      Note: Since the Dixon center will not be reopening until end of June 2021, ACRRT must use a different location for the exam. Blair Convention Center is where ACRRT held its last exam and it worked well:

      One Convention Center Drive, Altoona, PA 16602.

      Exam Primer

      The Pennsylvania Chiropractic Association and Dr. Victor J. Rizzo will host a Primer on November 6th and 13th, 2021 for the PA Limited X-RAY Exam. Click here to register. Anyone requiring more info can visit or contact PCA at (717) 232-5762.

      "Someone taking the ACRRT exam only needs to take my Nov 6 and 13 online courses (which aren't CE for doctors by the way) and have the Study Guide in hand so you should have it by then. Students can come to my Oct 2 course if they want but not needed for test taking and is an extra fee. Hope that helps." - Dr Rizzo

    • Limited permit examination from a state that supplies its own application:

      Complete the application sent to you from that state. If you have any questions, call your state organization that is sponsoring the exam, read the information in this web site, or call the ACRRT and we can assist you.

ACRRT Registration

The ACRRT shall confirm the qualifications of all applicants for registration in chiropractic radiography. It shall approve, administer, oversee and sponsor all examinations for registration, to determine which applicants qualify, and consequently register such qualified applicants.


To those who have passed the ACRRT Registry Examination, and are otherwise eligible, a certificate shall be issued which confers upon the applicant the right to use the title "R.T. (ACRRT)" in connection with his/her name so long as the certificate shall be in effect. Technologists certified by the ACRRT are advised to use the symbol (ACRRT) in connection with the "R.T." to avoid confusion with certification from any other source.

Scope of Practice

Applicants for registration shall agree to perform the duties of a radiologic technologist only as directed by a duly licensed and qualified doctor in the health care specialties, and under no circumstances shall give out oral or written diagnosis, or work independently. "Duly licensed and qualified doctor in the health care specialties" refers to one who has demonstrated education and training in the use and effect of radiation.

Contact ACRRT

American Chiropractic Registry
Radiologic Technologists

52 W. Colfax Street
Palatine, Illinois

Telephone: 847.705.1178


ACRRT Study Guide

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