Polysomnographic Trainee, Technician, or Technologist Application for Registration
The Registered Polysomnographic Program registers individuals as Polysomnographic trainees, technicians or technologists.
Registered Polysomnographic Trainee: This registration is required for individuals under the direct supervision of a supervising physician and surgeon, polysomnographic technologist or other licensed health care professional who may provide basic supportive services as part of their educational program, including but not limited to gathering and verifying patient information, testing preparation and monitoring, documenting routine observations, data acquisition and scoring, and assisting with appropriate interventions for patient safety in California.
Registered Polysomnographic Technician: This registration is required for individuals who may perform the services of a polysomnographic trainee under general supervision and may implement appropriate interventions necessary for patient safety in California.
Registered Polysomnographic Technologist: This registration is required for individuals who are responsible for the treatment, management, diagnostic testing, control, education, and care of patients with sleep and wake disorders in California.
California Business and Professions Code section 30 requires mandatory disclosure of a Social Security Number (SSN), Individual Taxpayer Identification Number (ITIN), or Federal Employer Identification Number (FEIN). The number is used for tax enforcement purposes, for purposes of compliance with any judgment order for family support in accordance with Section 17520 of the Family Code, or for verification of licensure or examination status by a licensing examination entity which uses a national examination and where licensure is reciprocal with the requesting state.
NOTE: An FEIN may only be used for a business license type, not for an individual license type.
Business and Professions Code Section 31 allows the State Board of Equalization and the Franchise Tax Board to share taxpayer information with the Board. If a state tax obligation is not paid, an application for licensure may be denied and a license issued by the Board may be suspended (Business and Professions Code section 494.5).
Reporting a number on your application that is not your SSN, ITIN, or FEIN may be grounds for denial.
Additionally, in order to apply for licensure or check the status of your application online, an SSN or ITIN is required to register with the BreEZe online application system. If you do not have an SSN or ITIN, you will be required to complete your application by mail.