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Raphex 2020 Online Exam Request Please Provide Information on who should receive the proctor information for the online exams!

Diagnostic or Therapy?: ___________________________ (This is a required field.)

Name: ______________________________________________________________

Hospital/School: ______________________________________________________

Address: ____________________________________________________________

City/State/Zip________________________________________________________

Phone: _____________________________________________________________

Email Address: ______________________________________________________

Exam Results emailed to:_______________________________________________

MPP will receive completed answer sheets for the online exams automatically. There will

be no additional action needed from proctors.

Please allow 1-2 weeks for exam results.

Will you need a PDF of the exam questions? Yes No

If the "Submit" button doesn't work for you, email your requst to: mpp@medicalphysics.org.