RHBRadiationMachineForms

RHB - Radiation Machine Forms

The below links provide forms, policies, and guidance documents related to registration and use of radiation machines and compliance.

New Update History:

September 2009 - Posting of specific policies.
1-27-11: Legislation & SB 1237

Radiation Machine Registration

RH 2261

Radiation Machine Registration PLEASE SEND FORM TO: California Department of Public Health - Radiologic Health Branch, MS 7610, Registration Unit P.O. Box 997414 Sacramento, CA 95899-7414

RH 2261 Information Notice

Links to information regarding new changes to X-ray machine registration form. Please see this Notice for important information.

CDPH 8623

Application for Mammography Facility/Machine Certification

Compliance Documents

RHB 2364

Notice to Employees

RH 1027

Radiation Safety Complaint (Violation of Regulations or License or Unsafe Conditions)

Mobile Fluoroscopy Equipment Exemption (PDF, New Window)

Links to an equipment exemption about spacer cones.

Legislation

SB 1237 - FAQ (PDF)

Links to FAQ addressing reporting of radiation events from the use of Computerized Tomography (CT) and therapy X-ray equipment.

Policy Documents

Cineradiography

Evaluation method to determine compliance of cineradiography and related fluoroscopic modalities.

Fluoroscopy

Provides scenarios and answers for determining compliance with fluoroscopy certification.

Guidance Documents

Guidance for X-ray equipment above 500 kVp

Guidance for acquiring X-ray equipment operating in excess of 500 kVp.

Closing a Mammography Facility

Provides information on closing a mammography facility (i.e. no longer providing services).

Mammography Consumer Complaint Policy - Sample

Provides a sample policy.

Personnel Dosimetry Providers

Lists acceptable personnel dosimetry providers.

Pregnancy Warning Sign - Sample

Provides a sample pregnancy warning sign for display.

Radiation Protection Program

Provides guidance on developing, documenting and implementing a required radiation protection program.

Vendor Obligation Information

Provides information for vendors to ensure notifications are made pursuant to Section 30118 of Title 17, California Code of Regulations.

X-ray Image/Report Retention

Provides information on how long to keep x-ray images and reports.

Disposal of X-ray Tubes

Guidance for how to dispose of X-ray tubes.