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Applications |
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Please select the appropriate registration application in
order to register your x-ray equipment or service company. For general
information you can e-mail
XrayNORS@dhhs.nc.gov |
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All X-Ray Facilities and Service Provider Applicants Must Submit this Form. Instructions |
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Equipment Forms Instructions |
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Healing Arts - Medical, Physicians, Dental, Chiropractic, Veterinarians This registration form is for radiation machines used for human/animal use. |
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Non-Healing Arts - Analytical, Industrial Radiographic, Research This registration form is for radiation machines used for non-human use. |
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As required by the "North Carolina Regulations For Protection
Against Radiation" rules .0203 Application: Registration: Radiation
Machines: Facilities: and .0205 Application For Registration of Service,
each registrant shall complete proper application to register radiation
machines and facilities. Healing Arts Application: To complete the application submit page 1
(general information) and page 2 listing all x-ray equipment to this
agency. If the facility has
mammography equipment (FDA certified, non-certified, stereotactic, cabinet
specimen units) must include page 3 (mammography equipment list) of the
application. Facilities
that are mammography only must complete Page 1 (general information) and page
3 (mammography equipment list). The
application(s) must include the date and signature before this agency will
issue a registration number for your facility. Non-Healing Arts
Application: To
complete the application submit page 1 (general information) and page 2
listing all equipment to this agency.
Revised
10/8/12 |
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NCDHHS . NC Radiation Protection . 1645 Mail
Service Center . |