Resources: Helpful Links and Forms
Click the links below to either complete your forms online or download and print.
Registering a New Office, Changing Ownership of an Office, or Registering a New X-ray Machine
If you are opening a new office, purchasing an existing practice or have a new x-ray machine, fill out an R-4 form. CDPHE prefers that you use the online R-4 Form.
R-4 Register a New Office and New Machines, Renew an Office Registration, or Change Office Ownership – online form
R-4 Register a New Office and New Machines, Renew an Office Registration, or Change Office Ownership – download
R-4a Registration of Radiation Machines – download Use the R-4a form to register a new radiation machine.
Disposing of an Old X-ray Machine
Form used for getting rid of an x-ray machine or placing it in storage. You will need to upload the work order or signature of the certified technician who disables, disassembles or removes the machine. CDPHE prefers that you use the online R-61 Form.
R-61 Removal of X-ray Machine – online form
R-61 Removal of X-ray Machine – download
Requesting a Dosimetry Monitoring Waiver
Form used to ask the CDPHE if you can stop radiation monitoring and to issue a waiver from having to use dosimeter badges. You MUST have 6 months of current data to make this request.
R-400 Dosimetry Waiver Request – download
Radiation Safety Program
This Colorado Department of Public Health and Environment (CDPHE) document reviews everything you need to know about creating and maintaining a proper radiation safety program.
Radiation Protection Program Guidance – download
Document from the CDPHE describing your responsibilities as a company that owns x-ray equipment in the state of Colorado.
Facility Responsibilities – download