Get Registration Of Radiation Machine Facilities ... - Maine.gov

This guide provides a comprehensive overview of how to complete the REGISTRATION OF RADIATION MACHINE FACILITIES form online. Whether you are new to digital document management or have some experience, this step-by-step guide will assist you in filling out the form accurately.

Follow the steps to successfully complete the registration form.

1. Press the ‘Get Form’ button to access the registration form. This will open the form in your editor for completion.
2. Begin by entering the facility supervisor's details including their name, address, telephone number, and email address. Ensure all information is accurate and up to date.
3. Provide information about the facility, including the type of practice. Options include medical, dental, podiatric, chiropractic, hospital, veterinary, industrial, academic, state-owned/operated, and mammographic.
4. Next, input the details of the Radiation Safety Officer (RSO). Enter their address, telephone number, and email address accurately.
5. In this section, specify the type of radiation machine being registered. Choices include radiographic, dental, therapy, computerized tomography, and others as listed.
6. Fill out the details for the specific radiation machine, including whether it is portable or stationary, model number, console serial, and maximum milliampere (mA).
7. Enter the supplier, installer, service agent, geographical location, and the status of the machine inspection. Indicate if it has never been inspected or if it’s mobile.
8. Finally, enter the administrator or machine owner information, including their address, telephone number, and email address. Ensure to check the completeness of your form.
9. Once all sections are filled out appropriately, review the form for any errors or missing information.
10. After verification, you can save your changes, download, print, or share the form as required.

Complete your registration online today for a seamless experience.