Radiation Safety Forms: For Medical Center Employees

Find radiation safety forms for medical center employees in patient care environments.

Use these forms if:

• You're a UCSD Medical Center or Thornton Hospital employee working in Nuclear Medicine or Radiation Oncology

• You work with radiation-producing machines in a patient care environment

Radioisotope Use Authorization (RUA) forms

• RUA Amendment

• Application to the Radioactive Drug Research Committee – Human Use (PDF)

Enrollment/ cancellation forms

• Medical Workers Using Radiation-Producing Machines (PDF)
• Radiation Oncology Workers (PDF)
• Nuclear Medicine Workers (PDF)

• User Cancellation

Declaration form

• Declaration of Pregnancy (PDF)

Notice: Refer to the Radiation Safety Manual (PDF) (Word file) for a detailed description of UCSD's radiation safety program.

Safety

Forms

• For Medical Center Employees