Radiation Safety Forms: Health System Employees
Last Updated: May 28, 2025 1:09:44 PM PDT
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Find radiation safety forms for UC San Diego Health System employees.
- In the right place? If you are a UC San Diego researcher, see Radiation Safety Forms: Researchers.
Use the forms below if:
- You are a UC San Diego Medical Center or Thornton Hospital employee working in Nuclear Medicine or Radiation Oncology
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You work with radiation-producing machines in a patient care environment
Radioisotope Use Authorization (RUA)
- Radioisotope Use Authorization (RUA) Amendment
- Application to the Radioactive Drug Research Committee – Human Use (Word file)
Enrollment/ Cancellation
- Medical Workers Using Radiation-Producing Machines – Enrollment and Dosimetry Request Form - (MACHINES ONLY)
- Medical Workers Using Radioactive Materials Dosimetry Request Form - (MATERIALS ONLY)
- User Cancellation
Declaration form
For more information, contact EH&S Radiation Safety, (858) 822-2494.
Notice: Refer to the Radiation Safety Manual (PDF) for a detailed description of the UC San Diego radiation safety program.