Radiation Safety Forms: Health System Employees

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

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

Radioisotope Use Authorization (RUA)

• 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

• Declaration of Pregnancy