X-ray certification FAQs

X-ray machine operators and technologists

  • No - Colorado is a non-licensure state. Separate licensure or registration for X-ray technologists who are nationally certified or registered with American Registry of Radiologic Technologists or Nuclear Medicine Technology Certification Board is not required.

  • Additional certifications in CT or mammography specialties through American Registry of Radiologic Technologists or Nuclear Medicine Technology Certification Board as specified in Section 2.4.5 of Part 2 of the regulations is required to be an operator but registration with Colorado is not required for these sub-specialties.

R-90 renewal application form: Complete and submit at least 30 days prior to expiration along with evidence of continuing education credits and the $60 fee. Make your check payable to CDPHE.

  • The limited scope operator registration is issued for 2 years, and then must be renewed.

R-82 application for renewal form: Complete and submit at least 30 days prior to expiration along with evidence of continuing education credits and the $60 fee. Make your check payable to CDPHE.

  • The bone density operator registration is issued for a 3 year period, and then must be renewed.

  • You must be a registered technologist in good standing with American Registry of Radiologic Technologists and meet the requirements of Part 2, Appendix 2M, Section 2M.1.3., and work under the supervision of another qualified person during your training period.

Form R-64: You must register with us as a provisional mammographer by reviewing the instructions and completing form R-64, submitting the $60 fee by check payable to CDPHE.

R-64 instructions

  • If approved, a provisional mammographer registration will be issued for 1 year and may renewed only once – after which you must become (and maintain registration) in mammography with American Registry of Radiologic Technologists or you must cease performing mammography.

Qualified inspectors and experts providing services to x-ray facilities

Order your x-ray machine certification labels online. Only Colorado registered qualified inspectors may purchase blue certification labels.

         or

         R-53 provisional qualified inspector application form and pay the $100 application fee.

R-68 application form: Register with us using the R-68 application form and pay the $100 application fee.

  • Qualified expert registration is an annual registration.

Facilities using x-ray machines

  • Contact a Colorado registered qualified inspector for your specific machine type(s).

  • Inspection of complex x-ray systems including computed tomography, fluoroscopy, and therapy systems requires inspection/evaluation by a registered medical physicist- a special category of qualified inspector.

  • Qualified inspectors are private companies/individuals that do not work for the Colorado Department of Public Health and Environment. Fees for inspections (also called certification evaluations) are set by the qualified inspector and are not under our control. Only the blue certification label fee ($60) is set by us which may or may not be included in the inspection fee charged by the qualified inspector.

  • Mammography inspections are completed in two steps - mammography facilities should contact a registered qualified inspector to complete the machine certification portion of the inspection.

  • CDPHE staff inspectors will contact the facility directly for the second portion of the inspection prior to the due date.

Contact the x-ray staff or more information

Phone: 303-692-3448
cdphe.hmxraycomments@state.co.us

  • Invoices for registration fees may be paid by electronic check or credit card through the online payment portal. Only those invoices which specifically list the payment portal website can be paid online. You must have a customer number/reference ID, and invoice number (shown on the invoice or letter).

For online payment questions, contact:

​Nancy Finchpaugh
303-692-2129
nancy.finchpaugh@state.co.us

 

R-4 registration form

  • Each year x-ray machine facilities are also required to complete the online R-4 registration form when they receive their April bill/invoice.

  • No fee is required to update existing registration information outside of the annual renewal cycle.

  • Each facility using x-ray machines must initially register, renew the registration annually and pay a $50 facility registration fee - regardless of the number of x-ray machines at the facility.

  • Each individual x-ray machine must have a certification evaluation (inspection) completed at the frequency specified in Table 2-1 of Section 2.5.1 of Part 2. Reminders are sent via email to each facility prior to the due date.

  • X-ray facility registration invoices are issued each April. If this bill is paid in a timely manner, you will not receive your next bill until the following April. However, if payment is delayed – for example if your April 2017 invoice is paid 10 months late in February of 2018 - you will receive another invoice in April for the current year.

  • Facilities that do not pay the initial annual facility renewal fee in a timely manner may be charged additional fees.

R-4 registration form: Complete the online R-4 registration form and pay the necessary facility registration fee. Fees may be paid through the online payment portal.

For payment by check, contact the x-ray technical support staff:

Customer technical assistance for questions concerning x-ray and mammography
Phone: 303-692-3448
Fax: 303-691-7841
cdphe.hmxraycomments@state.co.us

R-4 registration form: Provide information to the new owner that will allow them to complete the online R-4 registration form.

Notify us by completing the R-61 status of radiation machines form.

Update your facility information when applicable by filling out the ​​R-4 registration form.

Refer to the Recycling information guidance document for further details.

Complete R-61 x-ray status of radiation machines form in the event you recycle or remove your machine from service.

R-4 form: Complete to update your facility registration information.
R-61 status of radiation machines form: Complete If you are also removing an existing x-ray machine from your facility.

  • Yes. To ensure the health and safety of members of the public, operators, and patients, and consistent with state regulation, all permanent non-federal facilities using x-ray machines in the State of Colorado for any purpose (medical, industrial, research, security) must be registered with CDPHE’s x-ray certification unit of CDPHE.​

  • Register a permanent x-ray machine.

Inspection frequencies (also called certification evaluations) are specified in Table 2-1 of Section 2.5.1 of Part 2 of the regulations and vary between 1-3 years depending on the type of machine or facility.

  • Facilities that use fluoroscopy, computed tomography, or perform industrial radiography must use dosimetry badges and will not be granted a waiver from monitoring requirements.

  • Some facilities may be granted a waiver from the continuous radiation monitoring requirement if they demonstrate workers will not exceed 10 percent of the annual radiation limit for occupational radiation workers. Facilities must demonstrate this through use of continuous individual monitoring devices (dosimeters) for a period of at least 6 months, or provide an assessment of radiation dose from a qualified expert in shielding design

R-400 dosimetry waiver request form: Review the instructions and complete.

Sales, installation, repair and demonstrations of x-ray machines

  • You must meet the requirements of Part 2, Section 2.2.2 and follow all applicable requirements of the regulations, including Section 2.7.
  • Service technicians must meet the requirements of Part 2, Appendix 2H.
R-60 application formRegister with the department using the applicable R-60 application form and pay the $100 application fee.
  • Service company registration is an annual registration.

  • Provide documentation that each machine has been evaluated in accordance with Colorado regulations. This may require a certification evaluation be completed by a Colorado registered qualified inspector.

Form R-200: Complete and submit at least 15 days before entering Colorado with a radiation machine, and receive approval from the Department.