R-53RMP Registered Medical Physicist and Provisional Registered Medical Physicist Registration Application

This form is an application for registration as a Colorado Registered Medical Physicist for performing certification evaluations of x-ray producing machines and facilities, preparation of radiation shielding designs, recommending radiation safety practices, and performing radiation exposure surveys. RMP registration will include a Qualified Expert designation. The registration is for a one year period. Renewals must be received 30 days prior to the expiration date. Please refer to 6 CCR 1007-1 Colorado Rules and Regulations Pertaining to Radiation Control Part 2, Appendix 2I for additional information - all external links on this form will open in a new window.

This form is an application for registration as a Colorado Provisional Registered Medical Physicist for performing certification evaluations of x-ray producing machines and facilities. The registration is for a one year period. Renewals must be received 30 days prior to the expiration date. Please refer to 6 CCR 1007-1 Colorado Rules and Regulations Pertaining to Radiation Control Part 2, Appendix 2I for additional information - all external links on this form will open in a new window.