Radiation Badge Application

Please complete all fields below to apply for enrollment in the University of New Mexico dosimetry program.


As part of your application, you must also complete Learning Central item HSC 181 or contact RadBadge@salud.unm.edu to arrange for training in the care and use of individual monitoring devices. If you are a physician who independently operates fluoroscopy, you will also be required to complete HSC 183.


Note: Do not use this form to request a replacement for a lost dosimeter. If you have an existing dosimeter subscription and are in need of a new badge to replace one that is lost or missing, please submit a lost dosimeter form.


If you are in need of a fetal dosimeter, please contact RadBadge@salud.unm.edu to arrange for a consultation.

Application Type*

Select "Enroll" f you are a new hire or "Reinstate" if you were previously monitored for radiation exposure(s) at the University of New Mexico.

Enter your 9-digit UNM ID number beginning with a 1, 4, or 8. This number will be used in place of a social security number as your unique identifier for radiation dose reporting.

Select the physical location where you will receive the bulk of your radiation exposure.

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Are you a contractor or traveler?*

Are you visiting a department to observe, shadow, or as part of a short-term rotation?*

Will you be working with radioactive material (RAM)?*
Will you be working with or around x-ray machines?*
Are you a physician who will independently operate fluoroscopy machines (stationary or portable c-arms)?*
Did you wear a dosimeter somewhere else before coming (back) to UNM?*
Do you CURRENTLY wear a dosimeter somewhere other than UNM?*

UNM will need to request your year-to-date dose to ensure you have not exceeded the annual regulatory limits from ALL occupational exposures during the current calendar year that began January 1.

Since you previously wore a radiation badge at another non-UNM facility during the current calendar year or in the past, UNM must request your prior occupational dose.

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Please review your responses and click "Submit" to send your application to UNM Radiation Safety for review and processing. Mark the "Send me a copy of my responses" box to save a copy of your submission.

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