Breadcrumb Home Research X-ray Machine Registration Form You must have JavaScript enabled to use this form. Registration of all x-ray units is required by Iowa Department of Public Health. In order to maintain an accurate and up to date inventory of these units, EHS is requiring that owners complete the information below pertaining to their x-ray machine(s). Departmental Contact Information Today's Date First Name Last Name Phone Number Contact email address X-ray Machine Registration Information Manufacturer Model Unit Location Manufacturer Date Serial Number Unit Usage Max kV Max mA Submission of FormIt is very important that this form be completed and submitted within 30 days of receiving the unit, and for any unit you believe may not be accounted for already by EHS. X-ray Unit Inventory InformationX-ray units that are already included in the University’s inventory will have a white sticker that reads “EHS XXXX’ or ‘RPO XXXX’, where XXXX represents a four-digit number assigned to that machine by EHS. If you possess an x-ray machine of any type that does not have this label, please complete this form and forward to EHS. EHS Contact InformationIf you are unsure if the unit is registered, or requires registration, please contact Joe Hawk at 319-384-4541 or email joseph-hawk@uiowa.edu Leave this field blank