When your payment has been accepted by Wells Fargo Bank, you should receive a separate payment confirmation email from Wells Fargo Bank. Employers, state licensing agencies, and federal regulators all consider an ARRT credential to be verification that you've met rigorous professional standards. MIRTP issued over 3500 professional licensures to operate and administer ionizing and non-ionizing radiation to humans pursuant to 20.3.20 NMAC. Radiation Control Program (617) 242-3035 Remember, this is not the same as taking an ARRT exam. For information regarding this page, contact Carl Sullivan of the Bureau atcarl.sullivan@state.nm.us. We also have educational resources for the sonography community. (217) 785-9900. New Mexicos MIRTAC (Radiation Licensing Board) approved that NMTs [CNMTs or ARRT(N)] follow the ASRTs Practice Standards which states: Performing hybrid imaging, including PET-CT and SPECT-CT, for emission, transmission, and attenuation correction, anatomical location and for use in radiation therapy treatment planning when performed within hybrid imaging as prescribed by a licensed practitioner and under the supervision of an authorized user. Santa Fe, NM 87505, Environmental Emergencies: 505-827-9329 (24 hours), Asbestos Government Ordered Demolition form, Permitting Administrative Multi-Form (PAM), GCP-Oil and Gas Registration Form Part 1 of 2, GCP-Oil and Gas Registration Form Part 2 of 2, GCP-2 Multi-Form for Quarrying, Crushing, and Screening Facilities, GCP-3 Multi-Form for Hot Mix Asphalt Plants, GCP-3 Hot Mix Asphalt Plants Carbon Monoxide Emission Calculation Tool, GCP-5 Multi-Form for Concrete Batch Plants, CommForm Communication Updates for Air Quality Permits or Notices of Intent, GCP-6 Storage Vessels Section 9: Emission Reduction Calculation Table, GCP-Temporary Control Minor Registration Form, GCP-Temporary Control Major Registration Form, Acid Rain Program Instructions for Phase II Permit Application, Landfill Control Equipment Removal Report, Relocation Form For Portable Streamline Compressor Engines, Engine Replacement Form Plume Dispersion Energy Comparison, Small Business Compliance Assessment Program Disclosure form, Smoke Management Ventilation Category Tracking form, Smoke Management Statewide Waiver Reporting form, Dry Cleaning Notice of Compliance Status Form, Initial Notification and Notification of Compliance Status Form for Gasoline Dispensing Facilities, Universal Test Notification and Report form, Universal Test Notification and Report Instructions, Universal Test Notification and Report example, Air Dispersion Modeling Waiver Request form, Hemp Extraction Facility Permit Application, Hemp Manufacturing or Processing Facility Permit Application, Edible and Topical Cannabis Manufacturer Certification Form, Cannabis Edible Manufacturing Permit Application, Environmental Information Document (EID) Outline, Request for Proposals (RFP) for Design Professional Services Template, Preliminary Engineering Report (PER) Requirements Guide_USDA bulletin 1780-2, Preliminary Engineering (PER) Report Review Checklist used by CPB, Engineering Contract Template For All Funding Programs, Engineering Contract Template Attachment I Insurance, Engineering Contract Template Attachment II Planning Phase, Engineering Contract Template Attachment III Design Phase, Engineering Contract Template Attachment IV Construction Phase, Engineering Contract Template Attachment V Operation Phase, Engineering Contract Template Attachment VI Amendment to Engineering Contract, Distribution System Sampling Plan template, Surface Water Treatment System Monthly Operating Report, Construction or Modification of Public Water Supply System Application, Virus Inactivation by Chlorine Certification (hypochlorination), Virus Inactivation Certification Checklist, Drinking Water Laboratory Certification Program (DWLCP) Guidance Manual, Application for Laboratory Certification Appendix A, Checklist for Laboratory Certification Application Appendix B, Laboratory Certification Best Practices Appendix C, Public Water System Emergency Response Plan template, Public Water Systems Operation & Maintenance Plan template, Liquid Waste Permit Search Request Auto Fill PDF Form, Liquid Waste Permit Application Auto Fill PDF, Liquid Waste Permit or Registration Application printable version, Affidavit to keep lots/parcels adjoined in perpetuity, Sample letter for public notice of variance, Septage Pumper Qualification Certificate application, Installer Specialist Qualification Certificate application, ATS Maintenance Service Provider (MSP) Qualification Certificate application, Third Party Evaluator Qualification Certificate application, Requirements for Qualification of On-Site Professionals, Application for Homeowner Qualification Certificate, Application for Permit to Operate Food Establishment, Mobile Food Establishment (Food Truck), Food Processing Plant, or Mobile Support Unit, Registration form for baked goods prepared on tribal lands and sold in state, Ground Water Quality Bureau Discharge Permit Application (Non-dairy), Wastewater Land Application Data Sheet- 200 lbs/ac, Wastewater Land Application Data Sheet 125%, Surface Disposal Data Sheet Chile Processing Facilities, Wastewater Sampling Log- Chile & Food Processing Facilities, Dairy Discharge Permit Renewal and/or Modification Application, Dairy Discharge Permit Renewal for Closure Application, Business Concern (Public Owner, Private Operator) Disclosure Statement, Hard copy RCRA Subtitle C Activities Site Identification Form 8700-12, RCRA Subtitle C Activities Site Identification Instructions, OSHA 300, 300A, 301 Formsand Instructions, Initial Incident Report (must be filed within 24 hours of discovering a release), Instructions for completing Initial Incident Report, 30-Day Notification Form for Installations, Modifications, and Repairs, 30-Day Notification Form for Permanent Closure and Changes in Service, 30-Day Notification Form for Temporary Closure, Tank Installer, Qualified Tester, and Operator Trainer Forms, ALLD and Electronic Sump Sensor Testing Evaluation Work Sheet, ATG (Automatic Tank Gauge) and Interstitial or Sump Sensor Test and Inspection Form, Forms for inspection and testing of spill and overfill prevention equipment and containment sumps, Request for Extension of Temporary Closure of Storage Tank System, Petroleum Storage Tank Registration Instructions, Corrective Action Fund Pamphlet: Processes for Payment from the Corrective Action Fund, CAF Reimbursement Applications Instructions, Responsible Party Reimbursement Claim Form, Application form for first time installer certification, Application form for renewal of installer certification, Application form for first time Junior Installer certification, Operator Training Review Application and Matrix, Variance Indemnification / Release of Liability Form, License Renewal Application form for Medical Imaging or Radiation Therapy, InitialLicensure for Medical Imaging or Radiation Therapy Application form, Duplicate or Replacement Certificate of Licensure Application form, Temporary Licensure for Medical Imaging or Radiation Therapy Application form, Request for Written Verification Application form, Particle Accelerator Facility Registration, Amendment or Renewal form, Registration to Operate Radiation Machine form, Instructions for Applying to use Radiation Machines, Medical Diagnostic or Industrial Radiation Machine Facility Application, Form Required for Change of Control or Change of Ownership or both (including name change), Authorized Medical Physicist Preceptor (pdf), Authorized Nuclear Pharmacist Perceptor (pdf), Authorized User Diagnostic Use Preceptor (pdf), Authorized User Therapy Use Preceptor (pdf), Authorized User Sealed Source Therapy Use Preceptor (pdf), Instruction on How to fill-out Preceptor Form (pdf), Licensee Ownership Transfer Name Change Form, General License Application Small Uranium Thorium water filtration systems, General License Registration Form Device Attachment, Out of State Radiation Machine 2 day notification, Reciprocity Recognition form instructions, Financial Assurance Estimate Summary (for landfills), Financial Assurance Estimate Summary Simplified (for transfer stations), 2022 Annual Report Form: Tire Recycling Facility, 2022 Annual Report Form: Scrap Tire Hauler, 2022 Annual Report Form: Civil Engineering Applications, Collection Center Registration Application, Compost Facility Registration Application, Recycling Facility Registration Application, Air Curtain Incinerator Registration Application, Small Animal Crematorium Registration Application, Annual Financial Assurance Cost Estimate Form Transfer Station, Annual Financial Assurance Estimate Worksheets, Irrevocable Standby Letter of Credit (NM Gov Ent as Payee), Irrevocable Standby Letter of Credit (NMED as Payee), Performance Bond (NM Gov Ent as Beneficiary), Standby Trust Agreement (NM Gov Ent as Beneficiary), Standby Trust Agreement (NMED as Beneficiary), Trust Agreement (NM Gov Ent as Beneficiary), Commercial & Special Waste Hauler Registration Form, Help Completing Contingency Plan (Special Waste Haulers Only), Scrap Tire Manifest for Generators (for scrap tire generators that self-haul), Tire Recycling/Storage Facility Application, Affidavit Of Compliance with Local Regulations, Property Owner Affidavit of Acknowledgement, Operator Certification Application (Initial), Operator Certification Application (Renewal), FY24 RAID Grant Illegal Dumpsite Abatement Application, FY24 RAID Grant Additional Dumpsite Information page, On-Site Disposal of Domestic Waste Request Form. 1255 Northland DriveSt. In this section you will find applications and preparation materials for each of NMTCBs certification examinations: the general nuclear medicine exam (CNMT), the post-primary NMTCB(CT) exam, the NCT and PET specialty examinations, and the Nuclear Medicine Advance Associate (NMAA) examination. The Medical Imaging Radiation Therapy Health and Safety Program regulation authority is through NMSA 1978, 61-14E-1 to 12: Medical Imaging and Radiation Therapy, Health and Safety Act and 20.3.20 NMAC. Select the topic you are interested in and explore the resources contained within. Box 5469 . Environmental Emergencies: 505-827-9329 (24 hours), Medical Imaging and Radiation Therapy Program, Radiological and Chemical Advocacy Office, Public Notices of Radioactive Material Licensing Actions, Instruction Reciprocity Recognition (PDF). To view a list of Active Medical Imaging and Radiation Therapy Professionals Licensees click here. Also, email may be the only means of communicating with me. We license and regulate 1,300+ radiation machine facilities statewide used in such applications as healing arts, industry, and research. If you want to obtain a state license, you must meet the individual states requirements and apply directly to that state. Medical Imaging & Radiation Therapy Program Application Forms New Mexico's MIRTAC (Radiation Licensing Board) approved that NMT's [CNMTs or ARRT(N)] follow the ASRT's Practice Standards which states: "Performing hybrid imaging, including PET-CT and SPECT-CT, for emission, transmission, and attenuation correction, anatomical location and for use in radiation therapy treatment planning when . Particle Accelerator Facility Registration, Amendment or Renewal form . If a nuclear medicine technologist is not certified in diagnostic radiography but is certified in CT can they perform diagnostic CT on a standalone CT scanner? 24 units every 2 years, To be determined by NM State Legislation. Does your state require CE for licensing? All applicants, please read the following notice. Legislation, Regulations and Advocacy Legislation, Regulations and Advocacy Individual State Licensure Information In This Section Listed below are links to each state's information regarding radiologic technologist licensure, certification or recognition.
Pomeranian For Adoption In Jacksonville, Fl,
Divi Aruba Entertainment Schedule,
Robert Sellers Obituary,
Newell Coach Owners Group,
Pa State Retirement Pay Dates 2022,
Articles N