Most commonly used radiation source/s Types of monitor/s required OSL Neutron Extremity Has this centre used ARPANSA’s monitoring Yes No service before? If yes, is this a change of ownership? Yes No Previous centre name or number Do you want to transfer all current wearer Yes No details from previous centre? Total number of monitors required (including spares) Ongoing 12-week cycle (standard) Preferred wearing cycle Ongoing 4-week cycle Single cycle as required When would you like to receive your first ASAP cycle? Other, please specify Standard delivery (free) Shipping option First delivery Express Post ($10) Yearly Express Post ($55 per year) Feedback Website Conference How did you hear about us? Radiation consultant Regulator Recommendation Classification of establishment type Diagnostic radiology 40 Chiropractic practice 01 Small hospital department with one or two radiographers 50 Veterinary practice 02 Large hospital department with more than two Industry radiographers 60 Manufacturer utilising quality control or quality assurance 03 Private radiological practice devices 04 Other medical practices 61 Industrial radiography 05 Other hospital and nursing establishments Mining Radiotherapy 70 Uranium mining 11 Dermatology 80 Mineral sand mining 12 Radiotherapy department (including gynaecology) Research 13 Private radiotherapy practice 90 Government
Most commonly used radiation source/s Types of monitor/s required OSL Neutron Extremity Has this centre used ARPANSA’s monitoring service before? Yes No If yes, is this a change of ownership? Yes No Previous centre name or number Do you want to transfer all current wearer details from previous centre? Yes No Total number of monitors required (including spares) Preferred wearing cycle Ongoing 12-week cycle (standard) Ongoing 4-week cycle Single cycle as required When would you like to receive your first cycle? ASAP Other, please specify Shipping option Standard delivery (free) First delivery Express Post ($10) Yearly Express Post ($55 per year) Feedback How did you hear about us? Website Conference Radiation consultant Regulator Recommendation Classification of establishment type Diagnostic radiology 40 Chiropractic practice 01 Small hospital department with one or two radiographers 50 Veterinary practice 02 Large hospital department with more than two radiographers Industry 03 Private radiological practice 60 Manufacturer utilising quality control or quality assurance devices 04 Other medical practices 61 Industrial radiography 05 Other hospital and nursing establishments Mining Radiotherapy 70 Uranium mining 11 Dermatology 80 Mineral sand mining 12 Radiotherapy department (including gynaecology) Research 13 Private radiotherapy practice 90 Government
prms-new-centre.docx