Box 5469, Santa Fe, NM 87502-5469; fax 505-476-8654. 2745 Dallas Pkwy Ste 350, Plano, TX 75093 USA By earning ARRT certification and registration, you'll be joining the ranks of these qualified professionals. New Jersey licensed doctors also are permitted to perform x-ray or radiation therapy procedures provided that they are practicing within the scope of their licenses. 8. The MIRTP recommends ALL application forms andtheir required supporting documents be submittedby email. NOTE: We recommend creatinga bookmark, favorite, or shortcut(depending on the browser and computer/device) to this page for rapid access to these resources in the future. Public License Look-up Tool 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). Please forward that email to. Mailed application packets that include a check or money order will be opened by NMED staff that may be in the Santa Fe office, where all checks or money orders that are received by mail will be deposited in accordance with all NM statutes and rules, but does not mean that your application packet will be reviewed or processed until a much later date, than the date thatthe checks or money orders have been deposited. Start by asking if your state requires ARRT certification and registration or if it uses ARRT as its exam administrator for state licensing purposes. We inspect our registrants on a prioritized schedule to ensure radiation exposures to employees and the public are within applicable limits at levels that are as low as reasonably achievable. After you have entered your email address and zip code, click on the GREEN, Pay Now box. Welcome applicants! If you would like to know more about how to submit your complete application packet electronically, click here. Do you have questions or comments regarding reciprocity in New Mexico? For the annual MIRTAC meeting on 12/10/2019, a motion for a Diagnostic CT credential was introduced. Radiologist Assistant Program Recognition, Certain state-approved postprimary disciplines. New Mexico Environment Department To be determined by NM State Legislation. 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 . To view a list of Active Medical Imaging and Radiation Therapy Professionals Licensees click here. To request reciprocity in New Mexico, a letter with a copy of the current out-of-state registration/license and a completed request form should be sent at least 2 days in advance of work in the State to: the NM Environment Department Radiation Control Bureau, 1100 St. Francis Drive Suite 2022, P.O. Does your state license nuclear medicine technologists? Licensing and regulating naturally occurring radioactive materials generated through oil and gas industry operations. Whether you're a student, looking foreducational programs, or just beginning to explore career options, below are the resources you'll need to get started. MIRTP issued over 3500 professional licensures to operate and administer ionizing and non-ionizing radiation to humans pursuant to 20.3.20 NMAC. . Start by reviewing anoverview of the application processand downloading our primary eligibility pathway application handbook below. For out-of-state registrants entering New Mexico under reciprocal recognition of their radiation machine registrations. Does your state regulate if a nuclear medicine technologist can administer adjunctive medications? Nuclear medicine technology is a sophisticated area of health care that helps physicians diagnose and evaluate serious conditionsincluding cancer and heart disease. If the MIRTP has determined that you have submitted a complete application packet, an invoice will be created, and you will be sent an email, which will include a link to complete your payment. License Renewal Application form for Medical Imaging or Radiation Therapy . Box 5469 . The New Mexico Regulation and Licensing Department maintains this search feature as a service for consumers and the public to quickly check the license status of individual professionals. Due to COVID-19, most New Mexico State Employees are teleworking from home. Business Planning, Initiation, and Licensing Information for Business Owners in the State of New Mexico. 5500 San Antonio Dr., Albuquerque, NM 87109 | Get Directions 505 South Main Street, Las Cruces, NM 88001 | Get Directions 1209 Camino Carlos Rey, Santa Fe, NM 87507 | Get Directions. 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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 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(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. Application Forms are below the following notice. Youll need to meet that states requirements. Nuclear medicine technology is a sophisticated area of health care that helps physicians diagnose and evaluate serious conditionsincluding cancer and heart disease. Iowa Radiology License : Bureau of Radiological Health. Completed application packets may still be sent by mail but may take longer to be processed. Oakbrook Terrace, IL:2018:HR-3. These adjunctive medications are approved in our Scope of Practice for the SNMMI, NMTCB and the ARRT. 335 Randolph Avenue Suite 140. After you click on the payment link, you will be taken to the NMED online payment page, and you will see a place on that page that says, CLICK HERE TO PAY NOW. This list is maintained by the Radiation Control Bureau and includes all Active Radiologic Technologists licensed by the New Mexico Medical Imaging and Radiation Therapy Program. How to check. No other NM procedures. If you believe you should have access to this part of our website but do not have a working username and password, please contact the NMTCB office at (404) 315-1739. Search for License. You can search by license type or licensing board in the search bar below. We license and regulate 1,300+ radiation machine facilities statewide used in such applications as healing arts, industry, and research. To request reciprocity in New Mexico, a letter with a copy of the current out-of-state registration/license and a completed request form should be sent at least 2 days in advance of work in the State to: the NM Environment Department Radiation Control Bureau, 1100 St. Francis Drive Suite 2022, P.O. The purpose of ARRT certification and registration in Nuclear Medicine Technology is to recognize individuals who are qualified to perform the role of a nuclear medicine technologist. Completed application packets may still be sent by mail; however, mailed application packets will not be processed as timely as those application packets that are emailed, because I am teleworking from home and I will not have access to those mailed application packets on a daily basis, as I do for emailed application packets. DISCLAIMER: The SDMS is not a primary source or a credentials verification organization (CVO). The certification status information provided in this verification cannot be modified by outside sources. The following is a step by step breakdown of the application process for all NM medical imaging and radiation therapy licenses andother related services provided by the MIRTP. ALL applicants, read the following notice. 7. If you want to obtain a state license, you must meet the individual state's requirements and apply directly to that state. Radiation Control Bureau Radiation Machine Reciprocity forms available by downloading (Microsoft Word format): Instruction Reciprocity Recognition (PDF)Reciprocity 2-day Notification Form (PDF). If you want to obtain a state license, you must meet the individual states requirements and apply directly to that state. Radiologist Assistant Program Recognition, Didactic and Clinical Competency Requirements. Tel: +1 214.473.8057 or 1.800.229.9506 Board of Directors. Please see the MIRTP web page /rcb/mirtp/ for information regarding how to submit your complete application packet ELECTRONICALLY, and how the ELECTRONIC PAYMENT PROCESS works by clicking on the two links are located below all the application forms that appear on the MIRPT WEB PAGE. Create an account at app.nm.gov to stay up-to-date on the state's programs and services like Unemployment Insurance; Concealed Carry Applications; the Women, Infants, and Children Program; and more. Currently more than 330,000 technologists hold ARRT credentials. Does your state recognize the CT certification from the ARRT, NMTCB, or both? RLD License Search. PO Box 5469 Asbestos NESHAP Notification form(Instructions) (Example)Asbestos Emergency Notification formAsbestos Government Ordered Demolition form, Permitting Administrative Multi-Form (PAM)AQB ePermitting PortalCompliance History Disclosure FormGCP-Oil and Gas Registration Form Part 1 of 2GCP-Oil and Gas Registration Form Part 2 of 2GCP-Oil and Gas Stack CalculatorAir Emissions Calculation ToolNOI Oil and Gas Abbreviated Portal FormUniversal Air Quality Permit ApplicationGCP-2 Multi-Form for Quarrying, Crushing, and Screening FacilitiesGCP-3 Multi-Form for Hot Mix Asphalt PlantsGCP-3 Hot Mix Asphalt Plants Carbon Monoxide Emission Calculation ToolGCP-5 Multi-Form for Concrete Batch PlantsCommForm Communication Updates for Air Quality Permits or Notices of IntentNSR Equipment Substitution FormNSR Relocation ApplicationGCP-6 Storage Vessels Registration FormGCP-6 Storage Vessels Section 9: Emission Reduction Calculation TableGCP-Temporary Control Minor Registration FormGCP-Temporary Control Major Registration FormACI Title V Permit ApplicationTitle V Application EPA Transmittal FormAcid Rain Program Instructions for Phase II Permit ApplicationAcid Rain New Unit ExemptionLandfill Design Capacity Report FormLandfill NMOC Emission Rate ReportLandfill Closure ReportLandfill Control Equipment Removal ReportRelocation Form For Portable Streamline Compressor EnginesEngine Replacement Form Plume Dispersion Energy ComparisonCotton Gin Permit Application Supplement, Compliance Assessment Agreement formSmall Business Compliance Assessment Program Disclosure formSmall Business Certification form, Smoke Management Ventilation Category Tracking formSmoke Management Visual Monitoring formSmoke Management Statewide Waiver Reporting form, Dry Cleaning Notice of Compliance Status Form2021 Dry Cleaner Compliance CalendarInitial Notification and Notification of Compliance Status Form for Gasoline Dispensing Facilities, Method 9 Opacity record keeping formMethod 22 Observation form, Universal Test Notification and Report formUniversal Test Notification and Report InstructionsUniversal Test Notification and Report example, Air Dispersion Modeling Waiver Request formModeling report form, Hemp Extraction Facility Permit ApplicationHemp Manufacturing or Processing Facility Permit ApplicationHemp Warehouse Permit ApplicationEdible and Topical Cannabis Manufacturer Certification FormHemp Variance ApplicationCannabis Edible Manufacturing Permit Application, CWSRF ApplicationAsset Management Plan Outline TemplateEnvironmental Information Document (EID) Outline, Request for Proposals (RFP) for Design Professional Services TemplatePreliminary Engineering Report (PER) Requirements Guide_USDA bulletin 1780-2Preliminary Engineering (PER) Report Review Checklist used by CPB, Engineering Contract Template For All Funding ProgramsEngineering Contract Template Attachment I InsuranceEngineering Contract Template Attachment II Planning PhaseEngineering Contract Template Attachment III Design PhaseEngineering Contract Template Attachment IV Construction PhaseEngineering Contract Template Attachment V Operation PhaseEngineering Contract Template Attachment VI Amendment to Engineering Contract, Disinfection By-Products Stage 2 Operational Evaluation, Distribution System Sampling Plan templateSurface Water Treatment System Monthly Operating Report, Construction or Modification of Public Water Supply System ApplicationConstruction Application Checklist, Construction or Modification Change Order Notification, Construction Project Completion Notification, Potable Water Hauling ApplicationPotable Water Hauling Application Checklist, Virus Inactivation by Chlorine Certification (hypochlorination)Virus Inactivation Certification Checklist, Drinking Water Laboratory Certification Program (DWLCP) Guidance ManualApplication for Laboratory Certification Appendix AChecklist for Laboratory Certification Application Appendix BLaboratory Certification Best Practices Appendix 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varianceTank Abandonment FormSeptage Pumper Qualification Certificate applicationInstaller Specialist Qualification Certificate applicationInstaller Specialist renewal applicationATS Maintenance Service Provider (MSP) Qualification Certificate applicationThird Party Evaluator Qualification Certificate applicationRequirements for Qualification of On-Site ProfessionalsApplication for Homeowner Qualification Certificate, Application for Permit to Operate Food Establishment, Mobile Food Establishment (Food Truck), Food Processing Plant, or Mobile Support UnitApplication for Temporary Food EventManufactured Food Permit ApplicationRegistration form for baked goods prepared on tribal lands and sold in stateApplication for Food Variance, InstructionsSign in SheetHandout and Trainer NotesPresentation, Employee Health HandbookEmployee Interview FormEmployee Illness Reporting AgreementEmployee Medical Referral FormEmployee Illness Decision GuideFood Worker Decision Guide, Ground Water Quality 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projects using 101 to 999 scrap tires and that are no more than 2 bales highCivil Engineering Application (Medium) for projects using 1000 to 99,999 scrap tires and that are no more than 2 bales highCivil Engineering Application (Large) for projects using 100,000 scrap tires or more or that are more than 2 bales highTire Recycling/Storage Facility ApplicationAffidavit Of Compliance with Local RegulationsProperty Owner Affidavit of Acknowledgement, Operator Certification Application (Initial)Operator Certification Application (Renewal)Alternate CEU Approval Form, FY24 RAID Grant Recycling ApplicationFY24 RAID Grant Illegal Dumpsite Abatement ApplicationFY24 RAID Grant Additional Dumpsite Information page, Solid Waste Facility Grant Fund Application FY24, On-Site Disposal of Domestic Waste Request FormSWB Rules Document, Headquarters Location
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