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Iowa Department of Health and Human Services

Bureau of Radiological Health - X-Ray Machines

Who We Are and What We Do

Medical use x-ray equipment:This program regulates the possession and use of radiation-emitting equipment used for medical purposes. This includes general purpose x-ray and fluoroscopy, CT, podiatric, dental, and veterinary units. It does not include MRI or ultrasound units. Requirements for mammography units can be found at: Mammography

Therapy equipment:This program regulates the possession and use of equipment designed and used for external beam radiation therapy for oncology.

Non-medical equipment:This program regulates the possession and use of equipment designed and used in industry or for non-medical purposes. This includes enclosed radiography in a cabinet or room.

Healing arts screening:This program regulates screening programs that utilize radiation-emitting equipment for medical purposes. If a patient has a scheduled appointment and the x-ray exam is part of the appointment, the x-ray exam is considered "standing orders."  If an individual just shows up and requests an x-ray exam under certain national criteria, the x-ray exam is part of a healing arts screening program.  All healing arts screening programs (except mammography) must have approval from Iowa HHS before offering exams.  Please review Information Notice 2014 x-03.

Service providers: This program registers the companies that provide services to facilities such as calibration and installation of equipment, radiation protection or health physics consultations and surveys, service or repair of equipment and furnish or sale of radiation emitting equipment.

General Requirements of the program:

  • Register all facilities with radiation-emitting equipment annually.
  • Set operating standards and ensure that all radiation-emitting equipment meets standards.
  • Set standards for healing arts screening programs.
  • Set and ensure that all operators of radiation-emitting equipment follow good radiation safety procedures.
  • Protect the radiological health and safety of all Iowans.

Medical facilities (except oncology/therapy)

Application and Renewal instructions for using our online portal are available on the regulatory programs page.  A Shielding Review is required as part of the registration process for any new facility or equipment.

New Radiation Machine Installation

Helpful links for radiation machine facilities

Healing Arts Screening

Please visit the Healing Arts Screening tab on the left.

Medical facilities (oncology/therapy only)

Use the Guide to complete the registration requirements.

All Medical Physicist working in medical oncology must complete the registration forms.

For mammography Medical Physicists, see the mammography page.

Industrial facilities (non-medical)

Use the Guide to complete the registration requirements.

Radiation Emitting Body Scanner for Security Purposes

Review and complete both the application in Appendix A of the Radiation Emitting Body Scanner Regulatory Guide, and the Registration of Industrial & Medical Oncology Radiation Emitting Equipment application below.

Service Providers

Visit Iowa HHS Regulatory Programs page for Radiation Machines Service Providers to complete the registration. You may also complete the paper application available here:Application for Radiation Service Providers.pdf.PDF

For a list of current service providers, please go to the online portal and search for Radiation Machine Service Providers with Active status on the public search option.

Information Notices

The X-Ray Program periodically publishes  Information Notices that contain clarification of regulations as well as information to assist in the implementation and maintenance of a compliant radiological program for the radiation-emitting machines.

  • May 2018 THE ROLE OF THE INDIVIDUALS AUTHORIZED TO OPERATE RADIATION MACHINES AND AUXILIARY PERSONNEL IN RADIOGRAPHY AND FLUOROSCOPY PROCEDURESPDF
  • Requirements for operators of veterinary x-ray equipmentPDF
  • Badging requirements during fluoroscopy for all students training in Iowa medical facilitiesPDF
  • Certified vx uncertified x-ray equipmentPDF
  • Requirements for healing arts screeningPDF
  • Notification of forthcoming documents that hi-lite certain parts of Iowa Radiation Machines and Radioactive Materials RulesPDF
  • Gonadal Shielding 2023

Other Links:

Take Note!  Please check the Rules link below to view any new or proposed rule changes

Verification of Machine Registration:

  • Please verify registrations through our public search portal, which can be accessed at the Regulatory Programs - Public Search page.  Follow the instructions: Finding a licensee, registrant, permit holder, certification, or other individual.

For more information:

  • X-ray machines program staff for medical x-ray machines and services providers call (515) 802-6866.
  • Industrial and non-medical X-ray machines call (515) 380-8752 or (515) 380-8837.
  • Use the "Contact Us" page to submit questions online.