How to Register an X-Ray Machine inNebraska: A Simple Step-by-Step Guide

Opening or changing an X-ray facility in Nebraska can feel confusing. This guide puts the state-level steps, forms, filing links, fees, and contacts in one place.

Heartland Physics can review the project scope and confirm whether its current qualifications and authorization cover any shielding work required for this project. Use the current government sources linked below for registration, plan review, fees, inspections, and filing requirements.

Quick answer

Nebraska requires each X-ray facility to submit Form NRH-4 and the applicable fee within 30 days after operations begin. Registration expires every year.

Start here: official forms and filing links

Each blue button opens the exact official form, portal, or state instruction page in a new tab.

What to gather before you start

• Facility, billing, and equipment-location information

• Practice-type code from the NRH-4 instructions

• Each machine's type code, manufacturer, model, serial number, date, and room

• Named Radiation Safety Officer

• Citizenship attestation and any required supporting copy

• Current fee payment

Step-by-step instructions

Step 1: Complete the room and shielding records

Prepare the shielding plan before construction or machine installation. Keep the final design and any testing reports at the facility.

Step 2: Complete NRH-4

Fill out facility, billing, practice type, equipment, Radiation Safety Officer, and citizenship sections. Use NRH-4A if more machine lines are needed.

Step 3: Send the form and fee

Email the completed form to dhhs.radiationprograms@nebraska.gov or mail the original to Nebraska DHHS Office of Radiological Health, 301 Centennial Mall South, P.O. Box 95026, Lincoln, NE 68509-5026.

Step 4: Post the certificate and required notices

After approval and payment, post the current Certificate of Registration, operating procedures, and NRH-3 Notice to Employees. Dental facilities may use NRH-3D.

Step 5: Renew every year and report changes

Renew annually. Report any change that makes the application information wrong within 30 days.

Cost

The annual fee depends on the practice and machine types in Nebraska's fee rule. Submit the applicable fee with NRH-4; use the official program contact page to confirm the amount.

State contact

Nebraska Office of Radiological Health: dhhs.radiationprograms@nebraska.gov.

Keep these records together

• Submitted application and payment receipt

• Current registration certificate or license

• Shielding design, calculations, and state review letter when applicable

• Installer paperwork, FDA Form 2579 when applicable, acceptance tests, and equipment-performance reports

• Operating procedures, staff training, dosimetry, maintenance, and inspection records that apply to the facility

Important reminder

This guide covers the usual state-level radiation-machine process. Mammography, radiation therapy, mobile use, healing-arts screening, and some industrial systems can have extra approvals. Complete those extra steps when they apply to your equipment.

Official sources

Use the current government sources linked on this page. Requirements, forms, fees, contacts, and procedures can change.