You must have JavaScript enabled to use this form. Current Introduction Participants Add-ons Estimate Billing/Shipping Terms and Conditions Indicates required field Need help? Call us: 1-800-323-8830 Introduction Intro Left What you need to place your order Participant Information We'll be asking you for: Names of participants Which dosimeter they'll be wearing Where they'll wear it on their body Wear Period Information We'll ask how long you want to wear the badges before they are read. We offer monthly, bi-monthly, and quarterly in this form, but you can also select other periods in myLDR. Start Date Information The start date is generally the first day of the month of your particular wear period. You will receive dosimeters before that date, but reports will be based on that date. Monitor staff radiation dosage with LANDAUER dosimeters. Luxel+® Badge Luxel+ is much more sensitive than typical radiation badges, meaning every dose will be accounted for, every time. With measurements down to 1 mrem, there’s no more “estimating” your employees’ actual exposure. Re-readable and extremely durable, Luxel+ is the #1 choice of hospitals worldwide. Saturn® Ring LANDAUER’s ring dosimetry service provides extremity radiation monitoring. Sanitizable and durable, Saturn Ring is available in three flexible sizes to fit most hands. LANDAUER VISION™ Ergonomic, light and small, VISION does not affect the user’s activity and view. Flexible and twist-resistant, it can be placed close to the eye, providing a more accurate measurement of the lens of eye dose. Intro Right Get started Industry - Select - Ambulatory Surgery CenterChiropractic CentersDental OfficesHome Health CareHospitalImaging CenterManufacturingMedical CenterMedical LaboratoryMilitary and First RespondersMoisture/Density TestingNondestructive TestingNursing Homes and FacilitiesOther Physician (not chiro, nor dental, nor vet)PharmaceuticalUtility/EnergyVeterinary OfficeWell-loggers, Highway Materials Account Status - Select - My parent organization/network currently uses LANDAUERAnother one of our locations currently uses LANDAUERThis location currently uses LANDAUERNone of the above Country/Region - Select - United States--AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua & BarbudaArgentinaArmeniaArubaAscension IslandAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia & HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCanary IslandsCape VerdeCaribbean NetherlandsCayman IslandsCentral African RepublicCeuta & MelillaChadChileChinaChristmas IslandClipperton IslandCocos (Keeling) IslandsColombiaComorosCongo - BrazzavilleCongo - KinshasaCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d’IvoireDenmarkDiego GarciaDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard & McDonald IslandsHondurasHong Kong SAR ChinaHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SAR ChinaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmar (Burma)NamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorth KoreaNorth MacedoniaNorwayOmanOutlying OceaniaPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSamoaSan MarinoSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia & South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSt. BarthélemySt. HelenaSt. Kitts & NevisSt. LuciaSt. MartinSt. Pierre & MiquelonSt. Vincent & GrenadinesSudanSurinameSvalbard & Jan MayenSwedenSwitzerlandSyriaSão Tomé & PríncipeTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad & TobagoTristan da CunhaTunisiaTurkeyTurkmenistanTurks & Caicos IslandsTuvaluU.S. Outlying IslandsU.S. Virgin IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWallis & FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Dosimeter Form Section First Name Last Name Business Email Business Phone Facility Name Zip code Quantity to be monitored Exchange Frequency - Select - MonthlyEvery other monthQuarterly Monitoring Start Must be more than 30 days from today Year - None -2024202520262027 Month MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Month MonthJanuaryAprilJulyOctober Month MonthJanuaryMarchMayJulySeptemberNovember Participants Add Participant Dosimeters and Area Monitors One dosimeter per line. If a participant wears multiple dosimeters, please add separate lines for each. If ordering a Spare, enter "Spare" in the Last Name field, choose the type of dosimeter and indicate placement and exchange period. If ordering an Area Monitor, enter the name of the area in the Last Name field. Choose the exchange period you would like to use, select the Luxel dosimeter, and AREA as the placement. After your account is set up, you will be able to easily manage all of your participants and dosimeters in your myLDR portal. First NameLast NameFrequencyDosimeter TypePlacement participant List participant List participant List First Name Last Name Frequency FrequencyMonthlyBi-monthlyQuarterly Dosimeter type Dosimeter typeLuxel+ BadgeSATURN RingLANDAUER Vision Placement PlacementCollar (fluoroscopy use)Chest (standard use)Waist (standard use)FetalArea Placement - Badge PlacementCollar (fluoroscopy use)Chest (standard use)Waist (standard use)FetalArea Placement - Ring PlacementRight fingerLeft finger Placement - Eye PlacementLens Ring Size SizeSM (5-7)M/L (8-13)XL (14-16) Add Add more participants Add more participants Add-ons Add Reports Standard Reports Standard dose reports are included with your subscription. Each report covers each wear period and includes the participant's information, their cumulative monitoring totals, and other pertinent information. These reports comply with NRC, OSHA, and DOE regulations. Standard Reports Included Optional Reports ALARA Reports ALARA reports list all individual participants with their exposure histories and are available quarterly and annually. Quarterly reports show which individual participants exceeded ALARA Levels 1 and 2 for the quarter and year to date, while annual reports quickly show trends by individual participants and departments for the year. Reports track both individual and collective dose. ALARA levels can be set or NRC guidelines can be used. ALARA Annual $68.30/year base fee plus $0.45/ participant/year ALARA Quarterly $51.70/quarter base fee plus $0.30/participant/quarter Equivalent Form 5 reports This report details dose history for an individual participant for the year at a given location, which satisfies the requirement for an annual report to worker participants, the NRC Form 5, and other regulatory bodies (check with your regulatory agency for your specific requirements). Reports are generated annually after the close of a calendar year or quarterly with current data up to the last wear period reported. Equivalent Form 5 Annual $4.70/participant/year Equivalent Form 5 Quarterly $3.10/participant/quarter Add badge board Badge boardsCollect, store and distribute dosimeters from one convenient location. Available in three sizes, dosimeter boards are lightweight, durable and can be displayed anywhere. Add badge board Small $75.20/board Holds up to 14 dosimeters Medium $92.60/board Holds up to 30 dosimeters. Large $107.70/board Holds up to 45 dosimeters. Estimate Line Items Please review the estimate below for accuracy. If no changes are required, please continue to the next screen. Click the previous button to make changes to your participant and dosimeter information or add optional reports and badge boards to your estimate. Billing/Shipping Billing Information Billing Information Name Company Email Phone Address Address 2 City State - Select - AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Shipping and billing information are the same Shipping Information Shipping Information Name Company Email Phone Address Address 2 City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Terms and Conditions Agree to terms and conditions* Please review the terms and conditions outlined in the Master Agreement before accepting.LANDAUER Terms and Conditions I agree to the terms and conditions BY PLACING AN ORDER FOR PRODUCTS OR SERVICES FROM THIS WEBSITE, YOU AFFIRM THAT YOU ARE OF LEGAL AGE TO ENTER INTO THIS AGREEMENT, AND YOU ACCEPT AND ARE BOUND BY THESE TERMS AND CONDITIONS. YOU AFFIRM THAT IF YOU PLACE AN ORDER ON BEHALF OF AN ORGANIZATION OR COMPANY, YOU HAVE THE LEGAL AUTHORITY TO BIND ANY SUCH ORGANIZATION OR COMPANY TO THESE TERMS.YOU MAY NOT ORDER OR OBTAIN PRODUCTS OR SERVICES FROM THIS WEBSITE IF YOU (i) DO NOT AGREE TO THESE TERMS, (ii) ARE NOT THE OLDER OF (A) AT LEAST 18 YEARS OF AGE OR (B) LEGAL AGE TO FORM A BINDING CONTRACT WITH LANDAUER, OR (iii) ARE PROHIBITED FROM ACCESSING OR USING THIS WEBSITE OR ANY OF THIS WEBSITE’S CONTENTS, PRODUCTS OR SERVICES BY APPLICABLE LAW.