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  • All Forms and Publications
  • I can't find what I'm looking for
• Forms and Publications
  • Medical Practices Act
  • Access to Medical records
  • Regulation 30
  • Change of Address Form
  • Quarterly Newsletter
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All Forms and Publications

All the downloadable documents below require Adobe Acrobat Reader to view.

General

Rules and Regulations

• Access to Medical Records - Arkansas Code Annotated 16-46-106

• Arkansas Medical Practices Acts & Regulations

• Regulation 30 (Collaborative Practice Regulation) - Effective Date to be Determined

Licensing Forms

Licensing Applications

• Medical / Osteopathic Doctors Application Pack

• Medical Corporations Application Pack

• Occupational Therapist / Occupational Therapist Assistant Application Pack

• Physician Assistants Application Pack

• Radiologist Assistant Application Pack

• Respiratory Therapists Application Pack

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Physician

• Board Authorization and Release

• Dispensing Application

• Malpractice Reporting Form

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Physician Assistant

• PA Protocol Example

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Occupational Therapy

• Guidelines for Acceptable Continuing Education

• OTA Supervision Form

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Radiologist Assistant

• Radiologist Assistant Practice Specific Document

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Miscellaneous

• Change of Address Form

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Miscellaneous Forms

General

• ASMB Fee Schedule

• Request for Practitioner Information

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