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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

• Proposed Amendment to Regulation 14

• Proposed Amendment to Regulation 17

• Proposed Regulation 34(REQUIREMENTS OF LICENSED PHYSICIANS IN COMPLETING DEATH CERTIFICATES)

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

• Regulation 33 (Notification of change of practice) - Effective Date July 1, 2010

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

• Exemption of Regulation 17 Application

• Exemption of Regulation 7 Application

• Malpractice Reporting Form

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Physician Assistant

• PA BackUp Physician Application Pack

• PA Protocol Example

• PA Supervising Physician Application Pack

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Radiologist Assistant

• RA Alternate Supervising Radiologist Application Pack

• RA Supervising Radiology Practitioner Application Pack

• 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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