Arkansas State Medical Board

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All Forms and Publications

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Rules and Regulations

  • Access to Medical Records - Arkansas Code Annotated 16-46-106
  • Act 990 Markup
  • MPA Rules
  • MPA Statutes
  • Rule 34 Death Certificates Mark-Up
  • Rule 36 Abortion Procedures Mark-Up
  • Rule 38 Telemedicine Mark-Up
  • Rule 42 Service Members Mark-Up
  • Rule 46 Administrative Fees and Waiver

Licensing Applications

  • Application Fee Waiver Form
  • Graduate Registered Physician Application Pack
  • Licensed Genetic Counselor Application Pack
  • 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
  • Surgical Technologist Application Pack

Medical Doctor/Osteopathic Doctor

  • Board Authorization and Release
  • Dispensing Application
  • Guidelines for Completing Medical Marijuana
  • Malpractice Reporting Form

Physician Assistant

  • PA Delegation Agreement
  • PA Request for Schedule II or Biologic Prescriptive Authority

Respiratory Therapist

  • CEU Pre-Approval Form
  • RT Committee guidelines for CEUs

Occupational Therapist

  • Guidelines for Acceptable Continuing Education
  • OT Supervision Log
  • OTA Supervision Form

Radiology Assistant

  • Radiologist Assistant Practice Specific Document

Miscellaneous

  • Change of Address Form

General

  • ASMB Fee Schedule
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