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  • All Forms and Publications
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• Forms and Publications
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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 3

• Regulation 30 (Collaborative Practice Regulation)

• Regulation 31 (Physician Delegation) Effective Date To Be Announced

• Regulation 32 (Ethical Violation) Effective Date 4/1/2010

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

• ASMB Disapproved Schools List

• 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

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