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
  • Medical Practices Act (MPA)

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 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

  • RA Alternate Supervising Radiologist Packet
  • RA Supervising Radiation Practitioner Application
  • Radiologist Assistant Practice Specific Document

Miscellaneous

  • Change of Address Form

General

  • ASMB Fee Schedule
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