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
Medical Practices Act (MPA)
Rule 12 Dispensing Effective 10-14-2022
Rule 2.8 Provider-patient relationship Effective 10-14-2022
Rule 34 Death Certificates Mark-Up
Rule 36 Abortion Procedures Mark-Up
Rule 38 Telemedicine partial sections Effective 10-14-2022
Rule 42 Service Members Mark-Up
Rule 46 Administrative Fees and Waivers Effective 10-14-2022
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