Forms & Resources
Forms
FROM: Authorization & Consent for Release of Information
TO: Authorization & Consent for Release of Information
AMF Consent for Compliance Report
AMF Outreach
Arkansas Healthcare Professionals Screening Program
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The Arkansas Professionals Screening Questionnaire is available at no cost to licensed healthcare professionals or healthcare professionals training in Arkansas. The first step is a voluntary and completely anonymous questionnaire designed to help you assess your current state of mental health and well-being.
AMF Resources
AR Impaired Physician & Dentist Treatment Act
Arkansas Regional Committee of Narcotics Anonymous
- AMF Statement regarding CBD use:
- If testing is positive for THC we will handle it as we would any positive screen. This would mean up to and including obtaining a new comprehensive evaluation.
COVID-19 Updated statement and information
2023 Distressed Physician Courses by Professional Renewal Center
- Course dates
- December 8-10, 2023
Integrating Confidential Mental Health Care to Support Physician
The Whole Physician: Physicians with Substance Use Disorder: Help is Available
National Resources
The Federation of State Physician Health Organizations
The Substance Abuse and Mental Health Services Administration
The National Institute on Drug Abuse
Evaluation & Treatment Centers
ACUMEN
730 New Hampshire, Suite 222
Lawrence, KS 66044
Phone: 785.856.0473
Fax: 785.841.8781
BRADFORD HEALTH SERVICES
1189 Albritton Rd
Warrior, AL 35180
Toll Free: 800.333.1865
CARON
243 Galen Hall Road
Wernersville, PA 19565
Phone: 1-800-854-6023
CENTER FOR PROFESSIONAL EXCELLENCE (CPE)
624 Grassmere Park Drive, Ste 11
Nashville, TN 37211
Toll Free: 877.861 .1170
Fax: 615.838.0728
THE GABBARD CENTER
6750 West Loop South, Suite 460
Bellaire, TX 77401
Phone: 713.665.1600
MARR, INC.
2815 Clearview Place
Doraville, GA 30340
Phone: 678.805.5125
THE MENNINGER CLINIC
12301 Main Street
Houston, TX 77035
Phone: 800.351.9058
Fax: 713.275.5000
PALMETTO ADDICTION RECOVERY CENTER
86 Palmetto Road
Palmetto, LA 71269
Toll Free: 800.203.6612
PAVILLON
241 Pavillon Place
Mill Spring, NC 28756
Toll Free: 800.392.4808
PINE GROVE
2255 Broadway Drive
Hattiesburg, MS 39402
Toll Free: 888.574.4673
PROFESSIONAL RENEWAL CENTER (PRC)
1201 Wakurusa Suite E-200
Lawrence, KS 66049
Toll Free: 877.978.4772
Fax: 785.842.5231
RIVERMEND HEALTH INSTITUTE (POSITIVE SOBRIETY)
680 N. Lake Shore Dr.
Chicago, IL 60611
Phone: 1.844.526.6310
SANTE
914 Country Club Road
Argyle, TX 76226
Toll Free: 800.258.4250
SUNSPIRE HEALTH
3800 County Road 444
Princeton, TX 75407
Phone: 1.877.200.4357
TALBOTT RECOVERY CAMPUS (TRC)
5448 Yorktowne Drive
Atlanta, GA 30349
Toll Free: 800.445.4232
Fax: 770.994.2024
UF HEALTH-FLORIDA RECOVERY CENTER
4001 SW 13th Street
Gainesville, FL 32608
Phone: 1.352.265.5525
VANDERBILT COMPREHENSIVE ASSESSMENT PROGRAM (VCAP)
1601 23rd Avenue South
Nashville, TN 27212
Phone: 615.322.4567
Fax: 615.322.7526