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
- 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
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
The National Institute on Alcohol Abuse & Alcoholism
The American Society for Addiction Medicine
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
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: 1.312.967.8898
SANTE
914 Country Club Road
Argyle, TX 76226
Toll Free: 800.258.4250
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
