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The forms below are PDF publications that can be
downloaded and printed from the Internet. To view
or print PDF files, Adobe Acrobat Reader must be
installed on your computer.
The Division
of Behavioral Health Services Forms:
Physician
Certification of Adult With A Serious Mental Illness
and
Physician Certification of Children With Serious
Emotional Disturbance are available. If you need
this material in a different format, such as large
print, contact our Americans with Disabilities Act
Coordinator at 682-6789 or 1-877-708-8191. Both
telephone numbers are voice and TDD.
The Arkansas Department of
Human Services is in compliance with Titles VI and
VII of the Civil Rights Act and is operated, managed
and delivers services without regard to religion,
disability, political affiliation, veteran status,
age, race, color or national origin.
CONTACT
INFORMATION:
Policy and
Certification Office
Division of
Behavioral Health Services
Administration Building
305 South
Palm Street
Little Rock,
Arkansas 72205
Telephone:
(501) 683-6903
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