Get Arccvs

Filling out the Arccvs online is a crucial step in managing your medical credentials effectively. This guide provides a comprehensive overview of the components of the form and detailed instructions for each section, ensuring a smooth completion process.

Follow the steps to successfully complete the Arccvs online.

1. Press the ‘Get Form’ button to obtain the Arccvs form and open it in your preferred online editor.
2. Begin by answering the question regarding your malpractice insurance coverage. Indicate whether you currently maintain individual or group malpractice insurance by selecting 'Yes' or 'No'. If you select 'No', provide a brief explanation, and fill in the required fields for Policy Number(s), Coverage Amounts, Expiration Date, and Insurance Carrier Name(s). If the insurance is group coverage, also include the Group Name.
3. Next, specify whether you will be providing telemedicine services from another state. Choose 'Yes' or 'No' as appropriate.
4. Address any changes regarding your privileges or medical staff membership by reporting if any of these have been denied, suspended, or revoked since your last attestation. If applicable, briefly explain on an attached page.
5. Respond to inquiries about any legal charges or convictions, ensuring to include any felonies as required. Again, if applicable, provide an explanation on an attached page.
6. Indicate whether your medical license or certification has faced any challenges or sanctions in any jurisdiction. Provide details on attached pages if necessary.
7. Report on any treatment for alcoholism or substance abuse, including any mandated by the Arkansas State Medical Board. If applicable, elaborate on an attached page.
8. Indicate any physical or mental health conditions affecting your ability to practice medicine and provide an explanation on an attached page if required.
9. Respond to whether you are involved in any illegal substance use, providing details on an attached page if necessary.
10. Report any malpractice claims or professional liability lawsuits filed against you since your last attestation. Include claim dates and claimant's initials where necessary.
11. Affirm the accuracy of the information provided, sign and date the form, and enter your printed name and Arkansas Medical License Number in the required fields.
12. Finally, save your changes, and choose to download, print, or share the completed form as needed.

Complete your Arccvs form online today to ensure your credentials are up to date.