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Division of Medical Services Program Development & Quality Assurance P.O. Box 1437, Slot S-295 Little Rock, AR 72203-1437 501-682-8368 Fax: 501-682-2480 TO: Arkansas Medicaid Health Care Providers
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Formrapy 1-12 occupational physical is a form used to assess the physical health and fitness of individuals in specific occupational fields.
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Individuals working in certain occupations that require physical fitness may be required to file formrapy 1-12 occupational physical.
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