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ASP-89 Rev. 07/26/2017 ARKANSAS STATE POLICE Recruiting Section Initial Contact Form Trooper Position signed by a licensed physician will not be accepted or considered. Full Name Date First MI Last Gender Male Female Date of Birth SSN Driver s License Phone State DL Mailing Address Street/P. 320 yard run with a 5 jump run up and down a ramp with a 30 degree incline/decline change directions hurdle two 18 obstacles 6 repetitions each of pulling and pushing the Physical Control Simulator in a...
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What is asp-89?
ASP-89 stands for Annual Statement of Protected Health Information, a form used to report certain protected health information to the appropriate authorities.
Who is required to file asp-89?
Healthcare providers and entities that handle protected health information are required to file asp-89.
How to fill out asp-89?
ASP-89 can be filled out electronically or manually, with the required information pertaining to protected health information.
What is the purpose of asp-89?
The purpose of asp-89 is to ensure the protection and privacy of individuals' health information, as mandated by law.
What information must be reported on asp-89?
Protected health information, including details on patients, treatments, and any other relevant data, must be reported on asp-89.
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