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Healthy Communities

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Policies & Procedures

You will find informative and valuable information that will help assist with the process of drafting, writing and researching ADH’s policies and procedures.

ADH Travel
Arkansas Healthy Employee Lifestyle Program
Code of Ethics
Dispute Resolution (Grievance)
Drug-Free Workplace
Employee Disciplinary
Freedom of Information
HIPAA Privacy
Inclement Weather
Medical Emergencies
Transmittal Notices and Memorandum

Repealed Rules

In accordance with Act 781 of 2017, the Arkansas Department of Health and the Board of Health compiled a list of rules considered to be unnecessary and outdated.

The Arkansas Legislative Council approved the Department of Health’s Repealed Rule list in 2018.

Emergency Rules

Emergency Rules are sometimes necessary for rule promulgation under the Administrative Procedure Act with expedited Governor and Legislative approval, but without public hearing and other proceedings because the Director finds imminent peril to public health and safety. They are temporary and expire.

Emergency Rules Effective Date



ADH Grand Rounds

Grand Rounds sessions will be held from 8-9 a.m. on the 1st and 3rd Thursday of each month. These will include a combination of in-person seating in the Dr. Joseph H. Bates Professional Education Auditorium at the Arkansas Department of Health and virtually via Zoom.

Continuing education is only available for live sessions.

In-person: Dr. Joseph H. Bates Professional Education Auditorium at 4815 W. Markham Street, Little Rock, AR 72205.

Auditorium seating is open. But, to protect yourself and others, please consider your vaccination status and the potential need to wear a mask.

Public Health Grand Rounds is jointly sponsored by the Arkansas Department of Health, the Fay Boozman College of Public Health at the University of Arkansas for Medical Sciences, and the Arkansas Center for Health Improvement (ACHI).

You can obtain a copy of your transcript at

CHEC Credit: To claim Category I CECH hours for CHES/MCHES, e-mail to request the evaluation form. Evaluation needs to be completed and returned before the certificate is sent.


Upcoming Presentations

Date Presenter (presenters are subject to change) Topic



Past Presentations



July 18 Lessons Learned from the CDC's National Initiative to Address Health Disparities among Populations at High-Risk and Underserved in Arkansas | Chychy Smith, DrPH, MPH MCHES®, Director, OHDE ADH and Ashamsa Aryal, PhD, MPH, Public Health Evaluator, OPMQIE ADH
June 6 Today’s Challenges for Tomorrow’s Future Snapshot of Student Health in Arkansas | Libby Seftar, RNC, Rhonda McDonald, BSN, RN, and Cheria McDonald, MSN, RN, NCSN
May 16 Vaccines for Children Program Awareness in Arkansas | Savanna Ledford, DrPH, MS, Centers for Disease Control and Prevention, Epidemic Intelligence Service Officer, Arkansas Department of Health
May 2 The Hungry Arkansas: An Investigation into the State of Food Insecurity in AR & the Food as Medicine Initiative, Evaluating the Impact of the Be Well Arkansas Tobacco Quitline, Remote Patient Monitoring for Pregnancy Care: Determinants of Implementation | Lillian Jones, BS and Catherine Peppers, BA and Hannah McCoy, BA
April 18 The Association of Pattern of Payment for Purchase of Opiate Prescriptions among Pregnant Women in Arkansas with Rate of Adverse Neonatal Outcomes | Nahed O. El-hassan, MD, MPH, Professor of Pediatrics, Department of Pediatrics Division of Neonatology, College of Medicine, University of Arkansas for Medical Science
April 4 Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Arkansas | Clare C. Brown, PhD MPH, Assistant Professor, University of Arkansas for Medical Science, Fay W. Boozman College of Public Health
March 21 Aligning Social Preferences and Individual Risky Health Behaviors | Armineh Zohrabian Ph.D., Associate Professor Department of Health Policy and Management, College of Public Health/UAMS
March 7 Measles: The Comeback Nobody is Rooting for | Michael Cima, PhD, MPH, State Epidemiologist
February 15 Research on Physical Activity and Nutrition in Schools | Michael R. Thomsen, PhD, Professor and Governor Sidney S. McMath Chair in Obesity Prevention
February 7, 2024 Mental Health & Substance Use:  A Tale of Two Cities, or is it? | Bala Simon, MD, DrPH, Deputy Chief Medical Officer, Arkansas Department of Health and Tom Fisher, Arkansas State Drug Director
2023 Videos End Disease Eradication and Elimination: The Final Frontier for Public Health | Kashef Ijaz MD, MPH, Vice President, Health Programs
December 7 Unusual Samples: How the Public Health Laboratory Answers the Question “What is it?” | Katie Seely, PhD, HCLD (ABB) Director, Glen F. Baker Public Health Laboratory
November 16
Implementation Science in Community-Based Intervention: Active Studies at the Arkansas Children's Nutrition Center | Taren Swindle, PhD. Associate Professor, Family and Preventive Medicine, UAMS
November 2
Antimicrobial Resistance: The Global Scale and US Experience | Payal K. Patel MD, MPH, FIDSA System-Wide Medical Director of Antimicrobial Stewardship, Associate Professor, Intermountain Health
October 19 The United States Supreme Court and Public Health: Review of Recent Terms and Predictions for the 29-23-24 Term and Beyond | Kevin Ryan, JD Associate Professor and Associate Dean, College of Public Health, UAMS Faculty Member, William H. Bowen School of Law, UALR
October 5 20th Anniversary of Act 1220 History and Current State of Childhood Obesity in Arkansas | Anthony Goudie, PhD, Associate Professor, College of Public Health, UAMS
September 21 Let’s Talk About It: Suicide in Arkansas | Austin Porter III, DrPH, MPH, Deputy Chief Science Officer at ADH and Susie Reece, SPRC Director of Lived Experience
September 7 Arkansas Center for Health Improvement’s 25th Anniversary | Joseph W. Thompson, MD, MPH | President & Chief Executive Office Arkansas Center for Health Improvement
August 17 Diabesity 101 | Dinesh Edem, MD | Assistant Professor of Endocrinology, Director of UAMS Medical Weight Management Program
August 3 Strategies to Enhance Communication and Language Access: Opportunities for Optimal Health | Suzanna Reiss-Koncar, MPH, CHI™ | Health Care Interpreter and Language Access Educator
July 20 POLST: Understanding Physician Orders for Life-Sustaining Treatment in AR | Sarah Harrington, MD, FAAHPM, Professor of Medicine & Director, Division of Palliative Medicine at UAMS | David E. Smith, MD, Director, Palliative Care at Baptist Health Medical Center
July 6 What You Do Matters: Simple System Changes Lead to Big Healthcare Impacts | Jerrilyn Jones, MD, MPH | Medical Director, Health Preparedness & Response Branch at ADH
June 15 Blunt Smoking and Tobacco Product Use: Cigarettes, E-Cigarettes, and Cigars | Brian J. Fairman, Ph.D. | Assistant Professor, Department of Epidemiology at UAMS
June 1 Maternal Mortality-Maternal Health | William W. Greenfield, MD, MBA, FACOG | Medical Director, Family Health Branch, Center for Health Advancement
May 18 A Surgeon’s Perspective on Acute Pain Management During the Opioid Epidemic | Kyle Kalkwarf, MD, FACS | Assistant Professor, General Surgery at UAMS
May 11 Tuberculosis Transmission in Arkansas 2009-2022, How Do We Get to Tuberculosis Elimination | Charles T. Bedell, MPH, MD | DrPH Student, University of Arkansas for Medical Sciences
May 4 Substance Use During Pregnancy: A Major Risk Factor for Poor Fetal Outcomes. Covid-19 and it's Impact on Elective Surgical Procedures at UAMS, Antibiotic Use for the Treatment of Non-Typhoidal Salmonella | College of Public Health Students’ Presentations
April 27 Bridging the Gap: The Role of Harm Reduction Strategies in Addressing Substance Use Outcomes | Camille M. Richoux, MPH, CPS | DrPH Student, University of Arkansas for Medical Sciences
April 20 A One Health Approach to Emerging and Reemerging Zoonotic Diseases | Laura K. Rothfeldt, DVM, DACVPM | State Public Health Veterinarian at Arkansas Department of Health
April 13 Stroke and Heart Attack: Making Moves to Healthier Arkansas  | David A. Vrudny, MPH, CPHQ | Section Chief, Stroke and STEMI at Arkansas Department of Health
April 6 The Systemic Impact of Oral Disease | Rachel Sizemore, DDS | Director, Office of Oral Health
March 16 Tuberculosis in Arkansas 2023 | Sandra Chai, MD | Assistant TB Controller, Arkansas Department of Health
March 2 Rethinking Outpatient Antibiotic Stewardship | William Golden, MD, MACP | Professor of Medicine at UAMS, Medical Director of Arkansas Office of Health Information Technology
February 16 What’s Affecting the Health of Arkansas’s Children? | Marisha DiCarlo, PhD, MPH | Vice President for Arkansas Children’s Hospital
January 19 Ethical Dilemmas in Caring for Older Adults with Dementia || Masil George, MD | Assistant Professor, Department of Geriatrics | University of Arkansas for Medical Sciences || Chris Hackler, PhD | Director of the Division of Medical Humanities | University of Arkansas for Medical Sciences
January 5, 2023 Hospitals and Cancer Control and Prevention: Analyzing the 340B Drug Discount Program and Community Health Needs Assessments | Kelsey Owsley, PhD, MPH | Assistant Professor | Department of Health Policy and Management | Fay W. Boozman College of Public Health | Winthrop P. Rockefeller Cancer Institute | University of Arkansas for Medical Sciences
2022 Videos End  
December 15 Long COVID, Living with COVID, and the Health Debt | Bala Simon, MD, DrPH, DipABOM, DipABLM, FAAFP | Deputy Chief Medical Officer | State Chronic Disease Director | Arkansas Department of Health
December 1 Dietary Supplements: The Myth, The Science, and The Consumer | Igor Koturbash, MD, PhD | Associate Professor and Chair, Department of Environmental Health Sciences | Co-Director, Center for Dietary Supplements Research | University of Arkansas for Medical Sciences
November 17 BREAKING BARRIERS TO POVERTY ONE BITE AT A TIME | Moderator: Libby Seftar, RNC-BC | Panel: Lana Boggs, RN, Joni McGaha, BS, and Carla Sparks, MPH
November 3 Genomic Epidemiology in Arkansas | David W. Ussery, PhD | Professor | Biomedical Informatics | University of Arkansas for Medical Sciences
October 20 Vaccine Misinformation and Disinformation | Jennifer Dillaha, MD | State Health Officer | Director | Arkansas Department of Healt
October 6 Update on the 2022 Monkeypox Epidemic Program| Nathaniel Smith, MD, MPH | Deputy Incident Manager | Centers for Disease Control and Prevention
September 15 Chronic Wasting Disease in Arkansas | Jennifer R. Ballard, DVM, PhD, CWB | State Wildlife Veterinarian | Assistant Chief (Research Division) | Arkansas Game and Fish Commission
September 1  Sebastian County Opioid Task Force Community Response - Building a Program | Bryan Clardy, MD FAAFP CHEP | Sebastian County Health Officer
August 18 Update on the Hepatitis A Outbreak in Arkansas | Mike Cima, PhD, MPH | State Epidemiologist | Arkansas Department of Health
July 21 COVID-19–Associated Mucormycosis — Arkansas, July–September 2021 | Theresa Dulski, MD MPH | Epidemic Intelligence Service Officer | Arkansas Department of Health
July 7 COVID 19 Therapeutics: Past, Present, and Future | Dr. Atul Kothari, MD FIDSA | Medical Director, Healthcare-Associated Infections Program
June 2 MPH Students Integrative Learning Experience Projects | John Musser, MD, MPH, Taylor Winn, MD, MPH, and Heather Morgan, MD, MPH
May 5 Vaccination Beliefs and Uptake in the African American Community:  Addressing Medical Mistrust | Samantha Wells, MPH, CPH | Dr. PH Student and Graduate Research Assistant | Fay W. Boozman College of Public Health | University of Arkansas for Medical Sciences
April 21 Syphilis in Children | Arrie Morris, MPH | Dr. PH Student | University of Arkansas for Medical Sciences | STI/HIV/Hepatitis C Surveillance Programs Manager | Arkansas Department of Health
April 7 Eliminating Racial Disparities in Maternal and Infant Mortality | Mallory Jayroe, MS, CHES | Dr. PH Student | University of Arkansas for Medical Sciences | Epidemiologist and Program Coordinator | Arkansas Department of Health
March 17 COVID-19 and Critical Illness in Children: “A Tale of Two (or more) Variants” | Steve Schexnayder, MD | Medical Director | ADH Child and Adolescent Health | Chief | Pediatric Critical Care, Arkansas Children’s Hospital | Executive Vice-Chair | UAMS Dept. of Pediatrics
March 3 CHALLENGES IN DELIVERING EMS AND TRAUMA CARE FOR CHILDREN | Dr. Stephen Bowman, PhD, MHA | Associate Professor and MHA Program Director | University of Arkansas for Medical Sciences
February 17 Health & Community Capacity Building in Rural Spaces: A Public Health Matter | Dr. Brookshield Laurent, D.O. | Chair and Associate Professor | Department of Clinical Medicine | New York Institute of Technology | College of Osteopathic Medicine-Arkansas
February 10 Home Together: A Local Project Supporting Families in Crisis through Partnerships, Engagement, & Research || Dr. Brooke Montgomery, PhD, MPH, MCHES | Assistant Professor, Fay Boozman College of Public Health | University of Arkansas for Medical Sciences || Jessica Burnham, LCSW | Our House Mental Health Manager || Ruthie Hokans, LMSW | Our House Director of Stability Program
January 20 Fatal and Non-Fatal Opioid Overdoses: The role of prescribed controlled substances in Arkansas | Dr. Bradley Martin, Pharm.D., Ph.D. | College of Pharmacy | University of Arkansas for Medical Sciences
January 6, 2022 What’s in a picture: The influence of social networks on health | Dr. Mark L. Williams, Ph.D. | M. Jocelyn Elders Professor & Dean | Fay W. Boozman College of Public Health | University of Arkansas for Medical Sciences
2021 Videos End  
December 16 Cultivating Compassion: Why and How | Dr. Puru Thapa | Professor of Psychiatry | Department of Psychiatry | University of Arkansas for Medical Sciences
December 2 COVID-19 from a One Health Perspective | Laura K. Rothfeldt, DVM, DACVPM | State Public Health Veterinarian | Arkansas Department of Health
November 18 Maternal Mortality: An Arkansas Update | Dr. William “Sam” Greenfield, MD | Medical Director for Family Health | Arkansas Department of Health Professor | Obstetrics & Gynecology | University of Arkansas for Medical Science
November 4 Health Disparities, COVID-19 and Public Health in Arkansas | Dr. Benjamin Amick III, PhD | Associate Dean for Research | Professor, Department of Epidemiology | Fay W. Boozman College of Public Health | University of Arkansas for Medical Sciences
October 21 SARS-COV-19 and Dentistry | Dr. Lindy Bollen, Jr., DDS | Director | Office of Oral Health | Arkansas Department of Health
October 7 GoNAPSACC: Arkansas's Collaborative Approach for Child Care Facilities | Ashleigh Story | ArCOP Health Education Coordinator | Amy Routt | ArCOP Advisor
September 16 Seroprevalence of SARS-CoV-2 | Dr. Joshua Kennedy, MD, GAAP, FAAAI | Associate Professor, Department of Pediatrics, Internal Medicine | University of Arkansas for Medical Sciences | Arkansas Children’s Research Institute | Lung Cell Biology Laboratory
September 2 Selected Ethics Issues During the COVID-19 Pandemic | Dr. Micah Hester, PhD | Chair, Department of Medical Humanities & Bioethics | Clinical Ethicist (UAMS & Arkansas Children’s Hospital)
August 26 Pathophysiology of SARS-CoV-2 | Amanda Novack, MD | Medical Director of Infection Prevention | Baptist Health System
August 19 COVID-19, A Personal Experience | James Bledsoe, MD, FACS | EMS & Trauma Medical Director | Arkansas Department of Health
August 5 Food Environment and Childhood Obesity: Lessons From the Arkansas BMI Panel | Michael Thomsen, PhD | Professor | Health Policy and Management | Fay W. Boozman College of Public Health | University of Arkansas for Medical Sciences
July 15 Wastewater Surveillance as a Complementary Tool to Monitor COVID-19 Spread | Marli P. Azevedo, Ph.D. | Research Microbiologist | National Center for Toxicological Research | Division of Microbiology | U.S. Food and Drug Administration
June 17 Implications for Public Health of the 2021 US Supreme Court Term | Kevin W. Ryan JD, MA | Associate Dean for Student and Alumni Affairs | Associate Professor Health Policy and Management | Fay W. Boozman College of Public Health | University of Arkansas for Medical Sciences
May 27 Updated CDC COVID-19 Vaccine Recommendation In 12-15 year olds: Important Consideration as Summer Begins | José R. Romero, MD, FAAP, FIDSA, FPIDS, FAAAS | Professor of Pediatrics, Pediatric Infectious Diseases | University of Arkansas for Medical Sciences | Arkansas Secretary of Health | Director, Arkansas Department of Health
May 20 Arkansas Medicaid Expansion: Future Opportunity & Evidence to Improve Child Health | Joe Thompson, MD,MPH | President and CEO | Arkansas Center for Health Improvement
May 6 Gender Affirming Care Services in Arkansas | Lorraine V. Stigar, MPH, CHE, DrPHC | Fay W. Boozman College of Public Health | University of Arkansas for Medical Sciences
April 15 Radiative Forcing and Arkansas Resilience | Richard L. McMullen, PhD | Associate Director for Science | Center for Local Public Health | Arkansas Department of Health
April 1 New Educational Programs in Health Care Data Analytics to Improve Public Health | J. Mick Tilford, PhD | Professor and Chair Department of Health Policy and Management | Fay W. Boozman College of Public Health | University of Arkansas for Medical Sciences
March 18 COVID-19: Congregate Care Settings | Kelley Garner, MPH, MLS(ASCP)CM | Program Coordinator/Epidemiology Supervisor | Healthcare Associated Infections Programs | Arkansas Department of Health
January 21 COVID-19 Vaccine Distribution and Use in Arkansas | Jennifer A. Dillaha, MD | State Epidemiologist | Medical Director, Immunizations and Outbreak Response | Arkansas Department of Health
January 7, 2021 COVID-19 (SARS-CoV-2) Vaccines: Current Status in the United States | José R. Romero, MD, FAAP, FIDSA, FPIDS, FAAAS | Professor of Pediatrics, Pediatric Infectious Diseases | University of Arkansas for Medical Sciences Arkansas Secretary of Health | Director, Arkansas Department of Health
2020 Videos End  
December 17 Early Hearing Detection and Intervention (EHDI): ADH’s Infant Hearing Program | Joel Tumlison, MD | Medical Director | Child and Adolescent Health | Outbreak Response | Arkansas Department of Health
December 3 Advancing Community Health Workers in Arkansas: Background and Updates from a Statewide Partnership | M. Kate Stewart, MD, MPH | Professor, Department of Health Policy and Management | Director, Office of Community Based Public Health | Director, Community Engagement Translation Research Institute | Fay W. Boozman College of Public Health | University of Arkansas for Medical Sciences
October 1  Alpha-Gal Syndrome | Allison James DVM, MPH, PhD | CDC EIS Field Officer | Arkansas Department of Health
September 17 “Big Dot” Data and Antibiotic Stewardship | William Golden, MD | Medical Director | Arkansas Department of Health Office of Health Information Technology | Professor of Medicine and Public Health | University of Arkansas for Medical Sciences
September 3 Opioids During Pregnancy | Shona Ray-Griffith, MD | Assistant Professor | Ambulatory Director, Women’s Mental Health Program | Program Director, Addiction Medicine Fellowship | Psychiatric Research Institute | University of Arkansas for Medical Sciences
August 20 Arkansas Newborn Screening: From Birth to Results || Katie Seely, PhD | Lab Director | Arkansas Department of Health || Pat Purifoy, RN | Newborn Screening Follow-up Manager | Arkansas Department of Health
July 17 Places, Pandemics, and People: My ADH Adventure | Rev. Nathaniel Smith, MD, MABS | Arkansas Secretary of Health | Arkansas Department of Health
March 12 Using The Law To “ARREST” The Spread of Infectious Disease | Kevin Ryan, JD, MA | Associate Dean for Student and Alumni Affairs | Co-Director DrPH Program, Associate Professor | Department of Health Policy and Management | Fay W. Boozman College of Public Health | University of Arkansas for Medical Sciences
March 5 So Who Can I Prescribe Opioids To? | Michael Wilson, MD, PhD, FAAEM, FACEP | Assistant Professor, Division of Research and Evidence-Based Medicine Department of Emergency Medicine | Assistant Professor, Department of Psychiatry Director, Department of Emergency Medicine Behavior | Emergencies Research Lab Director, Department of Emergency Medicine Research Associates Programs | University of Arkansas for Medical Sciences
February 27 A Whole New World: Whole Genome Sequencing And The NOW Of Foodborne Disease Surveillance and Outbreak Response | Quinyatta Mumford, MPH | Epidemiologist | Arkansas Department of Health
February 20 Coronavirus Epidemics of The 21st Century: SARS, MERS and NCP || Nathaniel Smith, MD, MPH | Secretary of Health | Arkansas Department of Health || Jennifer Dillaha, MD | Medical Director | Immunizations and Outbreak Response | Arkansas Department of Health || Naveen Patil, MD, MHSA, MA, FACP, FIDSA | Medical Director | Infectious Diseases, Healthcare Associated Infections, Antimicrobial Stewardship Initiative | Arkansas Department of Health
February 13 Suicide Rates Contin

Public Health Careers

If you want to become a part of a team that values the health and well-being of all Arkansans, we welcome you to review our jobs and apply by going to the ARCareers website  and choose “The Arkansas Department of Health” from the pull-down menu. You may contact us or download an application, print it out and fax, mail or deliver it to us.

Applicants can also complete applications in person by visiting our Employment Office at the address listed below between the hours of 8:00 am and 4:00 pm.

The Arkansas Department of Health is a drug-free workplace. All offers of employment are contingent upon applicants passing a drug test, including alcohol. Employees must submit to 'for cause" and random drug testing as a condition of continued employment.

Notice to Applicants
Employment Application


Careers we offer:

Below is a list of some of the careers offered at the Arkansas Department of Health.

  • Accountants
  • Administrators
  • Attorneys
  • Communications & Media
  • Computer Specialists
  • Doctors
  • Finance
  • Epidemiologists
  • Health Educators
  • Health Inspectors
  • Human Resources
  • Lab Technicians
  • Licensure & Regulations
  • Microbiologists
  • Nurses
  • Nutritionists
  • Quality Control
  • Registrars



  • Performance-Based Salary Increases
  • Health Insurance
  • Dental & Vision
  • Life Insurance
  • Retirement Plans
  • Annual and Sick Leave
  • Educational Scholarships
  • 11 Paid Holidays
  • Supplemental Insurance


Office Address Phone Fax

Human Resources

4815 W. Markham St., Slot 26
Little Rock, AR 72205



Plan Review - Subdivision Plans

Requirements for Submission of Subdivision Plans

Complete and detailed plans and specifications shall be submitted for review and approval to the Engineering Section, Arkansas Department of Health.  Depending on the method of water supply and wastewater disposal proposed, review will be by the Engineering Section staff and/or Regional Environmental Health Program Specialist.

Submittals must include the following items.  Subdivisions on public water and individual sewage disposal system must meet both A and B including both review fees. 

A.   Subdivisions with public water and/or public sewer.

  1. Vicinity map and legal description indication the location of the subdivision.
  2. Layout of lot boundaries, street, easements, all topographical features, and flood level of the area.
  3. Contour lines at 5 to 20 feet intervals shall be shown as relating to lot boundaries and the location of tests performed.
  4. Dimensions of lots, streets, easements, etc., of the subdivision.
  5. Detailed engineering plans and specifications for the water and/or sewer system prepared and stamped by an engineer licensed in the state of Arkansas.
  6. A review fee of 1 percent of the estimated water and/or sewer cost is to be submitted with the plans.  The minimum fee is $50 and the maximum fee is $500.  A completed cost estimate sheet for the project is to be submitted with each project unless the maximum fee of $500 is paid in which case the cost estimate is not required.

B.  Subdivision Plans with individual wells and/or individual sewage disposal systems (septic tanks).

  1. All subdivision plan review requirements outlined in the Rules and Regulations Pertaining to Onsite Wastewater Systems (Sections 5.9 through 5.11) must be addressed.
  2. The addresses of all parties to receive copies of subdivision correspondence must be provided, along with three copies of the plans and specifications.
  3. A subdivision review fee is required for all plans submitted.  The fee is $100.00 for the first lot and $25.00 for each additional lot with a maximum fee of $1500.00.  A completed cost estimate sheet must be provided.
  4. Review will be by the Regional Environmental Program Specialist assigned to the region in which the subdivision is located and who will verify the data submitted. 

All items listed within these guidelines must be included in the plans and specifications. For additional information, contact the Environmental Health Specialist located at your County Health Unit, or the Engineering Section at the contact information below.


Contact Address Phone Fax
Plan Review

4815 West Markham, Slot 37
Little Rock, AR 72205-3867

501 661-2623  501 661-2032


Projects Reviewed by Engineering

Submit Plans Online


  • Public Water & Public Sewer
  • Public Water & Individual Sewage Disposal System
    Reviewed in cooperation with Environmental Health Protection colleagues
  • Private Water & Individual Sewage Disposal System
    Reviewed by Environmental Health Protection colleagues

Water and Wastewater Facilities

  • New public water systems and sewer systems
  • New water system sources
  • Expansion or extension of existing facilities
  • Spring sources for bottled water

Swimming, Spray, and Wading Pools

  • Public
  • Semi-public
    Reviewed by Environmental Health Protection colleagues


  • Family
  • Church
  • Perpetual care operations

Mobile Home Parks

  • New mobile home parks
  • Expansion or extension of existing mobile home parks


Contact Information

Contact Address Phone Fax
Plan Review

4815 West Markham, Slot 37
Little Rock, AR 72205-3867

501 661-2623  501 661-2032

Freedom of Information Act (FOIA)

Compliance with Act 1653 of 2001

The “Arkansas Freedom of Information Act” (FOIA). Section 3 of Act 1653 requires each state agency, board and commission to prepare and make available certain information to the public, including the agency’s method of operations, records the agency maintains and certain regulations, rules of procedure and policies adopted by the agency. The required information for the ADH is on this website. Many of the records may not be available for public inspection under the FOIA because they are exempt from disclosure under that Act or other state or federal law.

  • The Arkansas Freedom of Information Act (FOIA) allows the public (“citizens”) to inspect and receive copies of public records of governmental agencies unless the law makes an exception for them.  The law also requires that most meetings of “governing bodies” be open to the public. 
  •  Medical Records and Vital Records are not open for release under the FOIA.  There are several other exemptions to the FOIA.

Requesting Records

In accordance with Act 1653 of 2001, citizens of Arkansas may request access to public records from ADH in person, by telephone, mail, facsimile transmission or e-mail, utilizing the addresses and numbers listed below.


Reginald Rogers
Arkansas Department of Health
4815 West Markham Street
Little Rock Arkansas, 72205  
501-661-2609 | phone
501-661-2357 | fax


If you have media inquiries, please contact the Office of Health Communications.

Arkansas State Board of Health

Act 96 of 1913 established the Arkansas State Board of Health. 

Board of Health members are appointed by the Governor and represent many organizations and professions concerned with public health. See Ark. Code Ann. § 20-7-102.

The Board is empowered to make all necessary and reasonable rules of a general nature for: protection of the public health and safety, general improvement of the sanitary and hygienic conditions within the state, suppression, and prevention of infectious, contagious, and communicable diseases, proper enforcement of quarantine, isolation, and control of such diseases and proper control of chemical exposures that may result in adverse health effects to the public.


Quarterly Meetings:

Meetings are held quarterly on the fourth Thursday of the month.
Freeway Medical Building
5800 W. 10th St., Ste. 906
Little Rock, AR

The Board may change the date of the meeting by majority vote.

  • July 25, 2024 at 10am | Virtual Meeting
  • October 24, 2024 at 10am | Virtual Meeting

*Executive Committee Meetings are only held at the discretion of the President and the Secretary/Director.

Board of Health Meeting Minutes (for minutes older than 2022, contact the Board's office)

County Health Officers

A County Health Officer, nominated by the County Judge and appointed by the State Board of Health, serves in each of Arkansas’ 75 counties. The County Health Officer serves as a key public health representative in the local community, promoting the use of local health unit services, advocating for public health policy initiatives with local and state policy makers, and providing assistance to local public health education and promotion initiatives.

The County Health Officer also aids and assists the State Board of Health and collaborates with the State Health Officer and the Department of Health in county emergency preparedness response and planning including implementing orders of the State Health Officer if isolation, quarantine, or emergency legal measures are required.

The County Health Officer participates in the development and review of local emergency plans and serves as a local spokesperson to the media, general public, and medical community in the event of a public health emergency.

Health Insurance Portability and Accountability Act (HIPAA) Privacy Notice

This information describes how medical information about you may be used and disclosed and how you can get access to this information.

The Arkansas Department of Health (ADH) is committed to protecting your health information.  This Notice is to inform you about our privacy practices and legal duties related to the protection of the privacy of your medical/health records that we create or receive.  

HIPAA Privacy Notice | Spanish

How we may use and disclose medical information about you?

ADH staff will only use your health information when doing their jobs.  The purposes of the use and sharing of health information are for treatment, payment for services and for Agency operations. 

  • Treatment:  Caregivers, such as nurses, doctors, therapists, nutritionists and social workers, may use your health information to determine your plan of care.  Individuals and programs within the ADH may share health information about you in order to coordinate the services you may need, such as clinical examinations, therapy, nutritional services, medications, hospitalization, or follow-up care.  
  • Payment:  The ADH may release information about you to Medicaid, Medicare, your health plan or health insurance carrier to obtain payment for our services.  For example, we may need to give your health plan information about a clinical exam or vaccinations that you or your child received so your health plan or Medicaid or Medicare will pay us for treatment or services.  
  • Operations:  The ADH may use and release information about you to ensure that the services and benefits provided to you are appropriate and are high quality.  For example, we may use your information to evaluate our treatment and service programs (quality assurance).  We may combine health information about many individuals to research health trends, to determine what services and programs should be offered, or whether new treatments or services are useful.  We may share your health information with business partners who perform functions on behalf of the ADH.  For example, our business partners may use your information to perform case management, coordination of care, or other assessment activities.  The ADH requires that our business partners abide by the same level of confidentiality and security as ADH when handling your health information. 

Other uses, sharing of health information or disclosures of health information required or allowed by law include: 

  • To Other Government Agencies Providing Benefits or Services:  The ADH may release your health information to other government agencies that are providing you with benefits or services when the information is necessary for you to receive those benefits and services. 
  • To Keep You Informed:  The ADH may contact you about reminders for treatment, medical care or health check-ups.  We may also contact you to tell you about health related benefits or services that may be of interest to you. 
  • For Public Health:  The ADH may release your health information to other programs within the ADH as it relates to public health, subject to the provisions of applicable state and federal law, for the following kinds of activities:
    • To prevent or control disease, injury or disability or to keep vital statistics records such as births and deaths. 
    • To notify social services agencies that are authorized by law to receive reports of abuse, neglect or domestic violence. 
    • To report reactions to medications or problems with products to the Food and Drug Administration (FDA). 
  • For Health Oversight Activities:  The ADH may share your health information with other programs within the ADH and with other agencies for oversight activities as required by law.  Examples of these oversight activities include audits, inspections, investigations, and licensure.  
  • For Law Enforcement:  The ADH may release health information to a law enforcement official, subject to applicable federal and state law and regulations, for purposes that are required by law or in response to a court order or subpoena. 
  • For Research:  The ADH may release your health information for research projects that have been reviewed and approved by an institutional review board or privacy board to ensure the continued privacy and protection of the health information. 
  • Lawsuits and Disputes:  If you are involved in a lawsuit or a dispute, the ADH may release health information about you in response to a court or administrative order.  We may also release health information about you in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested. 
  • To Coroners, Medical Examiners and Funeral Directors:  The ADH may release health information to a coroner, medical examiner or funeral director, as necessary to carry out duties as authorized by law. 
  • For Organ Donations:  If you are an organ donor, the ADH may release your health information to an organization that procures, banks, or transports organs for the purpose of an organ, eye or tissue donation and transplantation. 
  • To Avert A Serious Threat to Health or Safety:  The ADH may release your health information if it is necessary to prevent a serious threat to your health and safety or to the health and safety of the public or another person.  
  • For National Security and Protection of the President:  The ADH may release your heath information to an authorized federal official or other authorized persons for purposes of national security, for providing protection to the President, or to conduct special investigations, as authorized by law. 
  • To a Correctional Institution:  If you are an inmate of a correctional institution or under the custody of a law enforcement officer, the ADH may release your health information to the correctional institution or law enforcement officer.  The information released must be necessary for the institution to provide you with health care, protect your health and safety or the health and safety of others, or for the safety and security of the correctional institution. 
  • To the Military:  If you are a veteran or a current member of the armed forces, the ADH may release your health information as required by military command or Veteran Administration authorities. 

If you do not object and the situation is not an emergency and disclosure is not otherwise prohibited by stricter laws, the ADH is permitted to release your information under the following circumstances:   

  • To Individuals Involved In Your Care:  The ADH may release your health information to a family member, other relative, friend, or other person whom you have identified to be involved in your health care or the payment of your health care. 
  • To Family:  The ADH may use your information to notify a family member, a personal representative, or a person responsible for your care, of your location, general condition, or death. 
  • To Disaster Relief Agencies:  The ADH may release your health information to an agency authorized by law to assist in disaster relief efforts. 


Your Health Information Rights

Release of your information outside of the boundaries of ADH-related treatment, payment, or operations, or as otherwise permitted by state or federal law, will be made only with your specific written authorization.  Your specific written authorization is required to release the following types of information: Drug and Alcohol Abuse, Family Planning, HIV/AIDS, Mental Illness, Sexually Transmitted Diseases, and Women, Infants and Children (WIC) Program.  You may revoke specific authorizations to release your information, in writing, at any time.  If you revoke an authorization, we will no longer release your health information to the authorized recipient(s), except to the extent that the ADH has already used or released that information in reliance of the original authorization. 

In addition, you have the following rights regarding the health information that the ADH has about you:  

  • Right to Inspect and Copy:  You may request to inspect or have a copy of any part of your health record.  We may charge a fee for the costs of copying, mailing, or other supplies associated with your request. 
  • Right to Request Amendment:  If you feel that the health information the ADH has created about you is incorrect or incomplete, you may ask us to amend that information.  The ADH may deny your request if you ask to amend information that: 1) was not created by the ADH; 2) is not part of the health information kept by the ADH; 3) is not part of the information which you would be permitted to inspect or copy; or 4) the information is determined to be accurate and complete. 
  • Right to Request an Accounting of Health Information Releases:  You may request an accounting of disclosures of your health information.  The accounting does not include disclosures for purposes of treatment, payment, health care operations; disclosures required by law for purposes of national security; disclosures to jails or correctional facilities, authorized disclosures, and any disclosures made prior to April 14, 2003. 
  • Right to Request Restrictions:  You may request ADH to limit the use or disclosure of your health information except for treatment, payment, and health care operations.  ADH is not required by law to agree to your request. 
  • Right to Request Confidential Communication:  You may request, in writing, that ADH communicate with you in a different way or to a different location, for example, using a different mailing address or calling you at a different phone number. 
  • Right to a Paper Copy of this Privacy Notice:  You may request a paper copy of this Privacy Notice from ADH at any time.  

All requests for inspecting, copying, amending, making restrictions, or obtaining an accounting of your health information and any questions regarding this Privacy Notice must be directed to the Local Health Unit Hometown Health Leader.



If you believe your privacy rights have been violated, you may file a complaint with the ADH by contacting: 

Privacy Officer 
Arkansas Department of Health
(501) 537-1290

Or with the Secretary of the Department of Health and Human Services by calling them at 877-696-6775 or writing them at 200 Independence Ave. S.W., Washington, DC, 2020l.

Or with the Office of Civil Rights by calling 866-OCR-PRIV (866-627-7748), or 886-788-4989 TTY. 


Changes to Privacy Notice

The ADH reserves the right to revise this Privacy Notice effective for health information the ADH already has about you as well as any information received in the future. We will provide you with a copy of the revised Privacy Notice at your next visit following the effective date of the revised Privacy Notice. In addition, you may ask for a copy of our current Privacy Notice any time you visit an ADH facility for treatment or health care services. 

You may request translation or reading of this Privacy Notice. When possible, a written translation will be provided. 

Wastewater Installers

To find designated representatives authorized to maintain and install septic systems in Arkansas, filter by first name, last name, telephone number or county to narrow results.


Contact Us

Click the office name below to email or access online forms. 




 Online Form

Americans with Disabilities Act Coordinator

501-280-4099 501-661-2675  

Biological Agent Registry




Board of Health




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Breast, Cervical, and Colorectal Cancer



Cancer Registry




Chemical Materials




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Clinician Outreach








Controlled Substances







Cosmetology Complaint Form






Director’s Office




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EMS Complaint Form






501 661-2623

501 661-2032


Environmental Health



Clean Indoor Air Act Complaint Form

Food Protection Complaint & Feeback Form





Epidemiology Survelliance




Family Health




Foodborne Disease



Arkansas Foodborne, Waterborne and Enteric Public Complaint Surveillance Form

Food Protection Complaint & Feeback Form

Health Connections

Toll-Free: 1-800-275-1131;
Central Arkansas: 501-614-4689;
TDD: 1-800-285-1131



Health Facility Services



Health Facility Services Complaints 

Health Statistics
(please leave contact information with your request)




Healthcare-associated Infections (HAI) Program




Heart Disease & Stroke



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Hometown Health Improvement




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System  Privacy Complaint Form

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Lifestage Health




Massage Therapy

501-683-1448 501-682-5640 Complaint Form

Medicaid Provider Appeals

501-661-2878 501-661-2357  

Medical Marijuana

Toll Free 1-833-214-8619    

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(option 3)



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WIC (Women, Infants & Health) 501-661-2508 501-661-2004

WIC Fraud and Abuse Complaints:

English | Spanish

Women's Health - General Questions




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X-ray Program



Radiologic Technology Licensure Complaint Form

Zoonotic Diseases (Rabies)




If you are unable to find what you are looking for, use our Online Contact Form.

You may also call the Arkansas Department of Health main number at 501-661-2000.

Recent Final Rules

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Body Art

Proposed New Rules


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Board of Examiners of Alcoholism and Drug Abuse Counselors 

Cosmetology and Body Art

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Human Breast Milk Bank Standards

Lead-Based Paint:

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Secretary’s Message

Welcome to the Department of Health web site. I hope that you find our web site a helpful resource – one that provides you with a better understanding of public health. 

Public health touches the lives of everyone in our state. It has a key role in protecting and improving the health of Arkansans. In fact, public health measures have been responsible for many of the major improvements in the health of Arkansans. Controlling epidemics, ensuring safe food and water, and maternal and child health services are a few of the public health activities that have improved our quality of life. 

Many of our services are provided at the local level through a statewide service network. Our public health workforce is working every day to promote prevention services and to defend against threats to the public’s health. "Keeping Your Hometown Healthy" is more than a slogan for us.

I hope you find what you are looking for here and will add our web site to your list of favorites. Technology can help us be better informed about your needs. Please give us your suggestions and ideas for improvement.

Renee Mallory, RN, BSN
Secretary of Health

100 Years of Service








Local Health Units


Health Units

About ADH

Mission Statement: To protect and improve the health and well-being of all Arkansans.

Vision Statement: Optimal health for all Arkansans to achieve maximum personal, economic and social impact.Arkansas Department of Health graphic

What is public health? One definition – from a 1988 report by the Institute of Medicine’s “The Future of Public Health” – is this: “Public health is the science and the art of preventing disease, prolonging life, and organizing community efforts to do the following: keep the environment clean, control communicable infections, educate individuals in personal hygiene (like hand washing for example), organize medical and nursing services for the early diagnosis and treatment of disease, and develop the social machinery to ensure everyone a healthy standard of living.”

To say that another way, public health is everything the Arkansas Department of Health (ADH) does to protect and improve the health and well-being of all Arkansans – more than 100 services provided statewide by public health professionals to assure that your water is safe, your children have their immunizations, your restaurants are safe and your birth certificate is correct – to name just a few.

The ADH is a unified health department, with a main office in Little Rock and 94 local health units in each of the state’s 75 counties. We have Centers that oversee all that we do.

  • The Center for Health Advancement has among its many branches Chronic Disease, Tobacco Prevention and Control, Family Health, Women Infants and Children (WIC), and Oral Health.
  • The Center for Health Protection has branches for Infectious Disease, Preparedness and Emergency Response, and Health Systems.
  • The Center for Local Public Health is at the heart of the department. Our local health units provide services to communities across the state. Our Hometown Health Improvement Initiative is a process that takes a close look at the issues in local communities. It is coordinated through our local health units in partnership with community stakeholders. Through this collaboration, health strategies are developed and implemented to improve these local health issues.
  • The Center for Public Health Practice includes branches for Vital Records, Health Statistics, and Epidemiology, our “disease detectives” who track the spread of communicable diseases like mumps, measles and chicken pox.

In addition, our Public Health Laboratory tests and reports on samples from all over the state – water samples, human samples for disease, even samples for rabies. This state-of-the-art laboratory is prepared for a pandemic flu or a bioterrorist event, as well.

Supporting the various service programs throughout ADH is Administration, which includes finance, human resources, information technology, legal, minority health, community support, health communication and marketing, tobacco prevention and cessation, policies and procedures and facilities support.

The mission of the Department is to protect and improve the health and well-being of all Arkansans. We do this with the support of over 2,100 dedicated employees and public and private partners. All employees in our diverse workforce are expected to exemplify professionalism in everything they do. They are passionate about what they do, because they are making a difference by helping people make their lives healthier.

You may review a directory of agency contacts here.


ADH Strategic Plan FY2018-19

All state agencies were asked by Governor Hutchinson to prepare a two-year strategic plan to cover the period encompassing FY2018-2019. The plan presented by the Arkansas Department  of Health (ADH), and approved by the Governor, is an adaptation of a four-year plan ADH began in January 2016. The goal areas in the two-year plan include the original six goal areas of Childhood Obesity, Hypertension, Immunizations, Mental and Community Wellness, Teen Pregnancy, and Tobacco Use, but also include a new goal area on Efficiency and Responsiveness. The new goal area is in response to the Governor’s request that specific operational objectives be included in addition to the health issues already prioritized for focused effort. It should be noted that the two-year objectives may differ slightly from the original four-year objectives as baseline data has been updated to reflect the current status and different metrics may have been determined to provide better data. Objectives listed are those which are receiving priority focus during this two-year period and may have been modified from the original.

ADH is also accredited by the Public Health Accreditation Board (PHAB), the national accrediting body for public health agencies, and has to meet specific five-year requirements including a state health assessment and continuous quality improvement (CQI) plan in order to maintain accreditation. The Arkansas Department of Health is currently in year two of a five year accreditation cycle and will be implementing a CQI program that utilizes tools and training appropriate for public health programs at all levels of the department.

Click HERE to view and print the ADH Strategic Plan FY2018-19

Organizational Chart
Services Directory
Strategic Map CY 2016 - 2019
Strategic Plan Supplement 2016 - 2019
ADH Guiding Principles
ADH Guide to Programs & Services
EEOC Know Your Rights
Small Gatherings for Eclipse 2024
Office Address Phone Fax
Main Office 4815 W. Markham Street
Little Rock, AR 72205
800-462-0599 (toll-free)
Secretary’s Office 4815 W. Markham Street, Slot 36
Little Rock, AR 72205
501-661-2400 501-671-1450


The State Board of Health is empowered to make all necessary and reasonable rules of a general nature for the protection of the public health and safety; for the general amelioration of the sanitary and hygienic conditions within the state; for the suppression and prevention of infectious, contagious, and communicable diseases; for the proper enforcement of quarantine, isolation, and control of such diseases; and for the proper control of chemical exposures that may result in adverse health effects to the public. The Department of Health is the state agency responsible for implementing the Board's rules.

The Board updates its rules on a continuing basis. The Board must follow the Administrative Procedure Act ("APA") to amend, repeal or adopt a rule. 

An essential part of the APA allows the public to comment on any rule being amended, repealed, or proposed, and the Board values your comments and questions.

Please see the Final Rules Table of Contents to view the Board's current rules.


Rules Currently Being Amended, Repealed, or Promulgated

Emergency Rules

Proposed Amendments to Existing Rules

Proposed New Rules 

Proposed Repeal of Rules

Recent Final Rules

Repealed Rules


Bed Bugs
Blood Pressure for Professionals
Blood Pressure for Patients and the Public
Clean Indoor Air
Communicable Diseases
Communications: ADH Brochure | ADH Guide to Programs & Services | ADH Helpful Numbers
Community Health
Cross Connection
Drinking Water Lead Results
EEO Utilization Report
Emergency Medical Services
Environmental Health Forms and Guidelines
Fish Advisory Fact Sheets
Food Protection
General Sanitation
Heart Disease
Home Visiting
Hometown Health
Household Sharps Disposal Guidance
Infant Hearing
Injury and Violence Prevention
Medical Marijuana
Mold Cleanup Guidance
Mold Facts in Indoor Environments
Milk Program
Minority Health
Newborn Screening - Fact Sheets for Parents
Newborn Screening - Resources for Families
Nutrition and Healthy Eating
Onsite Wastewater
Oral Health
Ozone Action Days
Pharmacy Services & Drug Control
Physical Activity
Poison Resources
Public Water Plan Review Guidance and Forms
Rural Health
Radiologic Technology Continuing Education
Radon Gas
Safe Swimming
Saline County Resource Directory

STD Prevention
Swim Beach/Marine Sanitation
Swimming Pool Program
Tattoo and Body Art Resources
Tobacco Cessation
Trauma System
Vaccines for Children
Water Operator Certification
Water System Consumer Confidence Reports
Water System Forms
Worksite Wellness




Resources and Publications

Public Health Accrediation Board
Arkansas Department of Health
© 2017 Arkansas Department of Health. All Rights Reserved.
4815 W. Markham, Little Rock, AR 72205-3867