Out-of-State Waiver

If you received your offense in a state other than Arkansas, your registration will NOT be accepted unless Out-of-State Waiver form (page 2 of the enrollment form) is completed and signed.

 

The Out-of-State Waiver allows for you to take the Arkansas DASEP course at Mid-South Health Systems, if you’ve had an offense that occurred in a state other than Arkansas. Each state has its own unique requirements for completion of education or treatment related to DWI/DUI/MIP convictions, so you will need to check with the state you were arrested in to ensure that Mid-South Health Systems, Inc. meets all of the requirements. If it does, you’ll need to mark on the form which level of class the other state requires of you, and you’ll need to submit any official documentation from the court and/or the state in which you were convicted.

 

If the Mid-South Health Systems, Inc. (Arkansas-approved) DASEP class does not meet the requirements of the other state, then by completing the form you also agree that you will not hold Mid-South Health Systems, Inc. responsible for the error.

 

 

  • Contact Us
    Craighead County
    Mid-South Health Systems, Inc.
    2707 Browns Lane
    Jonesboro, AR 72401
    Phone: (870) 972 - 4099
    Crittenden County
    Mid-South Health Systems, Inc.
    905 North 7th Street
    West Memphis, Ar 72304
    Phone: (870) 702 - 5913
    Cross County
    Mid-South Health Systems, Inc.
    661 Addison
    Wynne, Ar 72396
    Phone: (870) 588 - 3752
    Mississippi County
    Mid-South Health Systems, Inc.
    209 South Lockard
    Blytheville, Ar 72315
    Phone: (870) 762 - 8283
    Phillips County
    Mid-South Health Systems, Inc.
    801 Newman Drive
    Helena, Ar 72342
    Phone: (870) 338 - 3900
    Randolph County
    Mid-South Health Systems, Inc.
    2560 Old County Road
    Pocahontas, Ar 72455
    Phone: (870) 892 - 7111
    Saint Francis County
    Mid-South Health Systems, Inc.
    4451 North Washington
    Forrest City, Ar 72396
    Phone: (870) 630 - 3808