Congratulations! On behalf of Chicot Memorial Medical Center and UAMS East Regional Campus Lake Village, we are pleased to inform you that your application for Mini-M*A*S*H has been accepted. A group representing several different health disciplines carefully reviewed all of the applications, and we are pleased to offer you one of the spots in this year’s program.

Mini-M*A*S*H will be held June 1st – June 5th, 2026 at Chicot Memorial Medical Center, which is located at 2729 Hwy 65 & 82 South in Lake Village, This is a day only program; no housing facilities will be included. You are responsible for your daily transportation to Chicot Memorial Medical Center. We will provide lunch and snacks. Generally, you will need to report each day by 9:00 AM and will be dismissed most days no later than 3:00 PM. Specific daily times will be discussed during orientation on your first day.

Below you will find the necessary information needed for your participation in this program. The first section is for the M*A*S*H participant to fill out, and the second section is for the participant’s parent or guardian to fill out and sign.

We are very excited about this year’s camp and look forward to working with you. If you have any questions, please contact Leigh Anthony @ 870-265-9356 or Brody Emerson @ 870-265-9321.

Please do not use your school e-mail below. Use a personal e-mail only. If you need to create a personal e-mail, you can do so by clicking here.

MASH Acceptance Form

M*A*S*H Participant Section

(M*A*S*H Participant Only) Please enter your full name.
(M*A*S*H Participant Only) Please enter your full name.
First Name
Last Name
Please enter your top 3 areas you would like to shadow below. The options are: nursing, wound care, laboratory, surgery, emergency department, x-ray / radiology, physical therapy, speech therapy, Lake Village Clinic, dental clinic, and pharmacy. We will try our best to have you shadow in the areas in which you are interested. We will be emailing you closer to camp time with important information. Please be sure to check your emails often towards the end of May.

Parent or Guardian Section

(Parent or Guardian Only) Please enter your full name.
(Parent or Guardian Only) Please enter your full name.
First Name
Last Name
Please select your relationship to the M*A*S*H participant.
If there is a specific person that your child may ride with to and from the MASH program (such as another MASH participant), please specify their name below.
If there is a specific person that your child may ride with to and from the MASH program (such as another MASH participant), please specify their name below.
First Name
Last Name