All Forms and Applications

Applicant's Checklist Download Form (21.76 KB)	This checklist provides requirements and guidance for new license applications. Please ensure that all instructions have been completed.
Application for Homeopathic Physician Download Form (248.36 KB)	Application for license as a homeopathic physician.
Arizona Statement of Citizenship Form Download Form (267.5 KB)	File with new applications. Arizona Revised Statutes § 41-1080(F) requires, in general, that a person applying for a license must submit documentation to the licensing agency that satisfactorily demonstrates that the applicant is lawfully present in the United States.
Continuing Education Application Download Form (406.01 KB)	Apply for approval of CME.
Customer Survey Download Form (24.57 KB)	Print form and FAX to Board (602-542-3093).
Dispensing Permit Download Form (689.47 KB)	For new applications, or renewal.
Homeopathic Physician Renewal Form Download Form (393.1 KB)	Application for renewal of license for a Homeopathic Physician Fill this Renewal form out and pay for it ONLINE by clicking below ONLINE RENEWAL FORM AND PAYMENT
Informed Consent Download Form (1.02 MB)	A.R.S. § 32-2933(41) (relates to professional conduct).
Initial Licensing Information Download Form (1.25 MB)	This information packet explains the requirements for licensure.
List of Misdemeanor/Felony Violations Download Form (23.59 KB)	Reportable by Law A.R.S. §32-3208.
Medical Assistant Application Download Form (367.95 KB)	Registration form for Medical Assistants who have completed formal educational programs or on-the-job or practical education programs.
Medical Assistant Application Form III Download Form (652.47 KB)	Registration form for Medical Assistants who have held or currently hold another health care license, certificate, or registration.
Medical Assistant Renewal Application Download Form (114.65 KB)
Public Records Request Form Download Form (63.36 KB)	Print form and FAX to Board to request public records (602-542-3093).