Board of Chiropractic Examiners Address / Name Change Web Form

ARS§32-923.(A) Change of address; - "Every person who is licensed pursuant to this chapter shall notify the board in writing of any change in residence or office address and telephone number within thirty days after that change. The board shall impose a penalty of fifty dollars on a licensee who does not notify the board as required by this subsection."

R4-7-902(10) Unprofessional or Dishonorable Conduct -  "Unprofessional or dishonorable conduct, as used in A.R.S. § 32-924(A)(5), means: Practicing, or billing for services under any name other than the name by which the chiropractic physician is licensed by the Board, including corporate, business, or other licensed health care providers' names, without first notifying the Board in writing."

Primary Mailing Address - This is the address where you receive your mail. It must be a post office box, personal mail box or office address. A home address will not be accepted unless it is your only address. Please note that this address will be a public record and will appear on the Board’s website.

Home Address - This is the physical address of your residence. While the law requires you to provide the Board with your home address, it also requires the Board to keep the address confidential unless it is the only address on file.