Arizona Statement of Citizenship

State of Arizona Statement of Citizenship form is required for all new applications. Arizona Revised Statutes § 41-1080 requires, in general, that a person applying for a license must submit documentation to the licensing agency that satisfactorily demonstrates that the applicant’s presence in the United States is authorized under federal law.

Continuing Education Application Check Log

Please submit the CE Application Check Log with your single check payment to the Board for your electronically submitted Continuing Education Applications. The Board no longer accepts handwritten applications or applications submitted through the mail. Please note if the Board does not receive payment within ten days of receiving your application. Your application will be canceled, and you must resubmit the entire application packet. 

Universal Recognition Resident Attestation

Active Practice Affidavit-Licensure Application

Application for Licensure Fee Waiver

Fingerprint Card Instructions

Public Records Request Form

Verification of Licensure in Good Standing

Continuing Education - PACE PreCheck Course Application

The State of Arizona Board of Chiropractic Examiners accepts PACE recognition as satisfying the Board's requirements for the Continuing Education process. However, courses must still be individually approved by the Board. The Board will NOT approve courses in which the primary focus is the promotion of a product or service or courses that require participants to purchase a product or service. Each course shall be on subjects of CLINICAL BENEFIT TO THE CONSUMER OF CHIROPRACTIC SERVICE. The course must have a significant relationship to assessing, diagnosing, or treating patients within the chiropractic practice scope, as defined in A.R.S. § 32-925 and 32-922.02.

Continuing Education Course Application with Online Addendum

The Arizona State Board of Chiropractic Examiners welcomes your interest in providing continuing education for Arizona licensees. Please read the following forms, laws, and rules carefully before submitting your application, as the Board cannot refund application fees, even if you do not qualify for approval. The Board will NOT approve courses in which the primary focus is the promotion of a product or service or courses that require participants to purchase a product or service. Each course shall be on subjects of CLINICAL BENEFIT TO THE CONSUMER OF CHIROPRACTIC SERVICE. The course must have a significant relationship to the assessment, diagnosis, or treatment of patients within the chiropractic practice scope, as defined in A.R.S. § 32-925 and 32-922.02.