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.

 

Board-Approved Trainer Application

If you wish to be able to provide Board Ordered Training to licensees subject to non-disciplinary or disciplinary action, please use the Approved Trainer for Board Ordered Education listed below.  The Board is seeking training in the following areas:  ethics, billing, x-ray imaging, AZ Jurisprudence, record keeping, history, diagnostic procedures, and evaluation/management. Please review the necessary instructor and training criteria included in the application. 

Board-Approved Monitor and Evaluator Application

The State of Arizona Board of Chiropractic Examiners welcomes your interest in becoming a Board Approved consultant. Please read the Board's basic criteria and specific credentials and the required evaluation listed on the Board's Approved Consultants tab before submitting your application. You must meet the required criteria listed for your specific discipline to be approved by the Board. To apply for approval, please complete the application below and submit the requested supporting documents.