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Some of the below forms are available to be filled and submitted via either Google Chrome, Mozilla Firefox or Microsoft Internet Explorer. Please open the form in one of those browsers and submit them online.

Address / Name Change

Forms

Application for Licensure by Endorsement

Attachment
Forms

Application for Licensure by Examination

Attachment
Forms

Application for Licensure by Reciprocity

Attachment
Forms

Application for Licensure by Universal Recognition

Attachment
Forms

Arizona Statement of Citizenship

Forms

Board Meeting Attendance Request for Continuing Education Credit

Forms

Board-Approved Monitor and Evaluator Application

Attachment
Forms

Board-Approved Trainer Application

Attachment
Forms

Business Entity Registration and Application

Attachment
Forms

Chiropractic Assistant Registration

Forms

Chiropractic Assistant Training Requirements/Application and Sample Course Outline

Attachment
Forms

Chiropractic Assistant Transfer

Forms

Click here to provide an address change

Forms

Complaint Form

Forms

Continuing Education (CE) Course Renewal Application

Attachment
Forms

Continuing Education Course Application with Online Addendum

Attachment
Forms

Continuing Education Course Approval

Forms

Continuing Education Course Renewal Application

Forms

Copy of License / Registration / Renewal Receipt

Forms

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Contact

State of Arizona Board of Chiropractic Examiners

1740 W. Adams St, Suite 2430

Phoenix, AZ 85007

Email: [email protected]

Phone: (602) 864-5088

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