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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

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Forms

Application for Licensure by Examination

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Forms

Application for Licensure by Reciprocity

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Forms

Application for Licensure by Universal Recognition

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Forms

Arizona Statement of Citizenship

Forms

Board Meeting Attendance Request for Continuing Education Credit

Forms

Board-Approved Monitor and Evaluator Application

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Forms

Board-Approved Trainer Application

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Forms

Business Entity Registration and Application

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Forms

Complaint Form

Forms

Continuing Education (CE) Course Renewal Application

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Forms

Continuing Education - PACE PreCheck Course Application

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Forms

Continuing Education Course Application with Online Addendum

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Forms

Continuing Education Course Approval

Forms

Continuing Education Course Renewal Application

Forms

Copy of License / Registration / Renewal Receipt

Forms

Extern Application for Preceptorship

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Forms

Inactive/Retired Request Form

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Forms

License Verification Request.pdf

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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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