Form
Renewals

 Chiropractic Licenses Expire on December 31st of Each Year. 

2023 Renewal Cycle will open on October 15, 2022.
 

We strongly recommend that you read and understand the information below before completing the online renewal to ensure a smooth and successful process.

Continuing Education Requirements

You are required to complete 12 hours of continuing education. Board Statute and Rules require it to be in the topics listed in sections §32-922, subsection B, and section §32-922.02.  When renewing your license in even-numbered calendar years, you must complete 2 hours of continuing education in documentation and record keeping per A.A.C. R4-7-801(M)(1). Board-approved Continuing Education courses can be found on the Board’s website under the Continuing Education tab. 

Renewal Application and Payment 

The Renewal process is a two-part process. You must submit your payment and your application before the expiration date. Failure to complete either item may result in your application being late or your license being placed on administrative suspension.

Paper Renewal Forms

In 2015, the Board moved to an online renewal system allowing licensees to complete their renewal and pay the renewal fee online.  Paper renewals are no longer available.

Web Browser

Please note that the online renewal portal works best in Google Chrome or Mozilla Firefox. You should use one of these browsers to complete the renewal process.

Desktop/laptop Only

Please use a desktop or laptop to complete the application.  The application does not function properly on a phone or tablet. 

Essential Steps for Successful Submission: 

STEP ONE: When you are ready to proceed, click on the 2023 Renewal Application link at the bottom of this page. This link will take you to the credit card payment screen. Enter the required information, including your license number, and hit the “Pay Now” button.

STEP TWO:  After making your credit card payment, click CONTINUE to step two, which includes a link to “Complete Online Renewal.” The Online Renewal form will open in Adobe Sign and allow online submission.

STEP THREE: Once you have completed all the required fields for the application, this is when the renewal form is complete. The "Click to Sign" button will appear at the bottom of your screen to allow submission. The “Click to Sign” button will not appear unless all the required fields have been completed. There is a count of required fields in the upper right-hand of the form. Please hover over the number; it will show you what fields you missed.

Once your renewal form has been successfully submitted, the following screen will appear. If you do not see this screen below, your renewal application was not successfully submitted, and resubmission is required.

STEP FOUR: When you submit your renewal application, you'll receive an email copy of your renewal application from [email protected]. The renewal application will be emailed to the address you provided. Keep this electronic copy for your records to verify that you submitted your renewal to the Board. This document will serve as your certificate in good standing until the Board staff processes your renewal and emails your final renewal certificate.

STEP FIVE: Board staff will review and process your application. Applications are processed in the order they are received. Board staff has until January 20th of each year to send out Administrative Suspension Notices and until February 2nd of each year to process all applications. 

STEP SIX: Once the Board staff has reviewed and processed your renewal application, you will receive an email from [email protected], which includes your completed, signed renewal receipt and a copy of your renewal application. The renewal receipt contains your receipt number or confirmation code, the amount paid, your license renewal and expiration date, license number, license status, and your practice address. 

Once your renewal is processed, your renewal receipt is emailed from EchoSign to the address from your renewal form.  Check your spam/junk folder for an email from [email protected]

Renewal Receipt Certificate

The Board staff will review and process your renewal, and a completed copy will be emailed back to you from [email protected], which includes the signed renewal receipt for your records. 

The renewal receipt contains your receipt number or confirmation code, the amount paid, your license renewal and expiration dates, license number, license status, and mailing address. This is to provide you with an immediate copy of your renewal receipt with all the required information.  Please add [email protected] to your contacts or check your spam folder for your renewal receipt.

Notice of the Late Fee:

A licensee will be required to pay the $200.00 late fee for any renewal form and renewal fee not completed, postmarked, or received by 1midnight Arizona Time on January 2, 2023.

You must submit your renewal application and payment to avoid a $200.00 late fee assessment and the possible ADMINISTRATIVE SUSPENSION of your license. If you do not complete both, your application will not be processed, and your license can be placed on ADMINISTRATIVE SUSPENSION. You are responsible for verifying that you received a copy of your renewal application from [email protected]. If your license is on ADMINISTRATIVE SUSPENSION, you can not treat patients until your license is restored to ACTIVE.

Helpful hints for completing the renewal application: 

  1. Watch the required fields-there is a count of required fields in the upper right-hand corner of the form. You will not be able to submit your renewal application until you have completed all the required fields. 
  2. The form cannot be downloaded to your computer or saved. It must be completed and submitted online. 
  3. If the application times out, you will have to start over and reenter all your information. 
  4. Your name, phone number, and payment authorization code will import from your payment data keyed in STEP ONE. 
  5. Add [email protected] to your email contacts to ensure you receive your renewal submission receipt and the completed, signed renewal certificate.

2023 Renewal Link will be available on October 15, 2022

 

Attachment

Reinstatement Application

Renewals Notice

Supplemental Continuing Education Coursework Form.pdf