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Arizona Statement of Citizenship

Forms

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.

Board-Approved Monitor and Evaluator Application

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Forms

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. 

Board-Approved Trainer Application

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Forms

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.