Forms and Downloads
Forms are in PDF file format and require Adobe Acrobat Reader to view. You can get this free software from the Adobe WEB site. .
If you have problems downloading these forms you may contact the Board at 602-542-8154 or email us at firstname.lastname@example.org.
Arizona Statement of Citizenship Form - File with new Applications
Medical Assistant Application - Registration form for Medical Assistants who have completed formal educational programs or on-the-job or practical education programs
Medical Assistant application Form III - Registration form for Medical Assistants who have held or currently hold another health care license, certificate, or registration
Continuing Education Application - Apply for approval of CME
Customer Survey - Print form and FAX to Board (602-542-3093)
List of Misdemeanor/Felony Violations Reportable by Law A.R.S. §32-3208
Public Records Request Form - Print form and FAX to Board to request public records (602-542-3093)
Informed Consent - A.R.S. § 32-2933(41) (relates to professional conduct)