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AZ.gov Arizona's Official Website Arizona Board of Osteopathic Examiners
Arizona Board of Osteopathic Examiners AZ.gov Arizona's Official Web Site
Arizona Board of Osteopathic Examiners
in Medicine and Surgery


Osteopathic Physician Complaint Form
To file a complaint against an D.O.. licensed in Arizona, download this printable form which includes detailed instructions
 
Duplicate License Request
To Request a duplicate license (wall certificate)
 
License Verification Request Form
To request that a license verification (sometimes called a letter of good standing) be sent to another board or organization.
 
AZ DO Physician Credentialing Data File Order Form
To order a current data file containing the Osteopathic (D.O.) Physician Database, download this printable form which includes detailed instructions. This data file is transmitted by email only. Please provide a valid email address when ordering.
 
Schedule of Fees
Fees for services provided by the Arizona Board of Osteopathic Examiners
 
Financial Interest Disclosure Form
Use this form to disclose to your patients your financial interest in recommended or prescribed facility, dispensary, pharmacy, treatment, goods and/or services
 
Credit Card Payment Form
Form to pay by Credit Card
 
Citizenship Form
 
Juror Medical Excuse
Should a patient request that they be excused from jury service for reasons related to mental or physical conditions
 
Name Change Request Form
Requst to change your name
 
 
 
The Arizona Board of Osteopathic Examiners uses Adobe Acrobat for the distribution of electronic versions of its documents. You must have the free Adobe Acrobat Reader installed on your computer to view these files.