Initial Licensure

• Initial Licensure FAQ
  
• Initial Licensure Application
  (Use this application if you have never been licensed in Arizona, or if your license has lapsed or expired).
• Initial Licensure Checklist
• Application Procedures for Doctors Re-Entering Practice

License Renewal

• License Renewal and CME Requirements FAQ
• License Renewal Form Packet 2010-2011
  (Use this form if you cannot renew online and your license renewal date is 12/31/2009. Packet includes Renewal Form, Citizenship Form, ASU Workforce Survey and Credit Card Payment Form).
• Citizenship Verification
  
• Area of Interest/Specialty Descriptions
  (Use this comprehensive list when filling out section 2 of your Renewal Form).
• CME Audit Reporting Form 2010-2011
  (Use this if the Notice of Renewal you received from the Board says "CME = Yes").
• CME Extension Request Form 2010-2011
• CME Waiver Request Form 2010-2011

Post Graduate Training Registration Applications

• PGT Permit Initial Registration Form
  For those STARTING an AZ PGT program

• PGT Permit Renewal Form
  For those CONTINUING in an AZ PGT program

Locum Tenens License

• Locum Tenens FAQ
  
• Locum Tenens Application
• Locum Tenens Checklist

Dispensing Registration

• Dispensing Medication FAQ
• 2010 Initial/ Renewal Registration to Dispense Medication
  (Use this form if you are registering for the first time, or if you are renewing a Registration to Dispense).
• Inventory Disposal Report Form
  (If you have had a Registration to Dispense and are NOT Renewing it, YOU MUST disclose IN WRITING how you dispose of your inventory pursuant to A.R.S. section 32:1871(f) using this form).

Other Forms

• Credit Card Payment Form-Generic
  
• Address Change Form
  
• License Verification Request Form
  (Use this form to request that a license verification-also known as "letter of good standing" - be sent to another board or organization).