Content necessary or relevant to those seeking to renew their podiatric license.
Statement of Citizenship
Online form for a person applying for a license, to satisfactorily demonstrating that he/she is lawfully present in the United States.
License Verification (for verifying out of state licenses)
Pdf fillable document to allow an applicant the ability to verify out-of-state podiatric licenses currently or previously held. Please note: each jurisdiction may require a nominal fee and that fee must be submitted along with this form.
Replacement / Duplicate License
Pdf fillable document to allow for an Arizona podiatrist to request multiple licenses for multiple offices or replace a lost or misplaced license.
Name Change Request
Pdf fillable document to allow for an Arizona podiatrist to request new wall and wallet licenses due to a name change.
Initial Registration to Dispense Drugs and Devices Form
Pdf fillable document to provide for the ability of a licensed Arizona podiatrist to dispense drugs/devices controlled within their possession, including DME, orthotics, topicals, etc.