2024 License Renewal form
Application for a Temporary Podiatry License
Pursuant to A.R.S. §32-3124, a podiatrist, who is not licensed to practice in the state of Arizona, may apply for a temporary license if he/she meets certain criteria.
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.
View file:License Verification (for verifying out of state licenses)
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.
View file:Replacement / Duplicate License
Telehealth Registration Application
Pursuant to A.R.S. 36-3606 an individual who is licensed in another jurisdiction can apply to provide telehealth services in Arizona. Please see the application for exemptions from being required to register to provide telehealth services in Arizona.
View file:Telehealth Registration Application