All Forms and Applications

Pdf fillable document to provide for the ability to be licensed as a podiatrist in the State of Arizona. 

Licensure by Universal Recognition

On August 27, 2019, the Arizona Board of Podiatry Examiners will begin accepting applications for licensure by universal recognition. The universal recognition policy allows Arizona residents to use an out-of-state professional or occupational license qualify for an Arizona license to work. To qualify, an applicant must:

• Prove residency in Arizona
• Be currently licensed or certified for at least one year in another U.S. state in the discipline applied for and at the same level of practice as recognized in Arizona.
• Be in good standing in all states where currently or previously licensed or certified.
• Have met all applicable education, work, exam, and/or clinical supervision requirements in the other state where originally licensed or certified.
• Complete a criminal background check when required by law.
• Take and pass any applicable exam on Arizona state law.
• Pay all applicable licensing fees
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Online form to allow for an applicant or licensed podiatrist the ability to update business and/or residential address(es). Pursuant to A.R.S. § 32-829(D), “each licensee shall promptly and in writing inform the board of the licensee’s current office address and of each change in office address within thirty days.”

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.

Pdf fillable document to allow for an Arizona podiatrist to request new wall and wallet licenses due to a name change.

Pdf fillable document to allow for an Arizona podiatrist to request multiple licenses for multiple offices or replace a lost or misplaced license.

Online form for a person applying for a license, to satisfactorily demonstrating that he/she is lawfully present in the United States.