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

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 provide for the ability of a licensed Arizona podiatrist to dispense drugs/devices controlled within their possession, including DME, orthotics, topicals, etc.

If you require a paper copy of the application please contact the Board office at, [email protected]

Licensure by Universal Recognition

On August 27, 2019, the Arizona Board of Podiatry Examiners will begin accepting applications for licensure by universal recognition (A.R.S. 32-4302). 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

Pursuant to A.R.S. § 25-320(P), disclosure of your social security account number to this agency is required. The Arizona State Board of Podiatry Examiners' ("Board") request for social security numbers of the Board's applicants and licensees are for the purposes of identification and for carrying out the Board's statutory obligations. Your social security number will not be released to the general public. However, your social security number may be released to any authorized person pursuant to 42 U.S.C. § 405(c)(2)(C)(viii)(III). The Board may also use your social security number as a

• Application for a podiatry license - $650.00 (includes dispensing registration)
• Application for a temporary license - $100.00
• License issuance - $225.00
• Annual renewal - $375.00 (includes dispensing renewal)
• Late fee for renewals received after July 30 each year - $150.00
• License verification - $10.00