DO NOT USE this form if you have ever been license in Arizona previsously. Click the E-Licensing link, log into your account, to request a verification of licensure under the service request link.
Download this form for purposes of requesting copies of records, including the Directory of Arizona Licensed Physical Therapists and Physical Therapist Assistants. Fees are charged for copies of certain records.
A person may obtain additional public records related to any licensee or certificate holder, including dismissed complaints and nondisciplinary actions and orders, by contacting the board directly.