Required Reinstatement Documents
Please complete the forms and upload the appropriate documents into the eLicensing System.
Response to Sunset Factors 2023
Retire a PT or PTA License
If you wish to retire your AZ license, complete this form and upload to a "retire" status change request through your Licensee portal. NOTE, retiring a license indicates you are no longer working as a PT/PTA in AZ or elsewhere.
Small Business Bill of Rights
State Ombudsman - Citizens' Aide
Substance Abuse Recovery Program Guidelines
Substantive Policy Statement Compact Privilege Renewal and AZ Law Exam
Surprise Out of Network Dispute Resolution Information
Testing Dates & Deadlines 2025
Testing eligibility requires an application that is paid, submitted, reviewed, and deemed sufficient (including 3rd party documents).
Third Party Verification
DO NOT USE this form if you have ever been a licensed PT/PTA in Arizona. If a previous or current AZ licensee requires a verification sent directly from the Board, they must log into their Licensee Portal to to submit and pay for a Document Request. NOTE: licensees may print a verification free of charge via Find a PT or PTA.
USE THIS FORM ONLY if you are a 3rd Party entity requesting verification of an Arizona licensed PT/PTA be sent directly by the Board to another entity, complete and submit this form with payment. NOTE: verifications may be printed free of charge via Find a PT or PTA