State of Arizona
Acupuncture Board of Examiners

 

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Forms

The following forms of the Board are in Adobe Acrobat format. You will need Acrobat to view and print these documents. Don't have it? You can down load it for free. Go get it! Get Acrobat Reader

  Acupuncture license application.  Application form to become licensed in Arizona as an acupuncturist.
  Acupuncture license renewal.  Form to renew an Arizona acupuncturist license.
  Auricular certificate application.  Application form to become certified in Arizona as an auricular acupuncturist.
  Auricular certificate renewal.  Form to renew an Arizona auricular acupuncturist certificate.
  Continuing education application.  Application form for continuing education course approval.
  Complaint form.  Instructions and form to initiate a complaint against a acupuncturist.
  Public information request form.  Form to request public documents from the board such as board minutes and mailing lists.
  Name, address and phone number change form.  Use this form to notify the board of name, address and phone number changes as required by law.

Statement of Citizenship Form.  Use this form to declare status of citizenship for receipt of state or local public benefits.