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Arizona State Board of Massage Therapy
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    • DeRoest, S. Bailey, Public Member
    • Vacant., Public Member
    • Mhoon, Myriah, Public Member
    • Reiter, Angela M, LMT
    • Tapscott, Michael K., LMT
    • Fiscal Year 2023 budget Submission
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Directory

Find a Massage Therapist, & View Disciplinary Actions

To check application status, click Application Status Search Tool...

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Forms

Forms

Criminal Reporting, Change of Address, Name Change, Verification, ...

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File a Complaint

Complaint Form

Please use the Board's online link to submit your written...

File a Complaint

Forms

Renewal License Application

RENEWAL PAYMENT ONLY - Online Payment

RENEWAL APPLICATION - Online Form

 

PLEASE NOTE: All fees are non-refundable, pursuant to A.A.C. R4-25-103.

 

Mandatory Criminal Reporting

Pursuant to A.R.S. § 32-3208, a massage therapist or an applicant for licensure as a therapist, who has been charged with a misdemeanor involving conduct that may affect patient safety or a felony must notify the Arizona State Board of Massage, in writing, within ten (10) working days after the charge is filed.

Please use the "Mandatory Criminal Reporting form" to submit your misdemeanor or felony:

MANDATORY CRIMINAL REPORTING FORM - Download PDF

MANDATORY CRIMINAL REPORTING FORM - Online

 

 

Change of Address

Pursuant to A.R.S. § 32-4225(C), "Each licensee is responsible for reporting to the Board a name change and changes in business and home address and phone numbers within ten (10) after any change" (emphasis added). Please use the "Address Change Form" link to complete and submit your change of address:

ONLINE ADDRESS CHANGE -

ADDRESS CHANGE - Online Form

 

 

Name Change and Replacement/Duplicate License Requests

Pursuant to A.R.S. § 32-4225(C), "Each licensee is responsible for reporting to the Board a name change and changes in business and home address and phone numbers within ten (10) after any change" (emphasis added). Please use the "Name Change Form" link to complete and submit your name change and supporting documentation:

ONLINE NAME CHANGE FORM -

NAME CHANGE FORM - Online Form

 

 

 

Please use the "Duplicate License Form" link to request a new wall certificate or a wallet license due to a name change, or if you are requesting multiple wall certificates for multiple offices or to replace a lost or misplaced license.

 

ONLINE DUPLICATE LICENSE - 

After payment, you get Authorization Code # to place on Form. 

DUPLICATE LICENSE PAYMENT ONLY - Online Payment

DUPLICATE LICENSE - Online Form

PLEASE NOTE: All fees are non-refundable, pursuant to A.A.C. R4-25-103.

 

 

State of Arizona Verification and Volunteer Health Services Registration

Please use the "Request Verification Form" to request verification of your Arizona license be sent to another jurisdiction/licensing board.

ONLINE REQUEST VERIFICATION -

REQUEST VERIFICATION - Online Form

 

 

 

VERIFICATION OF NON-AZ LICENSE - Download PDF

The pdf form below is strictly for volunteering your services, as a massage therapist, without collecting a fee. Only out-of-state massage therapists are eligible for this registration.

VOLUNTEER HEALTH SERVICES - Download PDF

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Arizona State Board of Massage Therapy
1740 West Adams, Suite 3401
Phoenix, Arizona 85007
To contact Board staff,
email [email protected]
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