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Forms
Renewal License Application
The Arizona State Board of Massage Therapy Renewal Application is available below. Please type your answers into the Adobe Sign form, which will be emailed directly to Board staff at the completion of your application, including your e-signature. You may attach documents where applicable. Payment may be made by Visa or Mastercard using the "Make a Payment" tab or submitted to the Board's office in the form of a cashier's check or money order made payable to the Arizona State Board of Massage Therapy.
Please use the "Renewal Application" link to complete and submit your application to continue as a Licensed Massage Therapist in Arizona:
RENEWAL APPLICATION - Online Submission (Once all required fields are completed, a submit button will display at the bottom of the screen.)
RENEWAL PAYMENT - Online Submission (Visa or Mastercard) You must complete renewal application before payment.
PLEASE NOTE: All fees are non-refundable, pursuant to A.A.C. R4-25-103.
Please note, Board staff will contact you, in writing, if your application is found to be incomplete. Once the Board processes your renewal application, Board staff will provide you with an electronic license sent to your email address. Pursuant to A.R.S. § 34-4225, the process time can take up to 60 days. However, most renewal applications are processed within two weeks or less.
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" link to complete and submit your misdemeanor or felony:
MANDATORY CRIMINAL REPORTING FORM - Online Submission
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:
ADDRESS CHANGE FORM - online submission
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:
NAME CHANGE FORM - online submission
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.
DUPLICATE LICENSE FORM - online submission
Duplicate License Payment- Online Submission (Visa or Mastercard) You must complete Duplicate License form before payment.
State of Arizona Verification and Volunteer Health Services Registration
Please use the "Request Verification Form" link to request verification of your Arizona license be sent to another jurisdiction/licensing board.
REQUEST VERIFICATION FORM - online submission
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.
