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Forms
Renewal License Application
RENEWAL APPLICATION - Download PDF
FEE PAYMENT IS $95.00 BY MONEY ORDERS / CASHIERS CHECKS
Arizona State Law requires completion of 24 hours of Continuing Education prior to submission of state license renewal.
The forms cannot be submitted electronically, originals must be mailed to the Board’s office.
You should mail everything to:
Arizona Board of Massage Therapy
1740 W Adams St, Unit 3401
Phoenix, AZ 85007
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
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 - Download PDF
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 - Download PDF
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 - Download PDF
Duplicate License Payment- $25.00
$25.00 MONEY ORDERS / CASHIERS CHECKS ARE ACCEPTED
You can mail everything to:
Arizona Board of Massage Therapy
1740 W Adams St, Unit 3401
Phoenix, AZ 85007
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.
REQUEST VERIFICATION FORM - Download PDF
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
