Directory

Find a Massage Therapist and View Disciplinary Actions

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Forms

Forms

Criminal Reporting, Change of Address, Name Change, Verification, Duplicate License

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File a Complaint

Complaint Form

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

File a Complaint

Forms

Renewal License Application

RENEWAL APPLICATION - Online Submission

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" 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.