Forms

Initial License Application

The Arizona State Board of Massage Therapy Initial License Application is availble 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-signautre. You may attach documents where applicable. Other documents like the fingerprint card, state license verifications, transcripts, etc. will still need to be submitted by the direct source. Payment may be made by Visa or Mastercard or mailed to the Board's office in the form of a cashier's check or money order.

Please use the "Initial Application" link to complete, pay and submit your application to become a Licensed Massage Therapist in Arizona:

INITIAL APPLICATION - Online Submission and Payment

Please note: After you submit your initial application, we will contact you, in writing, if your application is found to be incomplete. In addition, your fingerprints will be sent to the Department of Public Safety for a background check, which takes between 8 to 10 weeks.

The "Verification of a Non-Arizona License" form below should be used to obtain verification(s) of licensure from other jurisdictions in which you hold, or have held, a massage therapy license.

Renewal License Application

The Arizona State Board of Massage Therapy Renewal Application is availble 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-signautre. You may attach documents where applicable. Payment may be made by Visa or Mastercard or mailed to the Board's office in the form of a cashier's check or money order.

Please use the "Renewal Application" link to complete, pay and submit your application to continue as a Licensed Massage Therapist in Arizona:

RENEWAL APPLICATION - Online Submission and payment

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