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Forms
Renewal License Application
RENEWAL PAYMENT not expired - $97.50 Online Payment
RENEWAL PAYMENT under 2 years late - $137.50 Online Payment
RENEWAL PAYMENT under 3 years late - $222.50 Online Payment
ONLINE RENEWAL APPLICATION - Online Renewal
32-4226. Renewal of an expired license; reinstatement of a lapsed license
A. Except as provided in section 32-4301, the board may renew an expired license on payment of a renewal fee and a delinquency fee and on proof that the applicant continues to meet all requirements for continuing competency and continuing education established by the board.
B. The board may reinstate a lapsed license on payment of a renewal fee and a reinstatement fee and on proof that the applicant continues to meet all requirements for continuing competency and continuing education established by the board.
C. If a person's license has lapsed for more than three consecutive years, that person shall reapply for a license and pay all applicable fees. The person shall also demonstrate to the board's satisfaction competency in the practice of massage therapy or shall serve an internship under a restricted license or take remedial courses as determined by the board, or both, at the board's discretion. The board may also require the applicant to take an examination.
RENEWAL APPLICATION - Download
PLEASE NOTE: All fees are non-refundable, pursuant to A.A.C. R4-15-102.
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:
ONLINE MANDATORY CRIMINAL REPORTING FORM- Online Mandatory Reporting
MANDATORY CRIMINAL REPORTING FORM- Download PDF
Complete with a pen and mail to the Board.
U.S. Postal Address
Arizona State Board of Massage Therapy
1740 W. Adams, St., S. 3401
Phoenix, Arizona 85007
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- Online Address change
ADDRESS CHANGE- Download PDF
Complete with a pen and mail to the Board.
U.S. Postal Address
Arizona State Board of Massage Therapy
1740 W. Adams, St., S. 3401
Phoenix, Arizona 85007
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- Online name change
NAME CHANGE- 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 -
After payment, you get Authorization Code # to place on Form.
DUPLICATE LICENSE PAYMENT - $27.50 Online Payment
ONLINE DUPLICATE LICENSE - Online Duplicate
DUPLICATE LICENSE- Download PDF
Complete with a pen and mail to the Board.
U.S. Postal Address
Arizona State Board of Massage Therapy
1740 W. Adams, St., S. 3401
Phoenix, Arizona 85007
PLEASE NOTE: All fees are non-refundable, pursuant to A.A.C. R4-15-102.
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 VERIFICATION OF ARIZONA LICENSE - Online Verification
VERIFICATION OF ARIZONA LICENSE - Download PDF
Complete with a pen and mail to the Board.
U.S. Postal Address
Arizona State Board of Massage Therapy
1740 W. Adams, St., S. 3401
Phoenix, Arizona 85007
VERIFICATION OF NON-AZ LICENSE - Download PDF
Complete with a pen and mail to the Board.
U.S. Postal Address
Arizona State Board of Massage Therapy
1740 W. Adams, St., S. 3401
Phoenix, Arizona 85007
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
Complete with a pen and mail to the Board.
U.S. Postal Address
Arizona State Board of Massage Therapy
1740 W. Adams, St., S. 3401
Phoenix, Arizona 85007
