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Arizona Regulatory Board Of Physician Assistants
Arizona Regulatory Board of Physician Assistants


For those first-time applicants seeking the fee waiver in Arizona Revised Statute (A.R.S.) § 41-1080, please draft a written request and email it directly to the Support Services Manager, Evangeline Webster at ewebster@azmd.gov

All licensed PAs with a DEA Registration or who intend to apply for a DEA Registration in Arizona are required to register with the Controlled Substance Prescription Monitoring Program.

 

PA License Application Form (PDF File)

 

Basic Requirement for License

 

Exemption from Licensure

 

Citizenship Statement
This form is to be completed by the applicant and is to be submitted for every application, permit or registration that is offered by the Arizona Regulatory Board of Physician Assistants, with the exception of the renewal of license if citizenship has previously been established with the Board..


 

Evidence List
Legal Evidence documents must be provided in accordance with A.R.S. § 41-1080 and 8 U.S.C 1621.

 

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