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


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.

 

HB2372 Application Fee Waiver Fillable Form
HB2372 provides a financial waiver of application fees for qualified applicants. If you qualify to apply as a Medical Doctor, you may be eligible for the waiver. Applicants must have a family income not exceeding 200% of the federal poverty guidelines. If you believe you qualify for the waiver, complete the application fee waiver form and provide the required documents

 

HB2372 Application Fee Waiver Static Form
HB2372 provides a financial waiver of application fees for qualified applicants. If you qualify to apply as a Medical Doctor, you may be eligible for the waiver. Applicants must have a family income not exceeding 200% of the federal poverty guidelines. If you believe you qualify for the waiver, complete the application fee waiver form and provide the required documents

 

HB2372 Application Fee Waiver Instructions
Instructions for the HB2372 Application Fee Waiver Form

 

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