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Arizona Board of Occupational Therapy Examiners
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  • About Us
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  • Consumer Information
    • Therapist Search
    • Complaints
    • Right to Petition
    • Small Business Bill of Rights
  • Meetings
  • Applications
    • Initial
    • Limited License
    • Renewal
    • Continuing Education
  • Other Services

Forms

Initial Application

PDF icon Initial License form - 122717.pdf
  • Read more about Initial Application

Renewal - Fillable

PDF icon Renewal Application
  • Read more about Renewal - Fillable

Verification of Licensure from Another State

PDF icon Verification of Licensure Form - 122217.pdf
  • Read more about Verification of Licensure from Another State

Fingerprinting Instruction

PDF icon FINGERPRINT CARD INSTRUCTIONS 2.pdf
  • Read more about Fingerprinting Instruction

Other Services

The services listed below are available to all licensees on our online portal.  Simply log in to elicense.az.gov and select Service Request at the top of your screen.

PDF icon SB Bill of Rights
  • Read more about Other Services

Public Record Statute

PDF icon Public Record Statute
  • Read more about Public Record Statute

Request for Public Record

PDF icon Public record request form 122717.pdf
  • Read more about Request for Public Record

Change of Address, Name or Employer

PDF icon Change of address form - 122717.pdf
  • Read more about Change of Address, Name or Employer

Verification of License

PDF icon Arizona Verification of License - outgoing - 122217.pdf
  • Read more about Verification of License

Direct Supervision

PDF icon Direct Supervision
  • Read more about Direct Supervision

Find A Therapist!

A person may obtain additional public records related to any licensee or certificate holder, including dismissed complaints and nondisciplinary actions and orders, by contacting the board directly.


 

 

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Contact Us
Arizona Board of Occupational Therapy Examiners
1740 W ADAMS ST STE 3407
Phoenix, AZ 85007
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Phone: 602-589-8352
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