Therapists Forms
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.
- Change of Work Information
- Duplicate Certificate
- License Inactivation
- License Verification
- Name Change (Be sure to include legal document supporting the name change.)
The following services are available offline:
- Request for Public Record (to include mailing lists)
- Public Record Statute
- Fee Waiver Application
- Verification of Arizona License (Use this form if you are not able to access your account on elicense.az.gov.)
