To order a current data file containing the Osteopathic (D.O.) Physician Database, download this printable form which includes detailed instructions. This data file is transmitted by email only. Please provide a valid email address when ordering.
If your license was randomly selected for CME audit, or you are requesting an extension, you must report your completed CME activities for this renewal cycle. When you have completed your required CME, type the information in this form on your computer, print and sign, and email, mail, or fax with copies of Certificates of Completion or your AOA CME Activity Report.
If you have had a Registration to Dispense and are NOT Renewing it, YOU MUST use this form and disclose IN WRITING how you dispose of your inventory within 30 days of expiration pursuant to A.R.S. § 32-1871(F). This is required whether you are in private practice or employed. An example of how to complete this form is included on the second page of this document.
"A.R.S. 32-1401(26)(gg) requires that a physician notify a patient of any financial interest in a separate diagnostic or treatment agency to which the physician is referring the patient." The statute requires that a physician use this Board prescribed form.
For new D.O. interns, residents and fellows in an osteopathic or allopathic PGT program in Arizona who do not currently havean active permit for their new program or whose permit has expired. If you are a D.O. and currently hold an active permit,please use the Postgraduate Training Renewal Application.
By filing this request for extension, you are automatically included in the CME Audit. Carefully read the requirements listed on this form for completing the renewal of your license when filing an extension. This form can be completed in Adobe Acrobat and submitted by email to the Board.
Waivers are governed by A.R.S. section 32-1825(C) and AAC R4-22-207. Filing a Waiver request does not exempt you from having to pay renewal or late filing of renewal fees if applicable. Please review the requirements for Waivers as listed on the form. This form can be completed in Adobe Acrobat and submitted by email to the Board.
Use this form if you are licensed in Arizona, are permanently retired from the practice of medicine and want to have your license renewal fee and CME requirements waived. For more information, please review A.R.S. § 32-1832)
Use this application if you are not licensed in Arizona and plan to be employed as a full-time faculty member of a school of osteopathic medicine or an accredited teaching hospital’s graduate medical education program in Arizona. For more information, please review A.R.S. § 32-1831
An approved temporary license allows applicants for full licensure to practice medicine in Arizona while completing the full license application process. Applicants for a full license who meet all of the qualifications per A.R.S. § 32-1834 may apply for a temporary license. Details are provided in the application instructions.