Applications and Forms

Acupuncture License Initial Application and Information

We are phasing out our paper applications.

Please file all new applications using our online licensing system.  The system can be found by clicking this link:  E-Licensing Website

Application form and additional information to become a licensed acupuncturist in Arizona. All required documents for this application must be received by the Board office 14 days prior to the next scheduled board meeting, to complete administrative review and to be scheduled for board consideration. All acupuncture license applicants must submit a set of fingerprints as part of the licensing process.

Please submit the Initial Application, Fingerprint Card, AND Citizenship Form with your other documentation.

PDF icon Fingerprint Instructions, Microsoft Office document icon Statement of Citizenship or Alien Status for State Public Benefits

Acupuncture license renewal application

Please file all Renewal Applications using our online licensing System.  Click on the following link to be re-directed to that system: E-Licensing System

We are phasing out our paper renewal applications.

Auricular acupuncture certificate initial application

We are phasing out our paper applications.

Please file all new applications using our online licensing system.  The system can be found by clicking this link:  E-Licensing System

All required documents for this application must be received by the Board office 14 days prior to the next scheduled board meeting, to complete administrative review and to be scheduled for board consideration.

Auricular acupuncture certificate renewal application

Please file all Renewal Applications using our online licensing System.  Click on the following link to be re-directed to that system: E-Licensing System

We are phasing out our paper renewal applications.

Continuing education application

Application form for continuing education course approval.  All required documents for this application must be received by the Board office 14 days prior to the next scheduled board meeting, to complete administrative review and to be scheduled for board consideration.

PDF icon 16--CEU Application.pdf

Complaint Form

Instructions and form to initiate a complaint against an acupuncturist.

PDF icon Complaint Form

Public information request form

Form to request public documents from the board such as board minutes and mailing lists.

PDF icon Public Information Request Form

Name, address and phone number change form

Use this form to notify the board of name, address and phone number changes as required by law.

PDF icon Contact Information Change Form

Paper Forms

These Paper forms are still available however are being phased out.

Microsoft Office document icon Citizenship Form, PDF icon Paper Acupuncturist Renewal Form, PDF icon Paper Initial Acupuncturist Application Form, PDF icon Paper Auricular Initial Application Form, Microsoft Office document icon Paper Auricular Renewal Form