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Arizona Medical Board
Agency Name
Official Website of the
Arizona Medical Board
The Board's mission is to protect public health and safety.


Physician Complaint Form
To file a complaint against an M.D. licensed in Arizona, download this printable form which includes detailed instructions
 
Physician Assistant Complaint Form
To file a complaint against an P.A. licensed in Arizona, download this printable form which includes detailed instructions
 
Public Information Request Form
To request public information, download this printable form which includes detailed instructions
 
License Verification Request Form
To request that a license verification (sometimes called a letter of good standing) be sent to another board or organization
 
Jury Duty Medical Excuse Form
Should a patient requests that they be excused from jury service for reasons related to mental or physical conditions
 
Data Disk Order Form
To order a CD-ROM containing the Physician and Physician Assistant Database, download this printable form which includes detailed instructions
 
Medical Directory Order Form
To request a Physician and Physician Assistant Directory via website download or via printable request form
 
 
 
 
 
 
 
 
 

The Arizona Medical Board uses Adobe Acrobat for the distribution of electronic versions of its documents. You must have the free Adobe Acrobat Reader installed on your computer to view these files.