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