Forms

A. Except as provided in section 32-4301, the board may renew an expired license on payment of a renewal fee and a delinquency fee and on proof that the applicant continues to meet all requirements for continuing competency and continuing education established by the board.

B. The board may reinstate a lapsed license on payment of a renewal fee and a reinstatement fee and on proof that the applicant continues to meet all requirements for continuing competency and continuing education established by the board.

C. If a person's license has lapsed for more than three consecutive years, that person shall reapply for a license and pay all applicable fees. The person shall also demonstrate to the board's satisfaction competency in the practice of massage therapy or shall serve an internship under a restricted license or take remedial courses as determined by the board, or both, at the board's discretion. The board may also require the applicant to take an examination.

RENEWAL APPLICATION - Download

PLEASE NOTE: All fees are non-refundable, pursuant to A.A.C. R4-15-102 .

Mandatory Criminal Reporting

Pursuant to A.R.S. § 32-3208, a massage therapist or an applicant for licensure as a therapist, who has been charged with a misdemeanor involving conduct that may affect patient safety or a felony must notify the Arizona State Board of Massage, in writing, within ten (10) working days after the charge is filed.

Please use the "Mandatory Criminal Reporting form" to submit your misdemeanor or felony:

ONLINE MANDATORY CRIMINAL REPORTING FORM- Online Mandatory Reporting

MANDATORY CRIMINAL REPORTING FORM- Download PDF

Complete with a pen and mail to the Board.

U.S. Postal Address
Arizona State Board of Massage Therapy
1740 W. Adams, St., S. 3401
Phoenix, Arizona 85007

Change of Address

Pursuant to A.R.S. § 32-4225(C), "Each licensee is responsible for reporting to the Board a name change and changes in business and home address and phone numbers within ten (10) after any change" (emphasis added). Please use the "Address Change Form" link to complete and submit your change of address:

ONLINE ADDRESS CHANGE- Online Address change

ADDRESS CHANGE- Download PDF

Complete with a pen and mail to the Board.

U.S. Postal Address
Arizona State Board of Massage Therapy
1740 W. Adams, St., S. 3401
Phoenix, Arizona 85007

Name Change and Replacement/Duplicate License Requests

Pursuant to A.R.S. § 32-4225(C), "Each licensee is responsible for reporting to the Board a name change and changes in business and home address and phone numbers within ten (10) after any change" (emphasis added). Please use the "Name Change Form" link to complete and submit your name change and supporting documentation:

ONLINE NAME CHANGE- Online name change

Please use the "Duplicate License Form" link to request a new wall certificate or a wallet license due to a name change, or if you are requesting multiple wall certificates for multiple offices or to replace a lost or misplaced license.

DUPLICATE LICENSE -

After payment, you get Authorization Code # to place on Form.

DUPLICATE LICENSE PAYMENT - $27.50 Online Payment

DUPLICATE LICENSE- Download PDF


Complete with a pen and mail to the Board.

U.S. Postal Address
Arizona State Board of Massage Therapy
1740 W. Adams, St., S. 3401
Phoenix, Arizona 85007

PLEASE NOTE: All fees are non-refundable, pursuant to A.A.C. R4-15-102 .