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Arizona State Board of Respiratory Care Examiners Logo
Arizona State Board of Respiratory Care Examiners
"Dum Spiro, Spero" - As Long As I Breathe, I Hope
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Forms

Form Name Download PDF Online Application
Application for Licensure PDF icon Download

FILE ONLINE

Affidavit PDF icon Download
Application for Licensure - Universal Recognition PDF icon Download

FILE ONLINE

Complaint Against a Licensed Respiratory Therapist PDF icon Download

FILE ONLINE

Renewal Application PDF icon Download

FILE ONLINE

A Change of Contact Information Form

FILE ONLINE

Verification to Another State PDF icon Download

FILE ONLINE

Verification from Another State PDF icon Download
Name Change PDF icon Download
PDF icon Application for Temporary License, State of Emergency COVID-19

Resources

  • Agendas & Minutes
  • Forms
  • Guidelines and Postings
  • Related Agencies & Organizations
  • Statutes & Rules
Arizona State Seal
Contact Us
Arizona State Board of Respiratory Care Examiners
1740 W. Adams St. Suite 3406
Phoenix, AZ 85007
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Phone: 602-542-5995
Fax: 602-542-5900
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