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Get Reinstatement From Inactive To Active - Arizona Board Of Chiropractic ...
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How to fill out the Reinstatement From Inactive To Active - Arizona Board Of Chiropractic online
Filling out the Reinstatement From Inactive To Active form for the Arizona Board of Chiropractic is a crucial step for individuals looking to reactivate their chiropractic licenses. This guide will provide you with a clear, step-by-step process to successfully complete the form online.
Follow the steps to properly fill out the form online.
- Click ‘Get Form’ button to obtain the form and open it in an online editor.
- Begin by entering your personal information in the designated fields, such as your full name, license number, and social security number. Ensure all names are spelled correctly and that you provide accurate information.
- Input the year your license was last active and the name of your clinic. Include any applicable numbers such as PMMTP or acupuncture numbers.
- Provide the contact information for your clinic, including the address, city, state, and zip code. Additionally, fill in your home address and contact numbers.
- List the states where you were last actively engaged in the practice of chiropractic, including the dates of practice.
- Indicate all states or jurisdictions where you have held a chiropractic license. Make sure to arrange for verification of good standing to be sent directly from each issuing state.
- Answer any questions on the application regarding investigations, formal sanctions, or criminal history. If answers are affirmative, prepare any required documentation to provide a written explanation.
- If your license has been inactive for less than two years, attach proof of completing the required continuing education hours. For longer periods of inactivity, ensure to include additional certification as specified.
- Complete and print out the application once all sections are filled accurately. Make sure to sign the application and have your signature notarized.
- Submit the completed form along with all supporting documentation to the Arizona Board of Chiropractic Examiners. Be sure to check for any specific submission guidelines to ensure your application is processed.
Start your application now and reinstate your chiropractic license online.
“The biggest difference is that in medicine, the newly minted physician now has to take at least a three-year residency and quite possibly a five to six-year residency. You might then add to that a fellowship of one to three years. The newly minted chiropractor can go immediately into practice.”
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