Address Change and/or Name Change
According to A.R.S. § 32-2066(B), a licensee must inform the Board of any address change within 30 days. The Board may assess the costs incurred in locating a licensee and may assess a civil penalty of not more than $100 against a licensee who fails to notify the board within 30 days from the date of any change of information required to be reported under this subsection. If you are a Board Licensee and wish to change your contact information, login to the PORTAL and update your information. If you are a new user, you will need to activate your account using your primary email address on file. A link to access your account will be emailed from [email protected], please check your junk/spam folder. If you have technical issues, please contact Krishna Poe
License Verification Request
The Board's Directory, powered by Thentia Cloud, now serves as primary source verification of the credential issued by the State of Arizona Board of Psychologist Examiners. This is the ONLY verification of licensure now provided. Please have the requesting agency view/print the verification directly from the Board's website.
Request for Licensee List
Request a list of licensed psychologists or behavior analysts.
Online Request for Public Records
Use this form to request public records, including a licensee list, online from the Arizona Board of Psychologist Examiners. A person may obtain additional public records related to any licensee, including dismissed complaints and nondisciplinary actions and orders, by contacting the Board directly. (See A.R.S. 32-3214)
If you have any questions regarding public records request, please contact Krishna Poe at [email protected]
Request for Public Records
Request a list of licensed psychologists or behavior analysts.
Claim Form
Use this form to submit a claim against a psychologist who performed court-ordered services (A.R.S. §32-2081(C).
Complaint Form
Use this form to request that the Arizona Board of Psychologist Examiners investigate a licensed psychologist or behavior analyst.
Arizona Statement of Citizenship and Alien Status Form
If you are a U.S. citizen and provided this form and evidence of citizenship with your initial application, you do NOT need to submit this or additional evidence with your renewal. If you are NOT a U.S. citizen and are renewing your license, please complete and submit this form and send a current government issued picture ID as evidence of lawful presence in the U.S. as required by federal and state laws.