Skip to main content
Home Board of Psychologist Examiners

Main navigation

  • Home
  • About
    • The Board in Brief
    • Announcements
    • Board Members, CBA Members & Staff
    • Fees
    • COVID-19 / Waivers / Telepractice
    • Contact Us
  • Directory
    • Licensee Search
  • Applications
    • Behavior Analyst Applications
    • Psychologist Applications
      • Instructions and Materials Needed for Psychologist Applications
      • Forms for Psychologist Applications
    • EPPP (Psych National Exam)
      • EPPP and the Arizona Board
      • How to Request ADA Testing Accommodations
      • Extensions
      • Reapplications & Retake Requests
    • Application Time Frames
    • Telehealth & Temporary Practice
  • Renewals
    • Renewal Information
    • Licensee Portal
  • Investigations
    • Complaints/Claims
    • Board Actions
  • Meetings
  • Resources
    • Statutes / Rules / Substantive Policy Statements
    • General Forms & Public Records
    • Related Links
    • Rehabilitation & Monitoring Program for Psychologists & Behavior Analysts

User account menu

Log in
  1. Home
  2. Resources
  3. Padilla, Scott M., Psy.D. - Consent Agreement

Padilla, Scott M., Psy.D. - Consent Agreement

Padilla 11.6.20 Executed Consent Agreement for Surrender.pdf
Official Seal of the State of Arizona

Contact

Arizona Board of Psychologist Examiners

1740 W. Adams St, Ste. 3403

Phoenix, AZ 85007

Phone: (602) 542-8162
Fax: (602) 542-8279

Footer

  • Statewide Policies
  • Website accessibility
  • Content disclaimer
  • Privacy policy
  • Security
  • Sitemap