1. 1. A completed application form, provided by the Board that is signed, dated, and verified, which shall include the following information;

   1. a. Applicant’s full legal name and any former names used by the applicant;
   2. b. Place and date of birth;
   3. c. Social Security number;
   4. d. Home, business, and email addresses;
   5. e. Home, business, and cell phone numbers;
   6. f. A completed Arizona Statement of Citizenship and Alien Status for State Public Benefits, and copy of evidence;
   7. g. The name of the approved school of naturopathic medicine applicant graduated from, date of graduation, and date of clinical training completion;
   8. h. The date applicant took and passed the required NPLEX examinations of Part I; Biomedical examination, Part II; Clinical Science examination, Part II; Core Clinical Science Examination, the Clinical Elective examination in acupuncture, and the Clinical Elective examination in minor surgery. Applicant accepts and understands passing of the examination in Arizona naturopathic jurisprudence is a requirement for licensure;
   9. i. A list of all license or certificates issued or denied by any agency in any state, district or territory of the United States or another country. Applicant must cause to have a document submitted directly to the Board from each agency listed, containing the applicant’s name, date of issuance or denial, current status, and whether or not any disciplinary actions are pending or have ever been taken;
   10. j. Whether applicant has ever been arrested, charged with, convicted of, or entered into a plea of no contest to a felony or a misdemeanor;
   11. k. Whether applicant has ever had a naturopathic medical license or certification, or any other profession license or certification denied, suspended, rejected or revoked by any agency in any state, district or territory of the United States or another country;
   12. l. Whether applicant has ever been disciplined by any agency in any state, district or territory of the United States or another country, for any act of unprofessional conduct as defined in A.R.S. § 32-1501;
   13. m. Whether applicant, in lieu of disciplinary action, has entered into a consent agreement or stipulation with a licensing agency in any state, district or territory of the United States or another country;
   14. n. Whether applicant currently has an open complaint or is involved in any open investigation in any agency or court of law, in any state, district or territory of the United States or another country;
   15. o. Whether applicant has ever had the authority to prescribe, dispense, or administer a natural substance, drug, or device limited, restricted, modified, denied, surrendered or revoked by a federal or state agency or court of law; in any state, district or territory of the United States or another country;
   16. p. Whether applicant has ever been found medically incompetent;
   17. q. Whether applicant has ever been a defendant in any malpractice matter that resulted in a settlement or judgment;
   18. r. Whether applicant has a medical condition that in any way impairs or limits applicant’s ability to practice medicine, and;
   19. s. A detailed explanation and supporting documentation for each affirmative answer to questions regarding the applicant’s background;

2. 2. A document submitted directly to the Board by the agency by whom the applicant is or was licensed as a naturopathic physician that is signed and dated by an official of the agency and that contains:

   1. a. The applicant’s name;
   2. b. The date of issuance of the license;
   3. c. The current status of the license;
   4. d. A statement of whether the applicant has ever been denied a license by the agency, and;
   5. e. A statement of whether any disciplinary action is pending or has ever been taken against the applicant;
3. 3. A copy of the applicant’s complete NPLEX examination record, to be sent directly to the Board by the North American Board of Naturopathic Examiners “NABNE”) or its successor;
4. 4. A complete transcript sent directly to the board from the approved school of naturopathic medicine from which the applicant graduated. The transcript shall include the date of graduation and the date of completion of clinical training.
5. 5. Applicant must provide evidence of meeting the requirements under A.R.S. § 32-1523;
6. 6. Applicant must complete the required background check using the process outlined on the application;
7. 7. The fees specified in R4-18-107;

8. 8. An Applicant licensed in another state or a Canadian province before January 1, 2005, shall include evidence of one of the following in order to meet the requirement of A.R.S. § 32-1525(D):

   1. a. Passing of the North American Board of Naturopathic Examiners add-on pharmacology examination;
   2. b. Completion of additional 60 hours of continuing medical education (“CME”) in the subject of pharmacotherapeutics. The CME must be offered, sanctioned, or accredited by one of the organizations referenced in R4-18-205(B)(1), (2)(a), (b), (c), (d), or (4)(a), (b), (c), and include an examination;
   3. c. The state or Canadian Province where the Applicant is currently licensed has enacted a pharmacology scope equal to or greater than that enacted in A.R.S. Title 32, Chapter 14, and the Applicant is not restricted from the scope.

In addition to the requirements of R4-18-201, an applicant for licensure by endorsement shall meet the requirements of A.R.S. Title 32, Chapter 14, and provide the Board:

Historical Note

New Section made by final rulemaking at 8 A.A.R. 3702, effective August 9, 2002 (Supp. 02-3). Amended by final rulemaking at 21 A.A.R. 2009, effective September 1, 2015 (Supp. 15-3). Duplicate word “has” removed under subsection (1)(m) (Supp. 22-3). Amended by final rulemaking at 31 A.A.R. 4392 (November 21, 2025), effective January 4, 2026 (Supp. 25-4).