Ariz. Rev. Stat. § 32-3228
A. Before performing breast implant surgery, a physician who is licensed pursuant to chapter 13 or 17 of this title must provide the patient with the following, in writing or in an electronic format, based on the information that is then generally available to physicians who perform breast implant surgery:
3. The informed consent checklist developed pursuant to subsection D of this section that includes, at a minimum, information on: