Ariz. Admin. Code § R4-18-603 - Application for Medical Assistant Certification

An applicant for a medical assistant certificate shall submit an application packet to the Board that contains the following:

1. An application form provided by the Board, signed and dated by the applicant that contains:

a. The applicant's legal name, mailing address, telephone number, and Social Security number;

b. The applicant's date and place of birth;

c. The applicant's height, weight, and eye and hair color;

d. The name, address, and telephone number of the applicant's employer, if applicable;

e. The name of the licensed naturopathic physician who will supervise the applicant;

f. The name and address of the institution where the applicant completed an approved medical assistant training program; or

g. If the training was completed in a program provided by a licensed naturopathic physician, the following must be submitted:

i. A letter outlining the training provided and signed by the naturopathic physician who provided the training;

ii. Proof of passing the required medical assistant examination administered by either The American Association of Medical Assistants or The American Medical Technologists; or

iii. Proof of completion of a medical services training program of The Armed Forces of the United States.

2. A copy of a certificate of completion from an approved medical assistant training program or a letter of completion from an approved medical assistant training program signed by the person in charge of the approved medical assistant training program;

3. A completed and legible fingerprint card; and

4. The fees required by the Board under A.R.S. § 32-1527.

Notes

Ariz. Admin. Code § R4-18-603

New Section made by final rulemaking at 11 A.A.R. 1547, effective June 4, 2005 (Supp. 05-2). Amended by final rulemaking at 30 A.A.R. 346, effective 4/1/2024.