Ariz. Admin. Code § R4-22-102 - Fees and Charges
A. Under
the specific authority provided by A.R.S. §§
32-1826(A) and
32-1871(A)(5), the Board establishes and shall collect the following fees for the Board's
licensing activities:
1. Application for
license to practice osteopathic medicine, $400;
2. Application for a temporary license to
practice osteopathic medicine, $250;
3. Issuance of initial license, $180
(prorated);
4. Biennial renewal of
license, $636 plus the penalty and reimbursement fees specified in A.R.S.
§
32-1826(B), if applicable;
5. Locum tenens
registration, $300;
6. Annual
registration of an approved internship, residency, or clinical fellowship
program or short-term residency program, $50;
7. Teaching license, $318;
8. Five-day educational teaching permit,
$106; and
9. Annual registration to
dispense drugs and devices, $240 (initial registration fee is
prorated).
B. Under the
specific authority provided by A.R.S. §
36-3606(A)(3), the Board establishes and shall collect Annual Registration as an out-of-state
health care provider of telehealth services, $300.
1. Verifying a license
to practice osteopathic medicine issued by the Board and copy of licensee's
complaint history, $10;
2. Issuing
a duplicate license, $10;
3.
Processing fingerprints for a state and federal criminal records check,
$50;
4. Providing a list of
physicians licensed by the Board, $25.00 if for non-commercial use or $100 if
for commercial use;
5. Copying
records, documents, letters, minutes, applications, and files, 25¢ per
page;
6. Copying an audio tape,
$35.00; and
7. Providing
information in a digital medium not requiring programming, $100.
Notes
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