Ariz. Admin. Code § 4-18-603

Current through Register Vol. 30, No. 50, December 13, 2024
Section 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.

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.