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, verified 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; h. A completed Arizona Statement of Citizenship and Alien Status for State Public Benefits, and copy of evidence. 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. Applicant must complete the required background check using the process outlined on the application; and 4. The fees required by the Board under A.R.S. § 32-1527.