Home Investigative Report Investigative Report Text field A.R.S. § 32-3206 requires the Arizona Board of Behavioral Health Examiners (“Board”) to notify the behavioral health professional who is the subject of an investigation, of their ability to request a copy of their investigative report. IMPORTANT NOTICE A behavioral health professional who obtains this information from the Board may not release it to any other person or entity (except the behavioral health professional’s attorney) or use it in any proceeding or action, except in connection with the Board’s review of the investigation, the disciplinary interview and any administrative proceedings or appeals related to the disciplinary interview or hearing.A person who violates this provision of law commits an act of unprofessional conduct and may be disciplined by the Board. A.R.S. § 32-3206(C) Fields marked with an asterisk* are required and must be completed prior to clicking Pay Now. The cost for electronic documents is $25. A.R.S. § 32-3206 Pursuant to A.R.S. § 32-3206, an Investigative Report may only be released to the subject of the investigation (Licensee/Applicant) or their attorney. If you are not authorized to receive the Investigative Report, please do not proceed. I agree that I am the subject of the investigation (Licensee/Applicant) or their attorney. Customer Information First Name Middle Name Last Name Email @ Phone Number # License Number # ACCESS TO INFORMATION Licensee/Applicant Name: Complaint number (if applicable): Attorney Name (if applicable): Board meeting date: Please provide the report via email to (documents will only be released to the Licensee/Applicant or their Attorney): Me My Attorney Both Parties Email for Documents Attorney Email By signing and submitting this form, I authorize the Board to release confidential investigative documents as directed above. I agree - I understand that by signing electronically, my electronic signature is the legal equivalent of my handwritten signature and I consent to be legally bound to this agreement. I further agree my signature on this document is as valid as if I signed the document in writing. Under penalty of perjury, I herewith affirm that my electronic signature was signed by myself with my full knowledge and consent. Signature Sign above Date 01/29/2025 Payment Detail Preview Leave this field blank