Physical exam - Arizona Department of Gaming 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Applicant Information section. Enter your last name, first name, middle initial, street address, date of birth, city, state, and zip code. Select your gender by checking either 'Male' or 'Female'.
  3. In the Physical History section, indicate any past medical conditions by checking the appropriate boxes. Provide details for any conditions that require explanation.
  4. Complete the Boxing / Unarmed Combat Record section by entering your wins, losses, and draws for professional boxing and MMA.
  5. Fill out the Physical Examination section with details such as height, weight, blood pressure readings, and any remarks regarding your health status.
  6. Proceed to the Eye History and Eye Examination sections. Answer all questions truthfully and provide vision measurements as required.
  7. Finally, ensure that a licensed physician completes their examination remarks and signs off on the document before submission.

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ADG is the state agency charged with regulating tribal gaming, event wagering fantasy sports contests, racing and pari-mutuel/simulcast wagering and unarmed combat sports.
ADG takes complaints about all illegal gambling seriously. To report any form of suspected illegal gambling, visit gaming.az.gov/about/contact-us, call ADG at (602) 255-3886, or email publicaffairs@azgaming.gov. Reports can be made anonymously.
Gaming in Arizona is regulated by the Arizona Department of Gaming. If you believe you have been the victim of consumer fraud, you can file a consumer complaint by visiting .azag.gov/consumer.
However, you may also file a complaint through any supervisor, the departments Duty Officer, the Internal Affairs Unit, or by mail. Internal Affairs Unit. Arizona Department of Public Safety. Duty Office. 602-223-2212. Area Supervisor. Call 602-223-2000 and request to speak to a supervisor in the area of the incident.
Report it to ADG at publicaffairs@azgaming.gov and the Arizona Attorney Generals Office Consumer Information and Complaints Unit at (602) 542-5763 or by visiting azag.gov/consumer. Cease activity on the platform and monitor financial accounts for unauthorized transactions.

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