← The business of practice, every jurisdiction

Assistants and delegation, jurisdiction by jurisdiction

Each jurisdiction’s entry for this topic, in alphabetical order, quoted as published with its citation, source and the date we read it.

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Alabama

quoted
  • (1) The Board finds and declares that any licensee who delegates professional responsibilities to a person when the licensee delegating such responsibilities knows or has reason to know that such person is not qualified by training, experience or licensure to perform them, engages in immoral, unprofessional or dishonorable conduct as defined in Rule 190-X-5-.05.190-X-5-.11(1) · admincode.legislature.state.al.us · 190-X-5 · read 9 October 2026
  • The Board finds and declares that any licensee who aids, assists, procures or advises any unlicensed person to practice chiropractic as defined in Code of Ala. 1975, §§34-24-120, et seq., engages in immoral, or unprofessional conduct as defined in Rule 190-X-5-.05.190-X-5-.12 · admincode.legislature.state.al.us · 190-X-5 · read 9 October 2026
  • Tier I extern can perform same services as a chiropractic assistant as long as under the direct supervision of the preceptor doctor and may observe the preceptor doctors treatment of patients.190-X-7-.02(2)(c)1.(i) · admincode.legislature.state.al.us · 190-X-7 · read 9 October 2026
  • (b) The State Board of Chiropractic Examiners may invoke disciplinary action as outlined in subsection (c) whenever the licensee or permit holder shall be found guilty of any of the following:Section 34-24-166(b) · chiro.alabama.gov · CodeUPDATED26.pdf · read 9 October 2026
  • (12) Aiding the unauthorized practice of chiropractic.Section 34-24-166(b)(12) · chiro.alabama.gov · CodeUPDATED26.pdf · read 9 October 2026
  • (4) Dry Needling is a non-delegable procedure to be performed only by licensed chiropractors meeting the requirements of this Rule.190-X-3-.03(4) · chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf · read 9 October 2026
Further provisions in the same documents: 190-X-5-.11(2) (chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf); 190-X-7-.02 (chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf). Not read on 9 October 2026: alisondb.legislature.state.al.us · 150994.htm · ROBOTS-UNREACHABLE (robots unreachable:URLError). Not read on 9 October 2026: admincode.legislature.state.al.us · 190 · JavaScript shell, no document.

Alaska

quoted Further provisions in the same documents: Sec. 08.20.168(b)(1)-(3) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); 12 AAC 16.052(a)(1)-(3) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); 12 AAC 16.052(g) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); 12 AAC 16.052(d) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); 12 AAC 16.052(e) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); 12 AAC 16.052(f) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); 12 AAC 16.052(i) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); Sec. 08.20.055(4) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); Sec. 08.20.100(b)(10) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); Sec. 08.20.170(a)(5) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); Sec. 08.20.195 (www.commerce.alaska.gov · ChiropracticStatutes.pdf); Sec. 08.20.210 (www.commerce.alaska.gov · ChiropracticStatutes.pdf); Sec. 08.20.900(8) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); Sec. 08.20.900(5) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); Sec. 08.20.900(5)(A), (B) (www.commerce.alaska.gov · ChiropracticStatutes.pdf); 12 AAC 16.042(b) (www.commerce.alaska.gov · ChiropracticStatutes.pdf). Not read on 9 October 2026: www.commerce.alaska.gov · boardofchiropracticexaminers.aspx · HTTP 403 (bot challenge page, "Please enable JS and disable any ad blocker"). Not read on 9 October 2026: commerce.alaska.gov · BoardofChiropracticExaminers · HTTP 403 (bot challenge page, "Please enable JS and disable any ad blocker").

Arizona

quoted Further provisions in the same documents: 32-904(B)(3) (www.azleg.gov · viewdocument?docName=https://www.azleg.gov/ars/32/00904.htm). Not read on 9 October 2026: www.azsos.gov · 4-07.htm · HTTP 403 (Cloudflare challenge page, "Just a moment..."). Not read on 9 October 2026: apps.azsos.gov · CodeTOC.htm · HTTP 403 (Cloudflare challenge page, "Just a moment..."). Not read on 9 October 2026: chiroboard.az.gov · Laws&Rules.pdf · HTTP 403 (Cloudflare challenge page, "Just a moment..."). Not read on 9 October 2026: chiroboard.az.gov · HTTP 403 (Cloudflare challenge page, "Just a moment...").

Arkansas

quoted
  • (4) “Chiropractic aide” means an unlicensed member of the chiropractic team who may assist a chiropractic physician in the performance of those procedures and techniques constituting the practice of chiropractic as defined in this chapter with the exception of spinal manipulation and adjustment, provided that such assistance shall be performed under the direct supervision of a licensed chiropractic physician;17-81-102(4) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
  • (a) The chiropractic aide may not render any diagnosis, submit treatment plans to patients, or in any other way assume responsibility for the management of patient care.007.33.8-2-E(2)(a) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
  • (b) The chiropractic aide may not render any manipulative adjustment treatment or spinal mobilization.007.33.8-2-E(2)(b) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
  • (c) The chiropractic aide may perform specific testing procedures and/or adjunctive therapeutics under the order, direction and responsibility of the supervising doctor.007.33.8-2-E(2)(c) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
  • (d) Chiropractic aides must obtain a Radiologic Technology License through the Arkansas Department of Health to perform x-rays. The Consumer-Patient Radiation Health and Safety Act, Act 1071 of 1999, requires that individuals who use radioactive materials or medical equipment emitting or detecting ionizing radiation on human beings for diagnostic or therapeutic purposes, be licensed to do so.007.33.8-2-E(2)(d) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
  • A: Supervision of an assistant, temporary license holder, or extern: the doctor must be on the premises at all times.Frequently Asked Questions: (no section number printed) · healthy.arkansas.gov · Frequently_Asked_Questions.pdf · read 9 October 2026
  • 2. Unprofessional acts. The following acts or activities by a licensee of this Board are considered to constitute unprofessional conduct and grounds for disciplinary action.007.33.8-2-C(2) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
  • (j) Failing to exercise appropriate supervision over persons who are authorized to render certain services under the supervision of the licensed professional.007.33.8-2-C(2)(j) · healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf · read 9 October 2026
Further provisions in the same documents: 007.33.8-2-E(2)(e) (healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf); 007.33.8-2-C(1)(a) (healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf); Frequently Asked Questions: (no section number printed) (healthy.arkansas.gov · Frequently_Asked_Questions.pdf); 17-81-316(e)(3) (healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf); 007.33.8-2-E(8)(e)(2)(A) (healthy.arkansas.gov · Statutes_RulesFINAL_02-10-2021.pdf). Not read on 9 October 2026: codeofarrules.arkansas.gov · JavaScript shell, no document (search application; the department’s rules page names the Code of Arkansas Rules as the current version).

California

quoted
  • Unlicensed individuals are not permitted to diagnose, analyze, or perform a chiropractic adjustment. An “unlicensed individual” is defined as any person, including a student or graduate of a chiropractic institution, who does not hold a valid California chiropractic license. An exemption is hereby created for student doctors participating in board approved preceptorship programs.§312. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
  • (a) Unlicensed individuals may take the history of a patient. However, this activity is separate from the consultation which at all times must be conducted by the licensed doctor.§312. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
  • (c) Unlicensed individuals may administer physical therapy treatments as an adjunct to chiropractic adjustment, provided the physical therapy treatment is conducted under the adequate supervision of a licensed Doctor of Chiropractic. Adequate supervision shall include all of the following:§312. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
  • (1) The doctor shall be present in the same chiropractic facility with the unlicensed individual at least fifty percent of any work week or portion thereof the said individual is on duty unless this requirement has been waived by the board. The doctor shall be readily available to the said individual at all other times for advice, assistance and instruction.§312. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
  • (2) The doctor shall initially examine and prepare a written treatment program for a patient prior to the providing of physical therapy treatment by the unlicensed individual.§312. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
  • (3) The doctor shall provide periodic reevaluation of the treatment program and of the individual's performance in relation to the patient. “Periodic reevaluation” shall mean at least once every thirty days the patient is under active care.§312. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
  • (4) The doctor shall perform and record an evaluation of the patient and his or her response to treatment at the termination thereof.§312. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
  • Unlicensed individuals who exceed the permitted scope of practice set forth in this regulation shall be in violation of Section 15 of the Chiropractic Act and shall be prohibited from applying for a California chiropractic license for such time as may be determined by the board. Student doctors participating in board approved preceptorship programs are not to be considered “unlicensed individuals” when working in said program.§312. · www.chiro.ca.gov · regulations.pdf · read 9 October 2026
Further provisions in the same documents: §312. (b), (d), (e) (www.chiro.ca.gov · regulations.pdf); §316. (www.chiro.ca.gov · regulations.pdf); § 302.5. (www.chiro.ca.gov · regulations.pdf); §313. (www.chiro.ca.gov · regulations.pdf).

Colorado

quoted
  • A chiropractor may supervise up to five unlicensed persons as chiropractic assistants if the unlicensed persons have received appropriate training as established by the board by rule promulgated pursuant to section 12-215-105. A chiropractic assistant may perform his or her duties only under the direct supervision of a chiropractor and only in those areas in which the chiropractic assistant has the requisite skill and training. A chiropractic assistant shall not perform a diagnosis, an adjustment, or acupuncture.12-215-128 · olls.info · crs2026-title-12.htm · read 9 October 2026
  • (1) Upon any of the following grounds, the board may take disciplinary or other action as specified in section 12-20-404 or impose conditions on a licensee's license:12-215-115 (1) · olls.info · crs2026-title-12.htm · read 9 October 2026
  • (bb) Failing to provide adequate or proper supervision when employing unlicensed persons in a chiropractic practice;12-215-115 (1)(bb) · olls.info · crs2026-title-12.htm · read 9 October 2026
  • The board shall adopt rules prescribing minimum standards for the qualifications, education, and training of unlicensed persons operating machine sources of ionizing radiation and administering radiation to patients for diagnostic chiropractic use. No licensed chiropractor shall allow any unlicensed person to operate any machine source of ionizing radiation or to administer radiation to any patient unless the person has met the standards then in effect under rules adopted pursuant to this section. The board may adopt rules allowing a grace period in which newly hired operators of machine sources of ionizing radiation shall receive the training required pursuant to this section.12-215-202 (1)(a) · olls.info · crs2026-title-12.htm · read 9 October 2026
  • (3) The required number of hours of training and education for all unlicensed persons operating machine sources of ionizing radiation and administering radiation to patients shall be established by the board by rule. This standard shall apply to all persons in chiropractic settings other than hospitals and similar facilities licensed by the department of public health and environment pursuant to section 25-1.5-103. The training and education may be obtained through programs approved by the appropriate authority of any state or through equivalent programs and training experience including on-the-job training as determined by the board.12-215-202 (3) · olls.info · crs2026-title-12.htm · read 9 October 2026
Further provisions in the same documents: 12-215-201 (olls.info · crs2026-title-12.htm); 12-215-115 (1)(x) (olls.info · crs2026-title-12.htm); 12-215-130 (olls.info · crs2026-title-12.htm). Not read on 9 October 2026: www.sos.state.co.us · DisplayRule.do?action=ruleinfo&ruleId=2211&deptID=18&agencyID=19&deptName=Department+of+Regulatory+Agencies&agencyName=Division+of+Professions+and+Occupations+-+Board+of+Chiropractic+Examiners&seriesNum=3+CCR+707-1 · current version (effective 09/14/2025) linked only through a JavaScript handler; no document URL on the page, in the eDocket or Register pages, or in WebSearch results on the domain. Not read on 9 October 2026: www.sos.state.co.us · AdoptedRules02025-00265.doc · Word 97-2003 file carrying Rule 1.31 only (the 2025 amendment), not the whole of 3 CCR 707-1; read, and quoted where Rule 1.31 bears on a topic. Not read on 9 October 2026: dpo.colorado.gov · Laws · HTTP 403. Not read on 9 October 2026: dpo.colorado.gov · Chiropractic · board's own site checked: HTTP 403.

Connecticut

unreadable Further provisions in the same documents: Sec. 20-28a. (www.cga.ct.gov · chap_372.htm). Not read on 9 October 2026: eregulations.ct.gov · Title_20Subtitle_20-32b · JavaScript shell, no document. Not read on 9 October 2026: eregulations.ct.gov · Title_19aSubtitle_19a-9_HTML · JavaScript shell, no document. Not read on 9 October 2026: eregulations.ct.gov · Title_19aSubtitle_19a-14Section_19a-14-40 · JavaScript shell, no document. Not read on 9 October 2026: portal.ct.gov · State-Board-of-Chiropractic-Examiners · board's own site checked; no copy of the rules found (the act is linked on cga.ct.gov and read).

Delaware

quoted
  • (10) Knowing or intentional performance of any act which, unless authorized by the Board of Chiropractic, assists an unlicensed and unauthorized person to practice chiropractic;§ 711(b)(10) · delcode.delaware.gov · index.html · read 9 October 2026
  • (11) The failure to provide adequate supervision to a person working under the practitioner’s direction;§ 711(b)(11) · delcode.delaware.gov · index.html · read 9 October 2026
Further provisions in the same documents: 1.3 (regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11); § 719(c) (delcode.delaware.gov · index.html).

District of Columbia

quoted Further provisions in the same documents: 17 DCMR § 4810.2, (a)-(c) (dchealth.dc.gov · DC Regulations - Chiropractic.120916.pdf); 17 DCMR § 4899.1 (Supervision), second sentence (dchealth.dc.gov · DC Regulations - Chiropractic.120916.pdf); § 3–1205.14(a)(12) (code.dccouncil.gov · 3-1205.14); § 3–1205.14(a)(54) (code.dccouncil.gov · 3-1205.14); 17 DCMR §§ 4811.4, 4811.5, 4811.7-4811.12 (dchealth.dc.gov · DC Regulations - Chiropractic.120916.pdf); POLICY ON PRECEPTORSHIP PROGRAM (no section number printed) (dchealth.dc.gov · BOC-Policy-Preceptorship-9-3-14-Amended (2) (3).pdf); 17 DCMR § 4807.1 (dchealth.dc.gov · DC Regulations - Chiropractic.120916.pdf); § 3–1205.14(a)(20) (code.dccouncil.gov · 3-1205.14).

Florida

quoted
  • (10) “Registered chiropractic assistant” means a person who is registered by the board to perform chiropractic services under the direct supervision of a chiropractic physician or certified chiropractic physician’s assistant.460.403(10) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
  • (7) “Direct supervision” means responsible supervision and control, with the licensed chiropractic physician assuming legal liability for the services rendered by a registered chiropractic assistant or a chiropractic student enrolled in a community-based intern program. Except in cases of emergency, direct supervision shall require the physical presence of the licensed chiropractic physician for consultation and direction of the actions of the registered chiropractic assistant or a chiropractic student enrolled in a community-based intern program. The board shall further establish rules as to what constitutes responsible direct supervision of a registered chiropractic assistant.460.403(7) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
  • (2) PERFORMANCE BY CERTIFIED CHIROPRACTIC PHYSICIAN’S ASSISTANT. — Notwithstanding any other provision of law, a certified chiropractic physician’s assistant may perform chiropractic services in the specialty area or areas for which the certified chiropractic physician’s assistant is trained or experienced when such services are rendered under the supervision of a licensed chiropractic physician or group of chiropractic physicians certified by the board. Any certified chiropractic physician’s assistant certified under this section to perform services may perform those services only:460.4165(2) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
  • (a) In the office of the chiropractic physician to whom the certified chiropractic physician’s assistant has been assigned, in which office such physician maintains her or his primary practice;460.4165(2)(a) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
  • (b) Under indirect supervision if the indirect supervision occurs at the supervising chiropractic physician’s address of record required by s. 456.035, other than at a clinic licensed under part X of chapter 400, of the chiropractic physician to whom she or he is assigned as defined by rule of the board;460.4165(2)(b) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
  • (c) In a hospital in which the chiropractic physician to whom she or he is assigned is a member of the staff; or460.4165(2)(c) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
  • (d) On calls outside the office of the chiropractic physician to whom she or he is assigned, on the direct order of the chiropractic physician to whom she or he is assigned.460.4165(2)(d) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
  • (5) The term “certified chiropractic physician’s assistant,” as herein used refers to allied health personnel, certified by the Department upon approval by the Board, who are functioning in a dependent relationship with a supervising physician and who are performing tasks or combinations of tasks traditionally performed by the physician. A certified chiropractic physician’s assistant may perform case histories, diagnostic testing, physical examinations, and therapeutic procedures under indirect supervision. However, a certified chiropractic physician’s assistant cannot be assigned any tasks requiring manipulative or adjustive techniques, the rendering of diagnostic results or interpretations, or the rendering of treatment advice, or the taking of x-rays unless properly certified.64B2-18.001(5) · flrules.org · readFile.asp?sid=0&tid=26801990&type=1&file=64B2-18.001.doc · read 9 October 2026
Further provisions in the same documents: 460.403(3) (www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html); 460.4165(12) (www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html); 64B2-18.001(4) (flrules.org · readFile.asp?sid=0&tid=26801990&type=1&file=64B2-18.001.doc); 64B2-17.004(5), (9) (www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-17&caid=1634079&type=4&file=64B2-17.doc); 460.402(6), (6)(a), (6)(b) (www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html); 460.403(4)(a), (b) (www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html); 460.403(8) (www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html); 460.413(1)(h) (www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html); 460.413(1)(u) (www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html); 64B2-18.001(6)-(8) (flrules.org · readFile.asp?sid=0&tid=26801990&type=1&file=64B2-18.001.doc); 64B2-18.002 (www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-18&caid=1585288&type=4&file=64B2-18.doc); 64B2-18.003 (www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-18&caid=1585288&type=4&file=64B2-18.doc); 64B2-18.004 (www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-18&caid=1585288&type=4&file=64B2-18.doc); 64B2-18.005 (www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-18&caid=1585288&type=4&file=64B2-18.doc); 64B2-18.006 (www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-18&caid=1585288&type=4&file=64B2-18.doc); 64B2-18.007 (www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-18&caid=1585288&type=4&file=64B2-18.doc); 64B2-18.0075 (www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-18&caid=1585288&type=4&file=64B2-18.doc); 64B2-12.0155 (www.flrules.org · ruleNo.asp?id=64B2-12.0155); 460.4165(4)-(9), (11), (13), (14) (www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html).

Georgia

quoted Further provisions in the same documents: Ga. Comp. R. & Regs. R. 100-7-.04(1)(a) (rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS); Ga. Comp. R. & Regs. R. 100-9-.01 (rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS); Ga. Comp. R. & Regs. R. 100-8-.01(1)(b) (rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS); Ga. Comp. R. & Regs. R. 100-8-.01(3), (5) (rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS); Ga. Comp. R. & Regs. R. 100-8-.02 (rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS). Not read on 9 October 2026: advance.lexis.com · container?config=00JAAyNDIyN2JjNC04NzBkLTRiNGQtYjcyNC04MjIxYTA1ZmI1OGYKAFBvZENhdGFsb2fj2wGx7D8FlWJs9VMmJTXe&crid=54ad7447-d946-448c-82fa-eab313e37135 · JavaScript shell, no document. Not read on 9 October 2026: www.lexisnexis.com · gacode · JavaScript shell, no document. Not read on 9 October 2026: sos.ga.gov · faq-board-chiropractors · 403 (Cloudflare challenge page). Not read on 9 October 2026: sos.ga.gov · rules-and-regulations-board-chiropractors · 403 (Cloudflare challenge page).

Hawaii

quoted
  • (b) Professional misconduct includes, but is not limited to, the following:§16-76-56(b) · cca.hawaii.gov · har_76-c2.pdf · read 9 October 2026
  • (22) Aiding or abetting an unlicensed person to practice chiropractic as defined in chapter 442-1, HRS;§16-76-56(b)(22) · cca.hawaii.gov · har_76-c2.pdf · read 9 October 2026
  • (23) Allowing, aiding, or abetting any person not licensed to practice chiropractic, or licensed as an x-ray technician, to x-ray a patient;§16-76-56(b)(23) · cca.hawaii.gov · har_76-c2.pdf · read 9 October 2026
  • In addition to any other acts or conditions provided by law, the licensing authority may refuse to renew, reinstate or restore or may deny, revoke, suspend, or condition in any manner, any license for any one or more of the following acts or conditions on the part of the licensee or the applicant thereof:§436B-19 · cca.hawaii.gov · HRS_pvl_436B-8-17-2.pdf · read 9 October 2026
  • (6) Aiding and abetting an unlicensed person to directly or indirectly perform activities requiring a license;§436B-19(6) · cca.hawaii.gov · HRS_pvl_436B-8-17-2.pdf · read 9 October 2026
Further provisions in the same documents: §16-76-20 (cca.hawaii.gov · har_76-c2.pdf); §436B-27(a) (cca.hawaii.gov · HRS_pvl_436B-8-17-2.pdf). Not read on 9 October 2026: www.capitol.hawaii.gov · HRS_0442-.htm · 403 (Cloudflare block page). Not read on 9 October 2026: www.capitol.hawaii.gov · HRS_0436B-.htm · 403 (Cloudflare block page). Not read on 9 October 2026: cca.hawaii.gov · chiropractor · board's own site checked; no copy of the act found (the board links HRS chapter 442 only on capitol.hawaii.gov). Not read on 9 October 2026: cca.hawaii.gov · statute_rules · board's own site checked; no copy of the act found (the board links HRS chapter 442 only on capitol.hawaii.gov). Not read on 9 October 2026: cca.hawaii.gov · hawaii-revised-statutes · board's own site checked; no copy of the act found (the board links HRS chapter 442 only on capitol.hawaii.gov).

Idaho

quoted
  • (1) Under the circumstances described and, subject in each case to the limitations stated, the following persons, though not holding a license to practice chiropractic in this state, may engage in activities included in the practice of chiropractic:54-705(1) · legislature.idaho.gov · SECT54-705 · read 9 October 2026
  • (b) A chiropractic assistant as shall be defined and regulated by the board, administering a procedure set forth in section 54-704, Idaho Code, but not including the adjustment or manipulation of articulations of the body, as specifically directed by a chiropractic physician as long as such directions are within the scope of chiropractic practice;54-705(1)(b) · legislature.idaho.gov · SECT54-705 · read 9 October 2026
  • Chiropractic Assistant. A chiropractic assistant is an individual functioning in a dependent relationship with a supervising chiropractic physician in the performance of any chiropractic practice.IDAPA 24.03.01, Section 010.01 · adminrules.idaho.gov · 240301.pdf · read 9 October 2026
  • 03. Direct Personal Supervision. Direct Personal Supervision means that the licensed chiropractic physician is physically present in the clinic, is monitoring the activities of the supervisee, and is available to intervene, if necessary.IDAPA 24.03.01, Section 010.03 · adminrules.idaho.gov · 240301.pdf · read 9 October 2026
  • 03. Chiropractic Assistant Limitations. A chiropractic assistant must not:IDAPA 24.03.01, Section 200.03 · adminrules.idaho.gov · 240301.pdf · read 9 October 2026
  • a. Manipulate articulations;IDAPA 24.03.01, Section 200.03.a · adminrules.idaho.gov · 240301.pdf · read 9 October 2026
  • b. Interpret diagnostic results for the patient;IDAPA 24.03.01, Section 200.03.b · adminrules.idaho.gov · 240301.pdf · read 9 October 2026
  • c. Provide treatment advice to any patient.IDAPA 24.03.01, Section 200.03.c · adminrules.idaho.gov · 240301.pdf · read 9 October 2026
Further provisions in the same documents: IDAPA 24.03.01, Section 200.02 (adminrules.idaho.gov · 240301.pdf); IDAPA 24.03.01, Section 701.03 (adminrules.idaho.gov · 240301.pdf); 54-712(5) (legislature.idaho.gov · SECT54-712); 54-705(1)(h) (legislature.idaho.gov · SECT54-705); 54-705(1)(m) (legislature.idaho.gov · SECT54-705); 54-711(2) (legislature.idaho.gov · SECT54-711); IDAPA 24.03.01, Section 010.02 (adminrules.idaho.gov · 240301.pdf); IDAPA 24.03.01, Section 200.04 (adminrules.idaho.gov · 240301.pdf); IDAPA 24.03.01, Section 200.05 (adminrules.idaho.gov · 240301.pdf).

Illinois

quoted Further provisions in the same documents: 225 ILCS 60/54.2, Sec. 54.2(e) (www.ilga.gov · Articles?ActID=1309&ChapterID=24&Chapter=PROFESSIONS,%20OCCUPATIONS,%20AND%20BUSINESS%20OPERATIONS&MajorTopic=REGULATION); 225 ILCS 60/14, Sec. 14 (www.ilga.gov · Articles?ActID=1309&ChapterID=24&Chapter=PROFESSIONS,%20OCCUPATIONS,%20AND%20BUSINESS%20OPERATIONS&MajorTopic=REGULATION); 68 Ill. Adm. Code Section 1285.240(a)(2)(B) (www.ilga.gov · EntirePart?titlepart=06801285); 68 Ill. Adm. Code Section 1285.240(a)(2)(D) (www.ilga.gov · EntirePart?titlepart=06801285); 68 Ill. Adm. Code Section 1285.335 (www.ilga.gov · EntirePart?titlepart=06801285).

Indiana

quoted
  • “Graduate Student” means a student in the final year of course work at a chiropractic school or college.Chiropractors Licensing Information, Chiropractic Graduate Student, Definitions (no section number printed) · www.in.gov · chriopractors-licensing-information · read 9 October 2026
  • “Supervisor” is a chiropractor licensed in the state of Indiana who acts as the direct supervisor and overseer of the educational process for the graduate student.Chiropractors Licensing Information, Chiropractic Graduate Student, Definitions (no section number printed) · www.in.gov · chriopractors-licensing-information · read 9 October 2026
  • The supervisor of a graduate student shall hold an Indiana chiropractic license which is current and in good standing.Chiropractors Licensing Information, Chiropractic Graduate Student, Duties of the Supervisor (no section number printed) · www.in.gov · chriopractors-licensing-information · read 9 October 2026
  • A supervisor shall supervise no more than one (1) graduate student at any given time.Chiropractors Licensing Information, Chiropractic Graduate Student, Duties of the Supervisor (no section number printed) · www.in.gov · chriopractors-licensing-information · read 9 October 2026
  • The supervisor shall develop a training schedule in coordination with the school or college of chiropractic that will be followed by the graduate student throughout the education process.Chiropractors Licensing Information, Chiropractic Graduate Student, Duties of the Supervisor (no section number printed) · www.in.gov · chriopractors-licensing-information · read 9 October 2026
  • Chiropractors who supervise graduate students shall be exclusively responsible for the direct supervision of the graduate student.Chiropractors Licensing Information, Chiropractic Graduate Student, Duties of the Supervisor (no section number printed) · www.in.gov · chriopractors-licensing-information · read 9 October 2026
  • A graduate student shall not provide an independent diagnosis of a patient.Chiropractors Licensing Information, Chiropractic Graduate Student, Duties of a Graduate Student (no section number printed) · www.in.gov · chriopractors-licensing-information · read 9 October 2026
  • A graduate student will be required to maintain a log of chiropractic procedures that shall be reviewed daily by the supervisor and shall be available for review by the Board at the Board’s request.Chiropractors Licensing Information, Chiropractic Graduate Student, Duties of a Graduate Student (no section number printed) · www.in.gov · chriopractors-licensing-information · read 9 October 2026
Not read on 9 October 2026: iga.in.gov · Title_25.html · JavaScript shell, no document. Not read on 9 October 2026: iga.in.gov · 25 · JavaScript shell, no document. Not read on 9 October 2026: iga.in.gov · ic · JavaScript shell, no document. Not read on 9 October 2026: iar.iga.in.gov · 1 · JavaScript shell, no document. Not read on 9 October 2026: iar.iga.in.gov · 1 · JavaScript shell, no document. Not read on 9 October 2026: www.in.gov · iac · JavaScript shell, no document. Not read on 9 October 2026: www.in.gov · chiropractors-home · board's own site checked; no copy of the act or rules found.

Iowa

quoted
  • “Certified chiropractic assistant” means a person who has completed a certified chiropractic assistant training program to perform selected chiropractic health care services under the supervision of a chiropractic physician.481—843.1 · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
  • “Supervision” means the physical presence and direction of the supervising chiropractic physician at the location where services are rendered.481—843.1 · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
  • b. The supervising chiropractic physician may delegate services to a certified chiropractic assistant that are within the scope of practice of the chiropractic physician in a manner consistent with these rules. Violation of these rules will be grounds for discipline under 481—Chapter 845.481—843.10(1)“b” · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
  • c. A chiropractic physician will not delegate to the certified chiropractic assistant the following:481—843.10(1)“c” · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
  • (1) Services outside the chiropractic physician’s scope of practice;481—843.10(1)“c”(1) · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
  • (2) Initiation, alteration, or termination of chiropractic treatment programs;481—843.10(1)“c”(2) · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
  • (3) Chiropractic manipulation and adjustments;481—843.10(1)“c”(3) · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
  • (4) Diagnosis of a condition.481—843.10(1)“c”(4) · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
Further provisions in the same documents: 481—843.10(1)“a” (www.legis.iowa.gov · 481.843.pdf); 481—843.10(1)“d” (www.legis.iowa.gov · 481.843.pdf); 481—843.10(2) (www.legis.iowa.gov · 481.843.pdf); 151.2(3) (www.legis.iowa.gov · 151.pdf); 481—504.2(8) (www.legis.iowa.gov · 05-28-2025.481.504.pdf); 481—504.2(26) (www.legis.iowa.gov · 05-28-2025.481.504.pdf).

Kansas

quoted
  • (a) Every supervising or responsible licensee who directs, supervises, orders, refers, accepts responsibility for, enters into written agreements or practice protocols with, or who delegates acts which constitute the practice of the healing arts to other persons shall:65-28,127. · www.ksrevisor.org · 065_028_0127.html · read 9 October 2026
  • (3) direct, supervise, order, refer, enter into a written agreement or practice protocol with, or delegate to such persons only those acts and functions which the supervising or responsible licensee knows or has reason to believe can be competently performed by such person and is not in violation of any other statute or regulation;65-28,127. · www.ksrevisor.org · 065_028_0127.html · read 9 October 2026
  • (4) direct, supervise, order, refer, enter into a written agreement or practice protocol with, or delegate to other persons only those acts and functions which are within the normal and customary specialty, competence and lawful practice of the supervising or responsible licensee;65-28,127. · www.ksrevisor.org · 065_028_0127.html · read 9 October 2026
  • (b) "Responsible licensee" means a person licensed by the state board of healing arts to practice medicine and surgery or chiropractic who has accepted responsibility for the actions of persons who perform acts pursuant to written agreements or practice protocols with, or at the order of, or referral, direction, supervision or delegation from such responsible licensee.65-28,127. · www.ksrevisor.org · 065_028_0127.html · read 9 October 2026
  • (b) "Unprofessional conduct" means:65-2837. · www.ksrevisor.org · 065_028_0037.html · read 9 October 2026
  • (26) Delegating professional responsibilities to a person when the licensee knows or has reason to know that such person is not qualified by training, experience or licensure to perform them.65-2837. · www.ksrevisor.org · 065_028_0037.html · read 9 October 2026
  • (30) Failing to properly supervise, direct or delegate acts that constitute the healing arts to persons who perform professional services pursuant to such licensee's direction, supervision, order, referral, delegation or practice protocols.65-2837. · www.ksrevisor.org · 065_028_0037.html · read 9 October 2026
Further provisions in the same documents: 65-2837. (www.ksrevisor.org · 065_028_0037.html); 65-2872. (www.ksrevisor.org · 065_028_0072.html). Not read on 9 October 2026: rules.ks.gov · bd59b26c-0985-40d5-a0fa-f9463d7b463e · JavaScript shell, no document (rules.ks.gov, the Secretary of State's online K.A.R.); the regulations were read in the board's own November 2024 compilation and in the 2022 K.A.R. volume.

Kentucky

quoted
  • Nothing in this chapter shall be construed to prevent a student of chiropractic from engaging in clinical practice under the supervision of a licensed chiropractor as part of the student's educational program.312.018(3) · apps.legislature.ky.gov · statute.aspx?id=48725 · read 9 October 2026
  • The board may by administrative regulation establish a preceptorship program where students or graduates of accredited chiropractic colleges as stated in this section may work with and under the direction and supervision of a licensed doctor of chiropractic prior to the taking of the appropriate licensing examination.312.085(2) · apps.legislature.ky.gov · statute.aspx?id=46812 · read 9 October 2026
  • The preceptor shall ensure that interns shall be allowed to perform only those duties that are lawful and ethical in the practice of chiropractic.201 KAR 21:085 Section 2(7) · apps.legislature.ky.gov · 085 · read 9 October 2026
Further provisions in the same documents: 201 KAR 21:085 (apps.legislature.ky.gov · 085); 201 KAR 21:001 (apps.legislature.ky.gov · 001).

Louisiana

quoted
  • A.(1) Each chiropractic assistant who engages or attempts to engage in the taking of chiropractic x-rays in this state shall be certified as to their proficiency by the Louisiana Board of Chiropractic Examiners.§2828 · legis.la.gov · Law.aspx?d=93809 · read 9 October 2026
  • B. The board shall certify and issue an appropriate certificate of proficiency to any chiropractic assistant who files with it a certified application therefor, accompanied by the payment of the fee fixed by law, together with evidence verified by oath and satisfactory to the board that he:§2828 · legis.la.gov · Law.aspx?d=93809 · read 9 October 2026
  • (1) Is eighteen years of age.§2828 · legis.la.gov · Law.aspx?d=93809 · read 9 October 2026
  • (2) Is a high school graduate or equivalent.§2828 · legis.la.gov · Law.aspx?d=93809 · read 9 October 2026
  • (3) Has completed a course in x-ray function and safety approved by the board, including passage of a proficiency examination given in conjunction with the course.§2828 · legis.la.gov · Law.aspx?d=93809 · read 9 October 2026
  • C. The board is authorized to grant or deny certification of proficiency to any chiropractic assistant performing chiropractic x-ray functions.§2804 · legis.la.gov · Law.aspx?d=93785 · read 9 October 2026
Further provisions in the same documents: §2828 (legis.la.gov · Law.aspx?d=93809); §2804 (legis.la.gov · Law.aspx?d=93785); §317 (wwwcfprd.doa.louisiana.gov · 9_RULES.pdf); §2830 (legis.la.gov · Law.aspx?d=93811); §2806 (wwwcfprd.doa.louisiana.gov · 9_STATUTES.pdf); §316 (wwwcfprd.doa.louisiana.gov · 9_RULES.pdf); §322 (www.doa.la.gov · 46v27.docx).

Maine

quoted
  • This chapter does not prohibit an individual from rendering ancillary diagnostic or therapeutic services as used in chiropractic practice, other than the adjustive or manipulative techniques, if those services are rendered under the supervision and control of a licensed chiropractor as long as that individual has successfully completed a training program recognized by the board.§555 · legislature.maine.gov · title32sec555.html · read 9 October 2026
  • Supervision and control may not be construed as requiring the personal presence of the supervising and controlling chiropractor at the place where those services are rendered, unless physical presence is necessary to provide patient care of the same quality as provided by the chiropractor.§555 · legislature.maine.gov · title32sec555.html · read 9 October 2026
  • This chapter does not prohibit a chiropractor from delegating to an employee certain activities relating to the care and treatment being performed by custom and usage when those activities are under the direct control of and in the presence of the chiropractor.§555 · legislature.maine.gov · title32sec555.html · read 9 October 2026
  • The chiropractor delegating those activities to an employee, to a program graduate or to a participant in an approved training program is legally liable for those activities performed by such an individual, and that individual is considered to be the chiropractor's agent.§555 · legislature.maine.gov · title32sec555.html · read 9 October 2026
  • An individual may not render ancillary services under section 555 until that individual has received a chiropractic assistant license or a temporary license issued by the board, either of which is renewable.§556 · legislature.maine.gov · title32sec556.html · read 9 October 2026
  • Certificate required. In addition to being licensed under section 556, an individual employed in a chiropractic office whose duties include the production of x-rays and who is not licensed under subchapter 3 must be certified by the board as a chiropractic radiographer under this section.§559 · legislature.maine.gov · title32sec559.html · read 9 October 2026
  • A chiropractic assistant may practice chiropractic radiography as long as the chiropractic assistant has been issued a certificate as a chiropractic radiographer pursuant to section 559.§555 · legislature.maine.gov · title32sec555.html · read 9 October 2026
Further provisions in the same documents: §557 (legislature.maine.gov · title32sec557.html); §559 (legislature.maine.gov · title32sec559.html); §562 (legislature.maine.gov · title32sec562.html); 02-297 Chapter 1, sections 3, 9 and 10 (www.maine.gov · 297c001.doc); 02-297 Chapter 5 (www.maine.gov · 297c005.doc); 02-297 Chapter 7, section 3(C)(6) (www.maine.gov · 297c007.doc). Not read on 9 October 2026: www.maine.gov · 297c001.doc · Word file (.doc/.docx) as the Secretary of State serves 02-297 Chapter 1; the text was read, but the gate reads HTML and PDF and not Word files, so no quotation from it was byte-compared. Not read on 9 October 2026: www.maine.gov · 297c005.doc · Word file (.doc/.docx) as the Secretary of State serves 02-297 Chapter 5; the text was read, but the gate reads HTML and PDF and not Word files, so no quotation from it was byte-compared. Not read on 9 October 2026: www.maine.gov · 297c007.doc · Word file (.doc/.docx) as the Secretary of State serves 02-297 Chapter 7; the text was read, but the gate reads HTML and PDF and not Word files, so no quotation from it was byte-compared. Not read on 9 October 2026: www.maine.gov · laws-rules · board's own site checked; no copy of the act or rules found on the board's pages (the Laws & Rules page links the Legislature for the act and the Secretary of State's Word files for the rules).

Maryland

quoted
  • A licensed chiropractor may delegate duties to an assistant to the extent permitted by the rules and regulations of the Board if the assigned duties do not require the professional skill and judgment of a licensed chiropractor.§3–404 · mgaleg.maryland.gov · gho.pdf · read 9 October 2026
  • The rules and regulations shall also establish qualifications for the position of chiropractic assistant.§3–404 · mgaleg.maryland.gov · gho.pdf · read 9 October 2026
  • (2) “Chiropractic assistant” means an individual who is registered by the Board to perform the duties authorized under this chapter.COMAR 10.43.07.01B(2) · regs.maryland.gov · index.full.html · read 9 October 2026
  • A. Except as otherwise provided in this chapter, a person may not practice, attempt to practice, or offer to practice as a chiropractic assistant in this State unless registered by the Board.COMAR 10.43.07.15A · regs.maryland.gov · index.full.html · read 9 October 2026
  • A. Only a supervising chiropractor may work with or train a chiropractic assistant or applicant.COMAR 10.43.07.04A · regs.maryland.gov · index.full.html · read 9 October 2026
  • A chiropractic applicant or assistant may not engage in any of the following activities:COMAR 10.43.07.09 · regs.maryland.gov · index.full.html · read 9 October 2026
  • B. Perform an act requiring the professional skill or judgment of a licensed chiropractor;COMAR 10.43.07.09B · regs.maryland.gov · index.full.html · read 9 October 2026
  • A. A chiropractic assistant may perform the duties of a chiropractic assistant with X-ray privileges only as directed by a supervising chiropractor.COMAR 10.43.07.11A · regs.maryland.gov · index.full.html · read 9 October 2026
Further provisions in the same documents: COMAR 10.43.07.02 (regs.maryland.gov · index.full.html); COMAR 10.43.07.03 (regs.maryland.gov · index.full.html); COMAR 10.43.07.05 (regs.maryland.gov · index.full.html); COMAR 10.43.07.06 (regs.maryland.gov · index.full.html); COMAR 10.43.07.07 (regs.maryland.gov · index.full.html); COMAR 10.43.07.08 (regs.maryland.gov · index.full.html); COMAR 10.43.07.10 (regs.maryland.gov · index.full.html); COMAR 10.43.07.11 (regs.maryland.gov · index.full.html); COMAR 10.43.05.04 (regs.maryland.gov · index.full.html); COMAR 10.43.14.04 (regs.maryland.gov · index.full.html); §3–313(18) (mgaleg.maryland.gov · gho.pdf); COMAR 10.43.12.05 (regs.maryland.gov · index.full.html); State Board of Chiropractic Examiners (no section number printed) (health.maryland.gov · index.aspx).

Massachusetts

quoted
  • (a) For the purposes of this section, ''preceptor chiropractor'' shall mean a registered chiropractor authorized to practice chiropractic in the commonwealth who is: (i) designated by an approved chiropractic school or college as an instructor; and (ii) the chiropractor of record at the chiropractic facility to which a student extern is assigned.M.G.L. c.112, Section 91A(a) · malegislature.gov · Section91A · read 9 October 2026
  • (b) An individual that is a current student enrolled in the final academic year at a chiropractic school or college approved by the board may practice the full scope of chiropractic under the direct supervision of a preceptor chiropractor; provided, that the student extern shall have: (i) completed all academic and clinical class requirements for the degree of doctor of chiropractic from a chiropractic school or college approved by the board; and (ii) passed at least 3 of the 4 levels of the examinations administered by the National Board of Chiropractic Examiners.M.G.L. c.112, Section 91A(b) · malegislature.gov · Section91A · read 9 October 2026
  • (c) The student extern shall practice under the direct supervision and license of the preceptor chiropractor and shall not be authorized to sign legal documents generally signed by the preceptor chiropractor; provided, however, that the board, in its discretion, may authorize a student extern to practice chiropractic pursuant to this section at more than 1 chiropractic facility.M.G.L. c.112, Section 91A(c) · malegislature.gov · Section91A · read 9 October 2026
  • An individual may be authorized by the board to practice chiropractic as a student extern for not less than 4 weeks and not more than 16 weeks during the student's final academic year.M.G.L. c.112, Section 91A(c) · malegislature.gov · Section91A · read 9 October 2026
Not read on 9 October 2026: www.mass.gov · download · HTTP 403 (robots.txt answered 403). Not read on 9 October 2026: www.mass.gov · 233cmr2.pdf · HTTP 403 (robots.txt answered 403). Not read on 9 October 2026: www.mass.gov · download · HTTP 403 (robots.txt answered 403). Not read on 9 October 2026: www.mass.gov · statutes-and-regulations-chiropractors · board's own site refused us: HTTP 403 (robots.txt answered 403). Not read on 9 October 2026: www.mass.gov · board-policies-and-guidelines-chiropractor · board's own site refused us: HTTP 403 (robots.txt answered 403). Not read on 9 October 2026: www.mass.gov · board-of-registration-of-chiropractors · board's own site refused us: HTTP 403 (robots.txt answered 403).

Michigan

quoted
  • (1) Subject to subsections (2) to (6), a licensee who holds a license other than a health profession subfield license may delegate to a licensed or unlicensed individual who is otherwise qualified by education, training, or experience the performance of selected acts, tasks, or functions where the acts, tasks, or functions fall within the scope of practice of the licensee's profession and will be performed under the licensee's supervision. A licensee shall not delegate an act, task, or function under this section if the act, task, or function, under standards of acceptable and prevailing practice, requires the level of education, skill, and judgment required of the licensee under this article.Sec. 16215(1) · www.legislature.mi.gov · MCL-368-1978-15-161.pdf · read 9 October 2026
Further provisions in the same documents: Sec. 16215 (www.legislature.mi.gov · MCL-368-1978-15-161.pdf); Sec. 16221(a) (www.legislature.mi.gov · MCL-368-1978-15-161.pdf); Sec. 16412 (www.legislature.mi.gov · mcl-368-1978-15-164.pdf); Sec. 16411(1) (www.legislature.mi.gov · mcl-368-1978-15-164.pdf). Not read on 9 October 2026: www.michigan.gov · chiro · board's own site refused us: HTTP 403 (robots.txt answered 403).

Minnesota

quoted
  • (a) The state Board of Chiropractic Examiners may refuse to grant, or may revoke, suspend, condition, limit, restrict or qualify a license to practice chiropractic, or may cause the name of a person licensed to be removed from the records in the office of the court administrator of the district court for:Minn. Stat. 148.10, subd. 1(a) · www.revisor.mn.gov · full · read 9 October 2026
  • (13) aiding or abetting an unlicensed person in the practice of chiropractic, except that it is not a violation of this clause for a doctor of chiropractic to employ, supervise, or delegate functions to a qualified person who may or may not be required to obtain a license or registration to provide health services if that person is practicing within the scope of the license or registration or delegated authority;Minn. Stat. 148.10, subd. 1(a)(13) · www.revisor.mn.gov · full · read 9 October 2026
  • (21) delegating professional responsibilities to a person when the licensee delegating such responsibilities knows or has reason to know that the person is not qualified by training, experience, or licensure to perform them.Minn. Stat. 148.10, subd. 1(a)(21) · www.revisor.mn.gov · full · read 9 October 2026
  • "Qualified staff" means a person who has specific training in an area of rehabilitative therapy and who will administer rehabilitative therapies to a patient.Minn. R. 2500.0100, subp. 10 · www.revisor.mn.gov · full · read 9 October 2026
  • Therapeutic services must be performed within a practice where the primary focus is the provision of chiropractic services, preparing the patient for chiropractic services, or complementing the provision of chiropractic services. The administration of therapeutic services is the responsibility of the treating chiropractor and must be rendered under the direct supervision of qualified staff.Laws 2026, chapter 127, article 4, Sec. 3 (148.01, Subd. 5) · www.revisor.mn.gov · laws.4.12.0 · read 9 October 2026
  • "Extern" means a graduate of a board-approved chiropractic college who does not hold a current Minnesota license, and who assists in the care of patients under the authority of the graduate preceptorship program. This definition does not apply to a person providing appropriately supervised care provided during a course of training provided by an accredited chiropractic college or care provided pursuant to the exceptions granted in Minnesota Statutes, section 148.105 , subdivision 2.Minn. R. 2500.0100, subp. 5a · www.revisor.mn.gov · full · read 9 October 2026
Further provisions in the same documents: Minn. R. 2500.2500 to 2500.2530 (www.revisor.mn.gov · full); Minn. Stat. 148.105, subd. 2 (www.revisor.mn.gov · full).

Mississippi

quoted Further provisions in the same documents: Rule 8.2 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 8.4 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 8.5 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 8.6 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 8.9 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 9.1 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 9.2 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 12.5 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 6.4 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 14.6 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 15.7 (www.msbce.ms.gov · Final 2.12.26.pdf); Rule 15.8 (www.msbce.ms.gov · Final 2.12.26.pdf). Not read on 9 October 2026: www.msbce.ms.gov · Chiropractic Law 7.1.2026 thru 6.30.2029.pdf · scan; the text layer is OCR with character errors throughout (HTTP 200). Not read on 9 October 2026: www.msbce.ms.gov · chiropractic-law · board's own site checked; its only copy of the act is the scanned PDF above. Not read on 9 October 2026: www.msbce.ms.gov · Temporary u Rule Filing 6.19.2026.pdf · scan; the text layer is OCR with character errors (HTTP 200); the filing lists an amendment to Rule 8.4.

Missouri

quoted
  • 2. The board may cause a complaint to be filed with the administrative hearing commission as provided by chapter 621 against any holder of any certificate of registration or authority, permit or license required by this chapter or any person who has failed to renew or has surrendered his certificate of registration or authority, permit or license for any one or any combination of the following causes:331.060.2 · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
  • (10) Assisting or enabling any person to practice or offer to practice any profession licensed or regulated by this chapter who is not registered and currently eligible to practice under this chapter;331.060.2(10) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026

Montana

quoted Further provisions in the same documents: 37-12-104(2) (leg.mt.gov · 0370-0120-0010-0040.html); 24.126.2301(2)(i) (boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf); 37-1-316(1)(q) (leg.mt.gov · 0370-0010-0030-0160.html); 24.126.301(1) (boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf); 24.126.704(2) (boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf); 24.126.704(5)(a), (c), (d), (e), (g), (h) (boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf); 24.126.515(5) (boards.bsd.dli.mt.gov · CH-126-CHI-as-of-06-30-2021.pdf). Not read on 9 October 2026: rules.mt.gov · ffacabca-2c42-4cb7-aa39-8ff8d8c5d79c · JavaScript shell, no document (HTTP 200, 894 bytes). Not read on 9 October 2026: rules.mt.gov · a85eb384-abd2-49ef-929f-a8a7414ded5f · JavaScript shell, no document (HTTP 200, 894 bytes).

Nebraska

quoted
  • The Chiropractic Practice Act shall not be construed to include the following classes of persons:38-806 · dhhs.ne.gov · Chiropractic.pdf · read 9 October 2026
  • (4) Students enrolled in an accredited college of chiropractic when the services performed are a part of the course of study and are under the direct supervision of a licensed chiropractor.38-806(4) · dhhs.ne.gov · Chiropractic.pdf · read 9 October 2026
  • Except as otherwise provided in sections 38-1,119 to 38-1,123, a credential to practice a profession may be issued subject to discipline, denied, refused renewal, or have other disciplinary measures taken against it in accordance with section 38-183, 38-185, or 38-186 on any of the following grounds:38-178 · dhhs.ne.gov · UniformCredentialingAct.pdf · read 9 October 2026
  • (10) Permitting, aiding, or abetting the practice of a profession or the performance of activities requiring a credential by a person not credentialed to do so;38-178(10) · dhhs.ne.gov · UniformCredentialingAct.pdf · read 9 October 2026
Not read on 9 October 2026: rules.nebraska.gov · rules?agencyId=37&titleId=101 · JavaScript shell, no document (HTTP 200, 803 bytes); the board page links it as 172 NAC 10, Mandatory Reporting, and Practice of Chiropractic. Not read on 9 October 2026: dhhs.ne.gov · Title-172-Complete.pdf · the compilation prints 172 NAC 29 with Effective Date May 8, 2012; the department's Title 172 page lists Chapter 29 as Amended 10/20/2020 (HTTP 200). Not read on 9 October 2026: dhhs.ne.gov · Chiropractic.aspx · board's own site checked; no copy of the current rules found (it links rules.nebraska.gov; the department's Title 172 compilation carries the 2012 edition of chapter 29).

Nevada

quoted
  • 1. The Board may issue a certificate to a properly qualified applicant to perform ancillary services relating to chiropractic, other than chiropractic adjustment, under the supervision of a chiropractic physician. The Board shall specify the formal training which such an applicant must have completed before the Board awards the applicant a certificate as a chiropractic assistant.NRS 634.123 · www.leg.state.nv.us · nrs-634.html · read 9 October 2026
  • A chiropractic assistant may perform such ancillary services relating to chiropractic as he or she is authorized to perform under the terms of a certificate issued by the Board. Those services must be rendered under the supervision and control of a chiropractic physician.NRS 634.125 · www.leg.state.nv.us · nrs-634.html · read 9 October 2026
  • No chiropractic physician may supervise more than four chiropractic assistants at the same time.NRS 634.127 · www.leg.state.nv.us · nrs-634.html · read 9 October 2026
  • 1. A person who desires to perform ancillary services must obtain a certificate as a chiropractic assistant.NAC 634.348 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
  • “Direct supervision” means that the supervising licensee or licensed provider of health care, as appropriate, is actually present in the chiropractic facility during the period of supervision.NAC 634.119 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
  • 1. A licensee shall ensure that each of his or her employees who provides services other than chiropractic or clerical services to a patient of the licensee provides those services only under the direct supervision of the licensee.NAC 634.418 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
  • A chiropractic assistant or chiropractic assistant trainee may not:NAC 634.460 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
  • 6. Perform any service, except at the direction and under the direct supervision of a licensee.NAC 634.460 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
Further provisions in the same documents: NAC 634.112 (www.leg.state.nv.us · NAC-634.html); NAC 634.117 (www.leg.state.nv.us · NAC-634.html); NAC 634.348 (www.leg.state.nv.us · NAC-634.html); NAC 634.350 (www.leg.state.nv.us · NAC-634.html); NAC 634.355 (www.leg.state.nv.us · NAC-634.html); NAC 634.360 (www.leg.state.nv.us · NAC-634.html); NAC 634.410 (www.leg.state.nv.us · NAC-634.html); NAC 634.415 (www.leg.state.nv.us · NAC-634.html); NAC 634.455 (www.leg.state.nv.us · NAC-634.html); NAC 634.460 (www.leg.state.nv.us · NAC-634.html); NRS 634.124 (www.leg.state.nv.us · nrs-634.html); NRS 634.018 (www.leg.state.nv.us · nrs-634.html); NAC 634.339 (www.leg.state.nv.us · NAC-634.html); NAC 634.423 (www.leg.state.nv.us · NAC-634.html). Not read on 9 October 2026: www.chirobd.nv.gov · DISALLOWED (robots 200, disallow:/). Not read on 9 October 2026: www.chirobd.nv.gov · forms-resources · DISALLOWED (robots 200, disallow:/). Not read on 9 October 2026: www.chirobd.nv.gov · Advertising_Guide.pdf · DISALLOWED (robots 200, disallow:/).

New Hampshire

unreadable Further provisions in the same documents: 316-A:27 (www.gencourt.state.nh.us · 316-A-mrg.htm). Not read on 9 October 2026: www.oplc.nh.gov · chiropractic-laws-rules · HTTP 403 (robots.txt answered 403); the board’s laws and rules page, where the Chi rules are published. Not read on 9 October 2026: www.oplc.nh.gov · adopted-rules-chiropractic-12122024-1.pdf · HTTP 403 (robots.txt answered 403); the board’s notice of rules adopted under Ch 500, effective February 3, 2025, per the WebSearch result.

New Jersey

unreadable Not read on 9 October 2026: lis.njleg.state.nj.us · 1?f=templates&fn=default.htm&vid=Publish:10.1048/Enu · JavaScript shell, no document (HTTP 200, 38,749 bytes; the frameset’s table-of-contents frame is also a script shell, HTTP 200, 4,069 bytes); N.J.S.A. 45:9-41.17 et seq. not read. Not read on 9 October 2026: www.lexisnexis.com · njcode · JavaScript shell, no document (HTTP 200, 3,696 bytes, a cookie-and-redirect script); the Office of Administrative Law page links it as the free public access to the New Jersey Administrative Code; N.J.A.C. 13:44E not read. Not read on 9 October 2026: www.njconsumeraffairs.gov · default.aspx · JavaScript shell, no document (HTTP 200, 212 bytes, an Incapsula script page). Not read on 9 October 2026: www.njconsumeraffairs.gov · Law-and-Regulations.aspx · JavaScript shell, no document (HTTP 200, 212 bytes, an Incapsula script page). Not read on 9 October 2026: www.njconsumeraffairs.gov · FAQ.aspx · JavaScript shell, no document (HTTP 200, 1,148 bytes, a script page with no FAQ text). Not read on 9 October 2026: www.njconsumeraffairs.gov · Chapter-44E-State-Board-of-Chiropractic-Examiners.pdf · HTTP 404 (census URL for N.J.A.C. 13:44E).

New Mexico

quoted
  • F. "chiropractic assistant" means a person who practices under the on-premises supervision of a licensed chiropractic physician.61-4-2 · nmonesource.com · document.do · read 9 October 2026
  • The holder may also supervise the use of any natural agencies imbued with the healing act, such as food, water, heat, cold, electricity, mechanical appliances, herbs, nutritional supplements and homeopathic remedies administered by a chiropractic assistant.61-4-6 · nmonesource.com · document.do · read 9 October 2026
  • A. The minimum education requirement for a chiropractic assistant is high school graduation or equivalent with a minimum of three months of supervised training in the specific duties and procedures the chiropractic assistant will perform.16.4.19.8 · www.srca.nm.gov · 16.004.0019.html · read 9 October 2026
  • B. The chiropractic assistant can, under the supervision of the chiropractic physician, perform diagnostic tests and administer the use of any or all natural agencies imbued with the healing act such as food, water, heat, cold, electrical mechanical appliances, herbs, nutritional supplements and homeopathic remedies.16.4.19.8 · www.srca.nm.gov · 16.004.0019.html · read 9 October 2026
  • C. As used in this section, the term “under the supervision of the chiropractic physician” means that:16.4.19.8 · www.srca.nm.gov · 16.004.0019.html · read 9 October 2026
  • (1) the chiropractic physician shall have a current New Mexico license in “good standing” with the board;16.4.19.8 · www.srca.nm.gov · 16.004.0019.html · read 9 October 2026
  • (2) the chiropractic physician shall personally train the chiropractic assistant in any procedure they practice; and16.4.19.8 · www.srca.nm.gov · 16.004.0019.html · read 9 October 2026
  • (3) the chiropractic physician must be physically present in the same building and immediately available in order for the chiropractic assistant to treat the patient.16.4.19.8 · www.srca.nm.gov · 16.004.0019.html · read 9 October 2026
Further provisions in the same documents: 61-4-3 (nmonesource.com · document.do); 16.4.1.7 (www.srca.nm.gov · 16.004.0001.html); 16.4.19.8 (www.srca.nm.gov · 16.004.0019.html); 61-4-10 (nmonesource.com · document.do); 16.4.8.10 (www.srca.nm.gov · 16.004.0008.html); 16.4.17.8 (www.srca.nm.gov · 16.004.0017.html); 16.4.18.11 (www.srca.nm.gov · 16.004.0018.html); 61-4-15 (nmonesource.com · document.do). Not read on 9 October 2026: www.rld.nm.gov · faqs · HTTP 504 on two attempts (first attempt a timeout); the board’s FAQs page.

New York

quoted
  • Unprofessional conduct in the practice of any profession licensed, certified or registered pursuant to title VIII of the Education Law, except for cases involving those professions licensed, certified or registered pursuant to the provisions of Article 131 or 131-B of such law in which a statement of charges of professional misconduct was not served on or before July 26, 1991, the effective date of Chapter 606 of the Laws of 1991, shall include:§ 29.1 · www.op.nysed.gov · part-29 · read 9 October 2026
  • delegating professional responsibilities to a person when the licensee delegating such responsibilities knows or has reason to know that such person is not qualified, by training, by experience or by licensure, to perform them;§ 29.1 · www.op.nysed.gov · part-29 · read 9 October 2026
  • Unprofessional conduct shall also include, in the professions of: acupuncture, athletic training, audiology, certified behavior analyst assistant, registered dental assisting, chiropractic, clinical laboratory technician, clinical laboratory technologist, creative arts therapy, cytotechnologist, dental hygiene, dentistry, dietetics/nutrition, histotechnician, histotechnologist, licensed behavior analyst, licensed pathologists' assistants, licensed perfusionist, licensed practical nursing, marriage and family therapy, massage therapy, medicine, mental health counseling, midwifery, occupational therapy, occupational therapy assistant, ophthalmic dispensing, optometry, pharmacy, physical therapist assistant, physical therapy, physician assistant, podiatry, psychoanalysis, psychology, registered pharmacy technicians, registered professional nursing, respiratory therapy, respiratory therapy technician, social work, specialist assistant, speech-language pathology (except for cases involving those professions licensed, certified or registered pursuant to the provisions of article 131 or 131-B of the Education Law in which a statement of charges of professional misconduct was not served on or before July 26, 1991, the effective date of chapter 606 of the Laws of 1991):§ 29.2 · www.op.nysed.gov · part-29 · read 9 October 2026
  • failing to exercise appropriate supervision over persons who are authorized to practice only under the supervision of the licensed professional;§ 29.2 · www.op.nysed.gov · part-29 · read 9 October 2026
  • Unlicensed individuals, who may also be referred to as unlicensed aides, may not perform tasks that are within the chiropractic scope of practice, which include tasks that require professional or clinical judgment."Use of Unlicensed Individuals (no section number printed) · www.op.nysed.gov · use-of-unlicensed-individuals · read 9 October 2026
  • Tasks that may be performed by unlicensed individuals include, but are not limited to, general office work, preparing equipment, assisting the chiropractor in providing treatment, and the collection and recording of patient data under the direct supervision of a chiropractor.Use of Unlicensed Individuals (no section number printed) · www.op.nysed.gov · use-of-unlicensed-individuals · read 9 October 2026
  • However, the unlicensed individual may not initiate, adjust or perform treatment programs, assume responsibilities for planning patient care, or interpret referrals.Use of Unlicensed Individuals (no section number printed) · www.op.nysed.gov · use-of-unlicensed-individuals · read 9 October 2026
  • Nothing in this article shall be construed to affect or prevent a student enrolled in a college of chiropractic in this state from engaging in all phases of clinical practice under supervision of a licensed chiropractor or physician in a curriculum registered by the department.§6555 · www.op.nysed.gov · article-132 · read 9 October 2026
Further provisions in the same documents: §6509 (www.op.nysed.gov · article-130-subarticle-3); Multidisciplinary Practices (no section number printed) (www.op.nysed.gov · multidisciplinary-practices); §6512 (www.op.nysed.gov · article-130-subarticle-4).

North Carolina

quoted
  • (a) "Chiropractic clinical assistant" means a nonlicensed employee of a chiropractic physician whose duties include (i) collecting general health data, such as the taking of an oral history or vital sign measurements, (ii) applying therapeutic procedures, such as thermal, sound, light and electrical modalities, and hydrotherapy, and (iii) monitoring prescribed rehabilitative activities. Nothing in this section shall be construed to allow a chiropractic clinical assistant to provide a chiropractic adjustment, manual therapy, nutritional instruction, counseling, or any other therapeutic service that requires individual licensure.§ 90-143.4(a) · www.ncleg.gov · Article_8.html · read 9 October 2026
  • (b) Any person employed as a chiropractic clinical assistant shall obtain a certificate of competency from the North Carolina State Board of Chiropractic Examiners (Board) within 180 days after the person begins employment. Certification shall not be required for employees whose duties are limited to administrative activities of a nonclinical nature. Except as otherwise provided in G.S. 90-142.1 and this section, it shall be unlawful for any person to practice as a chiropractic clinical assistant unless duly certified by the Board.§ 90-143.4(b) · www.ncleg.gov · Article_8.html · read 9 October 2026
  • Unethical conduct is defined as:§ 90-154.2 · www.ncleg.gov · Article_8.html · read 9 October 2026
  • (6) The allowance of any unlicensed person to practice chiropractic in the office of a licensed chiropractic.§ 90-154.2 · www.ncleg.gov · Article_8.html · read 9 October 2026
  • For purposes of this Rule, a Certified Chiropractic Assistant – Level 1 is the same as a "chiropractic clinical assistant" as defined in G.S. 90-143.4(a).21 NCAC 10 .0213 · reports.oah.state.nc.us · chapter 10 rules.pdf · read 9 October 2026
  • Any person practicing chiropractic in this State without possessing a license as provided in this Article shall be guilty of a Class 1 misdemeanor, except that students of chiropractic participating in a preceptorship program may perform chiropractic services without a license under direct supervision as set forth in G.S. 90-142.1.§ 90-147 · www.ncleg.gov · Article_8.html · read 9 October 2026
  • (c) Preceptors shall supervise only one student at a time. Preceptors shall obtain verbal consent from every patient who is treated by the student prior to the student commencing treatment. Preceptors shall document consent in the patient's record.21 NCAC 10 .0218 · reports.oah.state.nc.us · chapter 10 rules.pdf · read 9 October 2026
Further provisions in the same documents: § 90-143.4(c) (www.ncleg.gov · Article_8.html); § 90-143.2(a) (www.ncleg.gov · Article_8.html); Standing Orders (no section number printed) (ncchiroboard.com · Standing-Orders-Position-Statement.pdf); Spinal Decompression Therapy by a Certified Chiropractic Assistant Position Statement (no section number printed) (ncchiroboard.com · Spinal-Decompression-Therapy.pdf); 21 NCAC 10 .0218 (reports.oah.state.nc.us · chapter 10 rules.pdf); 21 NCAC 10 .0213 (reports.oah.state.nc.us · chapter 10 rules.pdf); § 90-142 (www.ncleg.gov · Article_8.html); § 90-142.1 (www.ncleg.gov · Article_8.html).

North Dakota

quoted
  • 3. "Certified chiropractic clinical assistant" means an individual certified by the board who in accordance with section 43-06-16.1 assists with basic health care duties in the practice of chiropractic under the supervision of a licensed doctor of chiropractic in good standing with the board.43-06-01(3) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
  • A person may not practice as a certified chiropractic clinical assistant or claim to be a chiropractic assistant without certification from the board.43-06-16.1(1) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
  • 6. A certified chiropractic clinical assistant must be under the direct supervision of a North Dakota licensed chiropractor in good standing with the board. Direct supervision means the oversight provided by the chiropractor over the clinical services performed by a certified chiropractic clinical assistant, and requires the chiropractor to be on the premises at all times and readily available to instruct the certified chiropractic clinical assistant throughout the performance of the clinical services.43-06-16.1(6) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
  • 7. The certified chiropractic clinical assistant may assist the chiropractor in patient care involving physiotherapy, electrotherapy, hydrotherapy, chiropractic rehabilitative therapy, administrative processes, and other activities as needed to assist in the practice of chiropractic. The certified chiropractic clinical assistant may perform delegated duties commensurate with the certified chiropractic clinical assistant's education and training, but may not evaluate, interpret, design, or modify established treatment programs of chiropractic care or violate any statute. Certified chiropractic clinical assistants may not participate in clinical decisionmaking, render manipulative chiropractic care, create or change the course of a chiropractic treatment plan, or represent themselves as independent health care providers. A certified chiropractic clinical assistant may not perform medical imaging unless also licensed under chapter 43-62.43-06-16.1(7) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
  • 10. Certification is not required for individuals who solely perform administrative activities of a nonclinical nature.43-06-16.1(10) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
  • The board may deny an application for licensure and may revoke, suspend, or take such other action as provided in this section regarding the license of any chiropractor in this state who:43-06-15(1) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
  • o. Has failed to properly supervise a certified chiropractic clinical assistant or who has delegated duties to a certified chiropractic clinical assistant which are beyond the assistant's education or training or which are beyond the scope of practice of a certified chiropractic clinical assistant.43-06-15(1)(o) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
  • 19. Chiropractor is responsible for all patient care provided by them, or patient care directly delegated by said chiropractor to their agent or employee. For the purposes of this subsection, "patient care" includes the practice of chiropractic, patient recordkeeping, patient billing, insurance billing, and communication with insurance companies.17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
Further provisions in the same documents: 17-03-01-01 (www.legis.nd.gov · 17-03-01.pdf); 43-06-16.1 (www.legis.nd.gov · t43c06.pdf); 17-04-01-01 (www.legis.nd.gov · 17-04-01.pdf); 43-06-01(4)(a)(6) (www.legis.nd.gov · t43c06.pdf); 43-06-15(1)(g) (www.legis.nd.gov · t43c06.pdf); 43-06-02(2), (3) (www.legis.nd.gov · t43c06.pdf); 17-02-01-01.2(3) (www.legis.nd.gov · 17-02-01.pdf); Student Intern - Preceptorship (no section number printed) (www.ndsbce.org · t10.asp); Graduate Intern Program (no section number printed) (www.ndsbce.org · proctor.asp).

Ohio

quoted
  • Unlicensed individuals may only perform the duties outlined in Board Rule 4734-8-02.Ohio State Chiropractic Board January 2024 (newsletter; no section number printed) · dam.assets.ohio.gov · Newsletter Jan 2024.pdf · read 9 October 2026
Not read on 9 October 2026: codes.ohio.gov · chapter-4734 · DISALLOWED (robots 200, disallow:/). Not read on 9 October 2026: codes.ohio.gov · 4734 · DISALLOWED (robots 200, disallow:/). Not read on 9 October 2026: codes.ohio.gov · chapter-4734-5 · DISALLOWED (robots 200, disallow:/). Not read on 9 October 2026: codes.ohio.gov · chapter-4734-6 · DISALLOWED (robots 200, disallow:/). Not read on 9 October 2026: codes.ohio.gov · chapter-4734-7 · DISALLOWED (robots 200, disallow:/). Not read on 9 October 2026: codes.ohio.gov · chapter-4734-8 · DISALLOWED (robots 200, disallow:/). Not read on 9 October 2026: chirobd.ohio.gov · licence-holders · HTTP 404 (5,276-byte page reading Page not found); robots.txt also answered 404. Not read on 9 October 2026: chirobd.ohio.gov · acupuncture-certification · HTTP 404 (5,276-byte page reading Page not found); robots.txt also answered 404. Not read on 9 October 2026: chirobd.ohio.gov · renewal · HTTP 404 (5,276-byte page reading Page not found); robots.txt also answered 404. Not read on 9 October 2026: chirobd.ohio.gov · contact-us · HTTP 404 (5,276-byte page reading Page not found); robots.txt also answered 404. Not read on 9 October 2026: chirobd.ohio.gov · ce-requirements · HTTP 404 (5,276-byte page reading Page not found); robots.txt also answered 404. Not read on 9 October 2026: dam.assets.ohio.gov · Rules_Binder_Nov_2025.pdf · HTTP 200; a rule-change package (Rules_Binder_Nov_2025) in strike-and-insert markup with rules marked TO BE RESCINDED; the text layer runs deleted and inserted words together (for example chiropractic physicianlicensee), so in-force wording is not separable. Not read on 9 October 2026: www.chirobd.ohio.gov · board home page linked from the board's January 2024 newsletter; board's own site checked; no copy of the act or rules found (HTTP 404, the same 5,276-byte Page not found page; robots.txt 404). Not read on 9 October 2026: chirobd.ohio.gov · board home page linked from the board's 404 page (Return Home); board's own site checked; no copy of the act or rules found (HTTP 404; robots.txt 404). Not read on 9 October 2026: codes.ohio.gov · rule-4734-8-02 · DISALLOWED (robots 200, disallow:/); the rule the board's January 2024 newsletter links for unlicensed personnel.

Oklahoma

quoted
  • 5. "Certified chiropractic assistant" means an unlicensed member of a chiropractic physician's team of healthcare workers who may assist a chiropractic physician in the performance of examination and therapeutic procedures and techniques necessary to deliver healthcare services to patients within the scope of chiropractic and has been certified by the Board;Section 161.3(5) · oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf · read 9 October 2026
  • The Board shall have practice oversight authority over certified chiropractic assistants. No chiropractic assistant shall represent to the public that he/she is a certified chiropractic assistant unless said chiropractic assistant is certified by the Board.140:30-3-1 · oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf · read 9 October 2026
  • (a) If an application to become a certified chiropractic assistant is approved by the Executive Director pursuant to 140:30-3-2, they must have taken a twelve (12) hour training course approved by the Board before taking the certified chiropractic assistant exam. The Board will review all training courses to ensure that they are sufficient in providing adequate and competent clinical training to the applicant. The applicant will have three (3) opportunities to pass the exam. If the exam is failed three times, the applicant will be required to take another (12) hour course before he or she can retake the exam.140:30-3-3(a) · oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf · read 9 October 2026
  • (a) The supervisory chiropractic physician shall only delegate services to a certified chiropractic assistant, and other employees which services are within the scope of practice of the chiropractic physician. Such delegation may only be made in a manner consistent with the Chiropractic Practice Act or Rules.140:30-3-6(a) · oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf · read 9 October 2026
  • (b) The supervisory chiropractic physician is responsible for all acts or omissions of a certified chiropractic assistant, or other employees to whom duties are delegated.140:30-3-6(b) · oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf · read 9 October 2026
  • (e) If an applicant has a minimum of two thousand (2000) hours of full time employment as a chiropractic assistant employed by a licensed Oklahoma chiropractic physician, that applicant will be exempt from obtaining the twelve (12) hours of training prior to taking the examination the first time as required in paragraph (a) of this section.140:30-3-3(e) · oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf · read 9 October 2026
  • (f) If an applicant has taken and successfully passed the requirements to be certified in the Certified Chiropractic Assistant Program with the Federation of Chiropractic Licensing Boards, he or she shall be exempt from having to take the required certified chiropractic assistant examination offered by the Board.140:30-3-3(f) · oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf · read 9 October 2026
  • (a) Certified chiropractic assistants and other employees to whom duties are delegated by the supervisory physician shall not: (1) Perform independent examinations (2) Diagnose conditions (3) Determine or change a regimen of patient care/plan case management (4) Perform chiropractic manipulation or adjustments (5) Perform Acupuncture (6) Unlawfully disclose patient information (7) Violate any portion of the Chiropractic Practice Act or Rules140:30-3-7(a) · oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf · read 9 October 2026
Further provisions in the same documents: 140:30-1-2 (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf); 140:30-3-2 (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf); 140:30-3-3(e), second sentence (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf); 140:30-3-6(c) (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf); 140:25-3-5(8) (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf); 140:25-3-8(a) (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf); 140:30-3-4 (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf); 140:30-3-5 (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf); 140:30-3-7(b)-(d) (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf); Section 161.12(B)(4) (oklahoma.gov · Oklahoma Chiropractic Practice Act Revised 7.11.2025.pdf). Not read on 9 October 2026: www.oscn.net · DISALLOWED (robots 200, disallow:/); the board's Practice Act page names this site for the official version of the act. Not read on 9 October 2026: www.sos.ok.gov · DISALLOWED (robots 200, disallow:/); the board's Practice Act page names this site for the official rules.

Oregon

quoted Further provisions in the same documents: 811-035-0001(3) (secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=264564); 811-010-0045(3), (3)(a)-(b) (secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=296531); GUIDE TO PRACTICE & POLICY QUESTIONS (no section number printed), PG 026 (www.oregon.gov · 25-10-22_P&P.pdf); GUIDE TO PRACTICE & POLICY QUESTIONS (no section number printed), PG 045 (www.oregon.gov · 25-10-22_P&P.pdf); ORS 684.155(1)(c)-(d) (www.oregonlegislature.gov · ors684.html); 811-010-0110(1)-(5), (11)-(19) (secure.sos.state.or.us · viewSingleRule.action?ruleVrsnRsn=322253); 811-035-0015(3), (33) (secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=332456); ORS 684.100(1)(m) (www.oregonlegislature.gov · ors684.html); GUIDE TO PRACTICE & POLICY QUESTIONS (no section number printed), PG 016 (www.oregon.gov · 25-10-22_P&P.pdf); GUIDE TO PRACTICE & POLICY QUESTIONS (no section number printed), PG 061 (www.oregon.gov · 25-10-22_P&P.pdf); GUIDE TO PRACTICE & POLICY QUESTIONS (no section number printed), PG 066 (www.oregon.gov · 25-10-22_P&P.pdf); GUIDE TO PRACTICE & POLICY QUESTIONS (no section number printed), PG 067-068 (www.oregon.gov · 25-10-22_P&P.pdf).

Pennsylvania

quoted
  • Nothing in this act shall prohibit a licensed chiropractor from utilizing the assistance of unlicensed supportive personnel performing under the direct on-premises supervision of a licensed chiropractor, provided that a chiropractor may not delegate any activity or duty to such unlicensed individuals which requires formal education or training in the practice of chiropractic or the knowledge and skill of a licensed chiropractor.Section 601 · www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0 · read 9 October 2026
  • (a) Supervision; educational requirements.--On and after January 1, 1988, no auxiliary personnel shall perform radiologic procedures on the premises of a chiropractor unless such person is under the direct supervision of a chiropractor who is on the premises at the time the X-ray of the patient is taken and unless such person has passed an examination approved by the board and administered in accordance with section 812.1 of the act of April 9, 1929 (P.L.177, No.175), known as The Administrative Code of 1929.Section 522(a) · www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0 · read 9 October 2026
  • (c) Penalty.--It shall be unlawful under this act to knowingly permit radiologic procedures to be performed in violation of this section or in violation of the regulations promulgated or orders issued in accordance with this section.Section 522(c) · www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0 · read 9 October 2026
  • (d) Education and testing.--No auxiliary personnel who has or obtains a license, certificate or registration issued by, or on behalf of, a board within the Bureau of Professional and Occupational Affairs shall be required to undergo any additional education or testing pursuant to this section if radiologic procedures were included in the education or the examination which he or she was required to complete successfully in order to be eligible for such license, certificate or registration.Section 522(d) · www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0 · read 9 October 2026
  • (i) This section does not apply to a student enrolled in a chiropractic education program at a chiropractic college approved by the board in accordance with section 303, provided that:Section 521(2)(i) · www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0 · read 9 October 2026
  • (A) the student is conducting chiropractic activities as part of the curriculum established by the chiropractic college; andSection 521(2)(i)(A) · www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0 · read 9 October 2026
  • (B) the student is under the direct, immediate and personal supervision of a chiropractor licensed by the board.Section 521(2)(i)(B) · www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0 · read 9 October 2026
Further provisions in the same documents: Section 522(b) (www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0); Section 506(a)(10) (www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0); Section 521(2)(ii) (www.palegis.us · view-statute?txtType=PDF&SessYr=1986&ActNum=0188.&SessInd=0). Not read on 9 October 2026: www.pacodeandbulletin.gov · pacode?file=/secure/pacode/data/049/chapter5/chap5toc.html&d= · DISALLOWED (robots 200, disallow:/); the board's page links this address as "Regulations" (49 Pa. Code Chapter 5). Not read on 9 October 2026: www.pa.gov · chiropractic · board's own site checked; no copy of the act or rules found (its "Regulations" link leads to pacodeandbulletin.gov, refused above).

Puerto Rico

quoted
  • Se podrán anular licencias, entre otras, por cualquiera de las siguientes causas:Artículo 16 (20 L.P.R.A. § 166) · www.salud.pr.gov · 5355 · read 9 October 2026
  • (5) Por emplear, alquilar, inducir o permitir que una persona que no posee licencia ejerza la profesión.Artículo 16(5) (20 L.P.R.A. § 166) · www.salud.pr.gov · 5355 · read 9 October 2026
  • (6) Por ayudar a ejercer a una persona que no posea licencia.Artículo 16(6) (20 L.P.R.A. § 166) · www.salud.pr.gov · 5355 · read 9 October 2026
  • (e) “Supervisión y dirección” Se refiere a que un quiropráctico preceptor debe estar dentro del área inmediata de evaluación y tratamiento de un paciente, en la clínica propiamente dicha, y estar disponible para el estudiante o quiropráctico interno en todo momento.Artículo 1(e) (20 L.P.R.A. § 151) · www.salud.pr.gov · 5355 · read 9 October 2026
  • Los estudiantes matriculados en un programa de quiropráctica pueden llevar a cabo procedimientos quiroprácticos una vez hayan completado exitosamente todos los requisitos de los años preclínicos de su formación académica. Estos procedimientos solo podrán llevarse a cabo la supervisión y dirección de un quiropráctico preceptor debidamente autorizado por la Junta.Artículo 16(A)(a)(i) · www.salud.pr.gov · 5355 · read 9 October 2026
  • (g) La responsabilidad primaria del tratamiento y la programación de un paciente por parte de un estudiante recae en el quiropráctico preceptor y la institución que este representa.Artículo 16(A)(g) · www.salud.pr.gov · 5355 · read 9 October 2026
  • (h) La documentación de la programación y tratamiento del paciente y todos los cambios en la programación deben de ser revisados, aprobados y firmados por el quiropráctico preceptor.Artículo 16(A)(h) · www.salud.pr.gov · 5355 · read 9 October 2026
Further provisions in the same documents: Artículo 16(A)(b)-(d), (f) (www.salud.pr.gov · 5355); Artículo 1(d), (f) (20 L.P.R.A. § 151) (www.salud.pr.gov · 5355). Not read on 9 October 2026: www.salud.pr.gov · 4827 · scan, no text layer (28 pages; the board's page links it as "Reglamento General 9303: Junta Examinadora de Quiroprácticos de Puerto Rico"). Not read on 9 October 2026: www.salud.pr.gov · 354 · board's own site checked; no readable copy of the rules found (its only copy of Reglamento General 9303 is the scan above).

Rhode Island

quoted
  • The division of professional regulation of the department of health may, after notice and hearing, in its discretion refuse to grant the certificate provided for in this chapter to any chiropractic physician who is not of good moral character, or who has violated any of the laws of the state affecting the ability of any chiropractic physician to practice chiropractic medicine, or who has been guilty of gross unprofessional conduct or conduct of a character likely to deceive or defraud the public, and may, after notice and hearing, revoke or suspend any certificate issued or granted by it for like cause or for any fraud or deception committed in obtaining the certificate.§ 5-30-13(b) · webserver.rilegislature.gov · 5-30-13.htm · read 9 October 2026
  • “Gross unprofessional conduct” is defined as including, but not being limited to:§ 5-30-13(b) · webserver.rilegislature.gov · 5-30-13.htm · read 9 October 2026
  • (4) Knowingly performing any act that in any way aids or assists an unlicensed person to practice chiropractic medicine in violation of this chapter;§ 5-30-13(b)(4) · webserver.rilegislature.gov · 5-30-13.htm · read 9 October 2026
  • B. Chiropractic medical records shall be legible and contain the identity of the chiropractic physician or physician extender and supervising chiropractic physician by name and professional title who is responsible for rendering, ordering, supervising or billing each diagnostic or treatment procedure.17.6.5(B) · rules.sos.ri.gov · 216-40-05-17 · read 9 October 2026
Further provisions in the same documents: § 5-37-5.1(15) (webserver.rilegislature.gov · 5-37-5.1.htm); § 5-30-17 (webserver.rilegislature.gov · 5-30-17.htm). Not read on 9 October 2026: health.ri.gov · chiropractic · HTTP 403 (Cloudflare challenge page, "Just a moment..."); robots.txt answered 200; the board's chiropractic page.

South Carolina

quoted
  • Misconduct which constitutes grounds for a revocation, suspension or other restriction of a license or other discipline of a licensee shall be based upon a satisfactory showing to the board of any of the following:SECTION 40-9-90 · www.scstatehouse.gov · t40c009.php · read 8 October 2026
  • (4) That the holder of a license has knowingly performed any act which in any way assists an unlicensed person to practice chiropractic.SECTION 40-9-90(4) · www.scstatehouse.gov · t40c009.php · read 8 October 2026
  • (A) No person may practice chiropractic in this State without a license issued by the South Carolina Board of Chiropractic Examiners as provided in this chapter, except students participating in a preceptorship or residency training program may perform without a license chiropractic procedures under the direct supervision of a chiropractic preceptor.SECTION 40-9-20(A) · www.scstatehouse.gov · t40c009.php · read 8 October 2026
  • These procedures and this supervision must be practiced within the confines of the appropriate chiropractic college or office of a licensed chiropractor.SECTION 40-9-20(A) · www.scstatehouse.gov · t40c009.php · read 8 October 2026
  • A student enrolled in a preceptorship or residency training program may perform chiropractic procedures only if:SECTION 40-9-25 · www.scstatehouse.gov · t40c009.php · read 8 October 2026
  • (a) the student has met all academic requirements for graduation from an accredited chiropractic college approved by the board; andSECTION 40-9-25(a) · www.scstatehouse.gov · t40c009.php · read 8 October 2026
  • (b) the chiropractic procedures are performed only under the direct supervision of the student's chiropractic preceptor.SECTION 40-9-25(b) · www.scstatehouse.gov · t40c009.php · read 8 October 2026
Further provisions in the same documents: 25–6(B)(9) (www.scstatehouse.gov · Chapter 25.pdf); SECTION 40-9-10(e), (f), (g) (www.scstatehouse.gov · t40c009.php); SECTION 40-9-20(B) (www.scstatehouse.gov · t40c009.php). Not read on 9 October 2026: www.scstatehouse.gov · t40c009.php · error:URLError on three attempts on 2026-10-09 (TLS alert: protocol version; robots.txt answered 200); the board's laws page links this URL as Chiropractic Examiners Practice Act, Chapter 9; a capture made 2026-10-08 through the same robots reader was read. Not read on 9 October 2026: www.scstatehouse.gov · Chapter 25.pdf · error:URLError on three attempts on 2026-10-09 (TLS alert: protocol version; robots.txt answered 200); the board's laws page links this URL as Chiropractic Examiners Regulations, Chapter 25; a capture made 2026-10-08 through the same robots reader was read. Not read on 9 October 2026: llr.sc.gov · laws.aspx · board's own site checked; no copy of the act or rules found (the page links the act and the regulations on www.scstatehouse.gov).

South Dakota

quoted
  • Completion of this application is necessary for consideration for certification under South Dakota codified law chapter 36-5 and administrative .SOUTH DAKOTA CHIROPRACTIC ASSISTANT APPLICATION (no section number printed) · doh.sd.gov · chiropractic-license-application-form.pdf · read 9 October 2026
  • 3. Include a copy of the certificate of completion for the 20 hour chiropractic assistant course.SOUTH DAKOTA CHIROPRACTIC ASSISTANT APPLICATION (no section number printed) · doh.sd.gov · chiropractic-license-application-form.pdf · read 9 October 2026
  • 8. Once certified by the board, renewal fee will be $25 per year and continuing education will be 4 hours every two years ending on the odd year.SOUTH DAKOTA CHIROPRACTIC ASSISTANT APPLICATION (no section number printed) · doh.sd.gov · chiropractic-license-application-form.pdf · read 9 October 2026
  • Completion of this application is necessary for consideration for certification under South Dakota codified law chapter 36-5 and administrative rule 20:41:13.SOUTH DAKOTA CHIROPRACTIC X-RAY APPLICATION (no section number printed) · doh.sd.gov · chiropractic-radiographic-assistant-license-form.pdf · read 9 October 2026
  • 6. Once certified by the board, renewal fee will be $25.00 per year and continuing education will be 4 hours every two years ending on the odd year.SOUTH DAKOTA CHIROPRACTIC X-RAY APPLICATION (no section number printed) · doh.sd.gov · chiropractic-radiographic-assistant-license-form.pdf · read 9 October 2026
Further provisions in the same documents: Board of Chiropractic Examiners Licensing Requirements (no section number printed) (doh.sd.gov · licensing-requirements); Board of Chiropractic Examiners Preceptor Programs (no section number printed) (doh.sd.gov · preceptor-programs). Not read on 9 October 2026: sdlegislature.gov · 36-5 · JavaScript shell, no document (HTTP 200, 5,982 bytes); the board page links it as View SDCL 36-5. Not read on 9 October 2026: sdlegislature.gov · DisplayStatute.aspx?Statute=36-5&Type=StatuteChapter · JavaScript shell, no document (HTTP 200, 5,982 bytes); the department's statutes and rules page links it as SDCL 36-5. Not read on 9 October 2026: sdlegislature.gov · 20:41 · JavaScript shell, no document (HTTP 200, 5,982 bytes); the board page links it as View ARSD 20:41. Not read on 9 October 2026: sdlegislature.gov · DisplayRule.aspx?Rule=20:41 · JavaScript shell, no document (HTTP 200, 5,982 bytes); the department's statutes and rules page links it as ARSD 20:41. Not read on 9 October 2026: doh.sd.gov · chiropractic · board's own site checked; no copy of the act or rules found (the board page links SDCL 36-5 and ARSD 20:41 on sdlegislature.gov only). Not read on 9 October 2026: sdlegislature.gov · 20:41:15 · JavaScript shell, no document (HTTP 200, 5,982 bytes); chapter 20:41:15, the chapter the 2026-09 census read. Not read on 9 October 2026: sdlegislature.gov · 20:41:13 · JavaScript shell, no document (HTTP 200, 5,982 bytes); chapter 20:41:13, named on the board's x-ray application.

Tennessee

quoted
  • A chiropractor who employs unlicensed x-ray technicians and/or unlicensed therapy assistants is subject to a civil penalty of one thousand dollars ($1,000.) per such employee.BOARD POLICY ON THE EMPLOYMENT OF UNLICENSED X-RAY TECHNICIANS AND/OR UNLICENSED THERAPY ASSISTANTS (no section number printed) · www.tn.gov · Chiro_Policy32107.pdf · read 9 October 2026
  • However, applicable law prohibits an individual from working as a Chiropractic Therapy Assistant (CTA) or Chiropractic X-Ray Technician (CXT) unless he/she has an active license.LAPSED LICENSE POLICY FOR CHIROPRACTIC THERAPY ASSISTANTS AND CHIROPRACTIC X-RAY TECHNOLOGISTS (no section number printed) · www.tn.gov · CHIRO_LAPSED_LICENSE_POLICY_-_CTA_CXT.pdf · read 9 October 2026
  • Interns completing a preceptorship shall function under direct supervision of the sponsoring chiropractic physician and the scope of practice shall mirror the scope of the sponsoring physician.POLICY STATEMENT ON PRECEPTORSHIPS (no section number printed) · www.tn.gov · Policy_Statement_on_Preceptorships.pdf · read 9 October 2026
  • 6. The scope of practice for the extern shall parallel the scope of practice for the primary supervising chiropractor.Chiropractic Physician Externship (Temporary Licensure) 6. · www.tn.gov · Chiropractic_Physician_Externship_Policy.pdf · read 9 October 2026
  • 7. Supervision means oversight and availability in the clinic of the extern’s supervisor.Chiropractic Physician Externship (Temporary Licensure) 7. · www.tn.gov · Chiropractic_Physician_Externship_Policy.pdf · read 9 October 2026
  • All chart notes shall be dually signed by the extern and the supervisor.Chiropractic Physician Externship (Temporary Licensure) 7. · www.tn.gov · Chiropractic_Physician_Externship_Policy.pdf · read 9 October 2026
  • 8. Supervisor shall not supervise more than 3 externs.Chiropractic Physician Externship (Temporary Licensure) 8. · www.tn.gov · Chiropractic_Physician_Externship_Policy.pdf · read 9 October 2026
  • Supervisor shall provide a quarterly report to the board on the state approved form.Chiropractic Physician Externship (Temporary Licensure) 8. · www.tn.gov · Chiropractic_Physician_Externship_Policy.pdf · read 9 October 2026
Further provisions in the same documents: BOARD POLICY ON THE EMPLOYMENT OF UNLICENSED X-RAY TECHNICIANS AND/OR UNLICENSED THERAPY ASSISTANTS (www.tn.gov · Chiro_Policy32107.pdf); Chiropractic Physician Externship (Temporary Licensure) 7. (www.tn.gov · Chiropractic_Physician_Externship_Policy.pdf). Not read on 9 October 2026: publications.tnsosfiles.com · 0260.htm · HTTP 403 (CloudFront "Request blocked"; robots.txt answered 403); the board page links it for Rules and Regulations. Not read on 9 October 2026: www.lexisnexis.com · tncode · JavaScript shell, no document (HTTP 200, 3,702 bytes); the board page links it for the Tennessee Code. Not read on 9 October 2026: www.tn.gov · ceb.html · board's own site checked; it publishes the 2017 rulemaking filing SS-7039 (a scan with an OCR text layer) carrying the amended text of rules 0260-02-.01, .02, .12, .13, .21 and .24 and selected pages of chapter 0260-02; no copy of the full chapter or of T.C.A. title 63 chapter 4 found. Not read on 9 October 2026: www.tn.gov · CXT.exam.policy.pdf · scan, no text layer (HTTP 200); the board page links it as CXT examination policy. Not read on 9 October 2026: www.tn.gov · updated.ctacxt.policy.pdf · scan, no text layer (HTTP 200); the board page links it as New Licensee CE Requirement Policy 2024. Not read on 9 October 2026: www.tn.gov · Chiro_Clinical_Internship_Performance_RPT.Log.pdf · scan, no text layer (HTTP 200); the board page links it as CTAs/CXTs Clinical Internship Supervision Hours Report and Log Sheet - 8.15.2017. Not read on 9 October 2026: www.tn.gov · 7039_as_signed_by_Secretary.pdf · scan; text layer is OCR (HTTP 200); the board page links it as Scope of Practice, Continuing Education, Professional Ethics, Chiropractic Prece...; it carries the 2017 amended text of rules 0260-02-.01, .02, .12, .13, .21 and .24 and selected pages of chapter 0260-02.

Texas

quoted
  • Sec. 201.451. DELEGATION TO ASSISTANTS. (a) The board by rule shall establish guidelines relating to the tasks and procedures that a chiropractor may delegate to an assistant.Sec. 201.451(a) · tcss.legis.texas.gov · OC.201.htm · read 9 October 2026
  • (b) A chiropractor who delegates a task or procedure under this section retains full responsibility for the task or procedure.Sec. 201.451(b) · tcss.legis.texas.gov · OC.201.htm · read 9 October 2026
  • (c) The board shall implement any federal and state requirements relating to radiologic training of the employees of a chiropractor.Sec. 201.452(c) · tcss.legis.texas.gov · OC.201.htm · read 9 October 2026
  • (c) This section does not affect or prevent a student enrolled in a college of chiropractic in this state from engaging in all phases of clinical practice if the practice is:Sec. 201.003(c) · tcss.legis.texas.gov · OC.201.htm · read 9 October 2026
  • (1) part of the curriculum; andSec. 201.003(c)(1) · tcss.legis.texas.gov · OC.201.htm · read 9 October 2026
  • (2) conducted under the supervision of a licensed chiropractor or a licensed physician.Sec. 201.003(c)(2) · tcss.legis.texas.gov · OC.201.htm · read 9 October 2026
  • Sec. 201.5025. PROHIBITED PRACTICES BY CHIROPRACTOR OR LICENSE APPLICANT. (a) A chiropractor or an applicant for a license to practice chiropractic commits a prohibited practice if that person:Sec. 201.5025(a) · tcss.legis.texas.gov · OC.201.htm · read 9 October 2026
  • (7) directly or indirectly aids or abets the practice of chiropractic by a person that is not licensed to practice chiropractic by the board.Sec. 201.5025(a)(7) · tcss.legis.texas.gov · OC.201.htm · read 9 October 2026
Further provisions in the same documents: Sec. 201.452 (tcss.legis.texas.gov · OC.201.htm); Sec. 201.5026(a)(4), (a)(5) (tcss.legis.texas.gov · OC.201.htm); Sec. 201.502(a)(10) (tcss.legis.texas.gov · OC.201.htm). Not read on 9 October 2026: texas-sos.appianportalsgov.com · rules-and-meetings?interface=VIEW_TAC · JavaScript shell, no document; the Secretary of State's Texas Administrative Code page links this viewer for the current code, which holds the board's rules, 22 TAC Part 3. Not read on 9 October 2026: texas-sos.appianportalsgov.com · rules-and-meetings?interface=SEARCH_TAC · JavaScript shell, no document; linked from the Secretary of State's Texas Administrative Code page as Search the Texas Administrative Code. Not read on 9 October 2026: tbce.texas.gov · DISALLOWED (robots 200, disallow:/); the board's own site, checked once in the board-copy pass. Not read on 9 October 2026: www.tbce.state.tx.us · DISALLOWED (robots 200, disallow:/).

Utah

quoted
  • (3) "Chiropractic assistant" means an individual who performs activities related to the practice of chiropractic under the supervision of a licensed chiropractic physician in accordance with division rule established in collaboration with the board.58-73-102(3) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
  • (3) In addition to the exemptions provided in Subsections (1) and (2), a chiropractic assistant while working under the supervision of a licensed chiropractic physician is exempt from licensure under this chapter to the extent the chiropractic assistant is engaged in tasks appropriately delegated by the supervisor in accordance with the standards and ethics of the practice of chiropractic and division rule established in collaboration with the board.58-73-304(3) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
  • (2) With regard to Subsections 58-1-307(1)(b) and (c), the only exemption from licensure permitted is a preceptorship which may permit a student to engage in acts or practices included within the definition of the practice of chiropractic, while:58-73-304(2) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
  • (a) performing the duties and activities which are part of the approved program of education and training of a college or university accredited by the Council on Chiropractic Education; and58-73-304(2)(a) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
  • (b) under a form of supervision approved by the division.58-73-304(2)(b) · le.utah.gov · C58-73_1800010118000101.pdf · read 9 October 2026
  • (1) "Unlawful conduct" means conduct, by any person, that is defined as unlawful under this title and includes when the person:58-1-501(1) · le.utah.gov · C58-1-P5_1800010118000101.pdf · read 9 October 2026
  • (c) knowingly employs any other person to practice or engage in or attempt to practice or engage in any profession licensed under this title if the employee is not licensed to do so under this title;58-1-501(1)(c) · le.utah.gov · C58-1-P5_1800010118000101.pdf · read 9 October 2026
Further provisions in the same documents: 58-1-501.8(5) (le.utah.gov · C58-1-P5_1800010118000101.pdf). Not read on 9 October 2026: adminrules.utah.gov · Current Rules · 404; the board's Laws and Rules page links this address for R156-73. Not read on 9 October 2026: adminrules.utah.gov · Current Rules · 404; the board's Laws and Rules page links this address for R156-1. Not read on 9 October 2026: dopl.utah.gov · laws-and-rules · board's own site checked; no copy of the act or rules found. Not read on 9 October 2026: commerce.utah.gov · laws-and-rules · board's own site checked; no copy of the act or rules found; the same link list as the dopl.utah.gov address.

Vermont

quoted
  • (c) “Direct supervision” means: a chiropractor agrees to procedures or treatment performed by appropriate personnel by being physically present at the chiropractic facility for consultation or intervention.1.2(c) · outside.vermont.gov · chiropractic_administrative_rules.pdf · read 9 October 2026
  • A student enrolled in a chiropractic college approved by the Board, who has completed three years of the curriculum, may work as a chiropractic intern provided he or she is registered with the Board. A registered intern shall work under the direct supervision of a licensed chiropractor. An intern may perform activities delegated to him or her by the supervising chiropractor, including the activities described in subdivision 521(3) of this title, provided that a licensed chiropractor observes all such activities. The supervising chiropractor shall be legally liable for such activities performed by the intern.§ 536 · legislature.vermont.gov · 010 · read 9 October 2026
  • (a) An intern may perform activities delegated to him or her by the supervising chiropractor, including the activities described in subdivision 521(3) of title 26 under the direct supervision of the chiropractor.4.4(a) · outside.vermont.gov · chiropractic_administrative_rules.pdf · read 9 October 2026
  • (a) In addition to any other provision of law, the following conduct by a licensee constitutes unprofessional conduct. When that conduct is by an applicant or person who later becomes an applicant, it may constitute grounds for denial of a license or other disciplinary action. Any one of the following items or any combination of items, whether the conduct at issue was committed within or outside the State, shall constitute unprofessional conduct:3 V.S.A. § 129a(a) · legislature.vermont.gov · 00129a · read 9 October 2026
  • (6) Delegating professional responsibilities, including the delivery of health care services, to a person whom the licensed professional knows, or has reason to know, is not qualified by training, experience, education, or licensing credentials to perform them, or knowingly providing professional supervision or serving as a preceptor to a person who has not been licensed or registered as required by the laws of that person’s profession.3 V.S.A. § 129a(a)(6) · legislature.vermont.gov · 00129a · read 9 October 2026
  • (c) A person shall not work as a chiropractic intern unless he or she is registered as required by this chapter.§ 522(c) · legislature.vermont.gov · 010 · read 9 October 2026
  • Unprofessional conduct means the following conduct and the conduct set forth in 3 V.S.A. § 129a:§ 541 · legislature.vermont.gov · 010 · read 9 October 2026
  • (8) Practicing chiropractic with a chiropractor who is not legally practicing within the State, or aiding or abetting that person in the practice of chiropractic.§ 541(8) · legislature.vermont.gov · 010 · read 9 October 2026
Further provisions in the same documents: 4.1 (outside.vermont.gov · chiropractic_administrative_rules.pdf); 4.2 (outside.vermont.gov · chiropractic_administrative_rules.pdf).

Virginia

quoted
  • A. The provisions of this chapter shall not prevent or prohibit:§ 54.1-2901 A · law.lis.virginia.gov · chapter29 · read 9 October 2026
  • 6. Any practitioner licensed or certified by the Board from delegating to personnel supervised by him, such activities or functions as are nondiscretionary and do not require the exercise of professional judgment for their performance and which are usually or customarily delegated to such persons by practitioners of the healing arts, if such activities or functions are authorized by and performed for such practitioners of the healing arts and responsibility for such activities or functions is assumed by such practitioners of the healing arts;§ 54.1-2901 A 6 · law.lis.virginia.gov · chapter29 · read 9 October 2026
  • A. No practitioner shall:18VAC85-20-29 A · law.lis.virginia.gov · chapter20 · read 9 October 2026
  • 1. Knowingly allow subordinates to jeopardize patient safety or provide patient care outside of the subordinate's scope of practice or area of responsibility. Practitioners shall delegate patient care only to subordinates who are properly trained and supervised;18VAC85-20-29 A 1 · law.lis.virginia.gov · chapter20 · read 9 October 2026
  • A. The Board may refuse to issue a certificate or license to any applicant; reprimand any person; place any person on probation for such time as it may designate; impose a monetary penalty or terms as it may designate on any person; suspend any license for a stated period of time or indefinitely; or revoke any license for any of the following acts of unprofessional conduct:§ 54.1-2915 A · law.lis.virginia.gov · chapter29 · read 9 October 2026
  • 11. Aiding or abetting, having professional connection with, or lending his name to any person known to him to be practicing illegally any of the healing arts;§ 54.1-2915 A 11 · law.lis.virginia.gov · chapter29 · read 9 October 2026
Further provisions in the same documents: § 54.1-2956.8:1 (law.lis.virginia.gov · chapter29).

Washington

quoted
  • "Auxiliary staff" means personnel, except regular senior students and clinical postgraduate trainees, who receive ongoing on-the-job training and who work for or at the direction of a licensed doctor of chiropractic.WAC 246-808-510 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
  • "Direct supervision" and "direct supervision and control" means a licensed chiropractor is on the premises and immediately available, and has examined the patient prior to delegating duties to auxiliary staff, regular senior students, or clinical postgraduate trainees.WAC 246-808-510 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
  • (1) A licensed chiropractor may delegate certain services to auxiliary staff, regular senior students, and clinical postgraduate trainees, if these services are performed under the licensed chiropractor's direct supervision and control. The supervising chiropractor shall be responsible for determining that auxiliary staff, regular senior students, and clinical postgraduate trainees are competent to perform the delegated services. The licensed supervising chiropractor must render adequate supervision so that the patient's health and safety is not at risk.WAC 246-808-535 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
  • (2) Auxiliary staff shall not perform the following services:WAC 246-808-535 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
  • (b) Adjustment or manipulation of the articulations of the body;WAC 246-808-535 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
  • (5) Auxiliary staff, regular senior students, and clinical postgraduate trainees may perform the following auxiliary services: Preliminary patient history, height, weight, temperature, blood pressure, pulse rate, gross postural observation, active spinal range of motion utilizing a generally accepted measuring device, and oversight of patients during approved therapeutic procedures, rehabilitation exercises or use of therapeutic or rehabilitation equipment as incident to chiropractic services.WAC 246-808-535 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
  • (1) A licensed chiropractor shall employ only chiropractors or chiropractic X-ray technicians to operate X-ray equipment.WAC 246-808-205 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
  • While the rulemaking process is ongoing, the Commission is adopting this Policy Statement to make clear that, although inconsistent with the current rules, a regular senior student in an accredited and approved school of chiropractic may administer a chiropractic adjustment if the student has submitted a completed application with the Commission and passed the Commission’s jurisprudence examination.Policy Statement Number: CH-9-12-19 · doh.wa.gov · CH-9-12-19 -SeniorStudentsandPreceptorships.pdf · read 9 October 2026
Further provisions in the same documents: WAC 246-808-535 (app.leg.wa.gov · default.aspx?cite=246-808&full=true); RCW 18.25.180 (app.leg.wa.gov · default.aspx?cite=18.25&full=true); Policy Statement Number: CH-9-12-19 (doh.wa.gov · CH-9-12-19 -SeniorStudentsandPreceptorships.pdf); RCW 18.130.180 (app.leg.wa.gov · default.aspx?cite=18.130.180); WAC 246-808-205 (app.leg.wa.gov · default.aspx?cite=246-808&full=true); WAC 246-808-207 (app.leg.wa.gov · default.aspx?cite=246-808&full=true); WAC 246-808-209 (app.leg.wa.gov · default.aspx?cite=246-808&full=true); WAC 246-808-211 (app.leg.wa.gov · default.aspx?cite=246-808&full=true); WAC 246-808-203 (app.leg.wa.gov · default.aspx?cite=246-808&full=true); WAC 246-808-190 (app.leg.wa.gov · default.aspx?cite=246-808&full=true); RCW 18.25.190 (app.leg.wa.gov · default.aspx?cite=18.25&full=true).

West Virginia

quoted
  • (a) Any chiropractor who has complied with the provisions of this article may use any instrument or procedure, for the purpose of diagnosis and analysis of disease or abnormalities: Provided, That the person is trained to perform the procedures and use the instruments through a chiropractic college approved by the counsel on chiropractic education or its successor. Any chiropractor properly qualified under this article may engage in the use of physiotherapeutic devices, physiotherapeutic modalities, physical therapy and physical therapy techniques. Licensed chiropractors may also employ properly trained chiropractic assistants to perform duties under supervision that are generally conducted by chiropractic assistants which are not otherwise prohibited by the board. The board shall propose and promulgate rules in accordance with the provisions governing legislative rules, contained in article three, chapter twenty-nine-a of this code governing chiropractic assistants, including, but not limited to, minimum qualifications, scope of practice, and supervision requirements. A licensed chiropractor may not engage in conduct outside this scope and beyond his or her training and knowledge.§30-16-18 · code.wvlegislature.gov · 30-16 · read 9 October 2026
  • (a) The board may take disciplinary action against any licensee or certificate holder holding a license or certificate issued under this article after giving reasonable notice and an opportunity to be heard pursuant to the provisions of section one, article five, chapter twenty-nine-a of this code, when it finds that any person has engaged in conduct in violation of the rules adopted by the board, including, but not limited to, the following:§30-16-11 · code.wvlegislature.gov · 30-16 · read 9 October 2026
  • (14) Aiding or abetting the practice of chiropractic by an unlicensed, incompetent or impaired person;§30-16-11 · code.wvlegislature.gov · 30-16 · read 9 October 2026
  • (15) Allowing another person or organization to use his or her license to practice chiropractic;§30-16-11 · code.wvlegislature.gov · 30-16 · read 9 October 2026
  • Licensed chiropractors may also employ properly trained chiropractic assistants to perform duties, under supervision, that are generally conducted by chiropractic assistants which are not otherwise prohibited by the Board.Info for Chiropractors (no section number printed) · boc.wv.gov · info-for-chiropractors.html · read 9 October 2026
Not read on 9 October 2026: apps.sos.wv.gov · readfile.aspx?DocId=25612&Format=PDF · scan, no text layer (4-01 Regulation of Chiropractic Practice, Secretary of State final file, ten pages). Not read on 9 October 2026: boc.wv.gov · 4.01._regulation_of_chiropractic_practice.pdf · scan, no text layer (the board's own copy of 4.01 Regulation of Chiropractic Practice, ten pages). Not read on 9 October 2026: apps.sos.wv.gov · readfile.aspx?DocId=25612&Format=WP · WordPerfect file; the capture tool reads no text from it (4-01 Regulation of Chiropractic Practice, Secretary of State final file).

Wisconsin

quoted
  • (a) Except as provided in pars. (b) and (d) , a chiropractor who is licensed under this chapter may delegate to a person who is not licensed under this chapter the performance of adjunctive services if the services are performed by any of the following under the direct, on-premises supervision of the chiropractor:446.02(7)(a) · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
  • 1. A chiropractic technician.446.02(7)(a)1. · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
  • 2. A health care professional.446.02(7)(a)2. · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
  • 3. An individual who has completed a training program for medical assistants accredited by the National Commission for Certifying Agencies, a national or state medical association, or another entity approved by the examining board.446.02(7)(a)3. · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
  • (b) A chiropractor may not delegate to a person who is not licensed under this chapter the making of a diagnosis, the performance of a chiropractic adjustment, the analysis of a diagnostic test or clinical information or any practice or service that the examining board, by rule, prohibits a chiropractor from delegating to a person who is not licensed under this chapter.446.02(7)(b) · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
  • (c) A chiropractor who delegates the performance of a service that is adjunctive to the practice of chiropractic to a person who is not licensed under this chapter shall verify, according to standards and procedures established by the examining board by rule, that the person has adequate education, training and experience to perform the delegated service safely, and is responsible for that person’s performance of the delegated service.446.02(7)(c) · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
  • (9) No license under this chapter is required for any of the following:446.02(9) · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
  • (a) A student or graduate of a college of chiropractic who practices chiropractic, in a program for the clinical training of students and graduates that is reviewed and approved by the examining board, under the supervision of a chiropractor who is approved by the examining board to supervise the clinical training of the student or graduate and who is licensed under this chapter and is responsible for the student’s or graduate’s practice in an infirmary, clinic, hospital or private chiropractic office that is connected or associated for training purposes with a college of chiropractic approved by the examining board.446.02(9)(a) · docs.legis.wisconsin.gov · 446.02 · read 9 October 2026
Further provisions in the same documents: 446.02(7)(d) (docs.legis.wisconsin.gov · 446.02); 446.02(9)(d) (docs.legis.wisconsin.gov · 446.02); 446.025 (docs.legis.wisconsin.gov · 446.025); 446.026 (docs.legis.wisconsin.gov · 446.026); Chir 10.01 (docs.legis.wisconsin.gov · ch. Chir 10); Chir 10.015 (docs.legis.wisconsin.gov · ch. Chir 10); Chir 10.02 (docs.legis.wisconsin.gov · ch. Chir 10); Chir 10.023 (docs.legis.wisconsin.gov · ch. Chir 10); Chir 10.024 (docs.legis.wisconsin.gov · Chir 10.024); Chir 10.025 (docs.legis.wisconsin.gov · ch. Chir 10); Chir 10.03 (docs.legis.wisconsin.gov · Chir 10.03); Chir 9.02 (docs.legis.wisconsin.gov · ch. Chir 9.pdf); Chir 6.02(16), (17) (docs.legis.wisconsin.gov · Chir 6.02).

Wyoming

quoted Further provisions in the same documents: 33-10-110(a)(xv) (www.wyoleg.gov · title33.pdf); Chapter 10, Section 4 (rules.wyo.gov · DownloadFile.aspx?source_id=21749&source_type_id=81&doc_type_id=110&include_meta_data=Y&file_type=pdf&filename=21749.pdf&token=042225008032252224208036127131024031107241080247); Chapter 7, Section 2(l) (rules.wyo.gov · DownloadFile.aspx?source_id=21750&source_type_id=81&doc_type_id=110&include_meta_data=Y&file_type=pdf&filename=21750.pdf&token=246160141183051132037043153041031241015085028121); Chapter 11, Section 2(a)(iv) (rules.wyo.gov · DownloadFile.aspx?source_id=21742&source_type_id=81&doc_type_id=110&include_meta_data=Y&file_type=pdf&filename=21742.pdf&token=091221103184091248141176225030187197016006191176); 33-10-110(a)(viii) (www.wyoleg.gov · title33.pdf). Not read on 9 October 2026: docs.google.com · edit · JavaScript shell, no document (Wyoming Chiropractic Practice Guide, linked from the board's Practice Guidance page as "Wyoming Practice Guidance").

The jurisdiction is the authority on everything here. These pages quote what the statute, the rules and the board publish and the date we read them; they do not interpret it. Laws and rules change. Confirm anything you intend to act on with the board.