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Delaware: the business of practice

What Delaware’s statute, administrative rules and chiropractic board publish on eight topics of running a practice, quoted as published, each with its citation as printed, its source and the date we read it. Read on 9 October 2026.

Advertising · Titles and claims · Prepaid care and financial arrangements · Discounts, free services and inducements · Record retention · Assistants and delegation · Corporate practice and ownership · Telehealth

1. Advertising

quoted Further provisions in the same documents: § 711(b)(3) (delcode.delaware.gov · index.html); 6.2.2 (regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11).

2. Titles and claims

quoted
  • (a) No person shall represent himself or herself to the public as a doctor of chiropractic, or display any sign or advertise in any manner as being a doctor of chiropractic or chiropractic physician without first obtaining from the Board the license or licenses required under this chapter.§ 713(a) · delcode.delaware.gov · index.html · read 9 October 2026
  • (4) “Chiropractor” or “doctor of chiropractic” or “chiropractic physician” means an individual licensed to practice chiropractic under this chapter.§ 701(a)(4) · delcode.delaware.gov · index.html · read 9 October 2026
  • (7) Practice of chiropractic under a false or assumed name;§ 711(b)(7) · delcode.delaware.gov · index.html · read 9 October 2026
  • Unprofessional Conduct in Advertising. Any Licensee who advertises or holds out to the public that he or she is a specialist in any specific chiropractic or adjunctive procedure without having a valid current certification as having special training and/or certification in such procedure or procedures from a recognized certification body is guilty of unprofessional conduct.6.1 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026
  • Willful failure to identify licensee as a Doctor of Chiropractic, Chiropractor or Chiropractic Physician.6.2.4 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026
  • Students performing chiropractic procedures at a location other than the premises of the chiropractic college at which the student is enrolled and under the supervision and direction of a Chiropractic Preceptor shall be known as "Chiropractic Interns" and shall not represent themselves to the public as licensed Chiropractors or use terms such as "Chiropractor", "Doctor of Chiropractic" or "D.C."1.3.3 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026

3. Prepaid care and financial arrangements

not found Not found in what we read on 9 October 2026. Pages read: delcode.delaware.gov · index.html · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · dpr.delaware.gov · chiropractic · dpr.delaware.gov · newlicense · dpr.delaware.gov · faqs · dpr.delaware.gov · chiropractic-interstate-telehealth-registration. Searched the text of 24 Del. C. chapter 7, the board's regulation 700 (sections 1.0 to 9.0, amendment history ending 21 DE Reg. 902 (05/01/18)) and the board's home, licensure, FAQ and telehealth-registration pages for prepa, prepaid, advance, care plan, package, contract, refund, unearned, financing and escrow; the hits concern student-loan repayment (1.3.4.3), fee division (§ 711(b)(17)) and insurance contracts (§ 716), not patient payment for future care. Absence in what we read is not absence in the jurisdiction's law. Absence in what we read is not absence in the jurisdiction’s law.

4. Discounts, free services and inducements

quoted
  • (17) Engaging directly or indirectly in the division, transferring, signing, rebating or refunding of fees received for professional services or profiting by means of a credit or other valuable consideration such as wages, an unearned commission, discount or gratuity with any person who referred a patient, or with any relative or business associate of the referring person. Nothing in this paragraph shall be construed as prohibiting the members of any regularly or properly organized entity recognized under Delaware law and comprised solely of chiropractors from making any division of their total fees among themselves as they determine by contract necessary to defray their joint operating costs. This paragraph shall not apply to chiropractic positions held by chiropractors employed by or contracted with a Delaware licensed medical doctor or doctor of osteopathy that works in the State a minimum of 10 hours per week. It will also not apply to any Delaware-licensed hospitals. The estate of a licensed chiropractor shall have 1 year to divest of the chiropractic business.§ 711(b)(17) · delcode.delaware.gov · index.html · read 9 October 2026
  • Offering free or discounted examinations unless all charges associated with such examinations, including all x-ray fees and charges, are conspicuously set out in writing at the time of and in conjunction with such offer and unless such examinations are offered regardless of the availability of insurance coverage of any recommended subsequent treatment.6.2.2 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026
Further provisions in the same documents: § 711(b)(15) (delcode.delaware.gov · index.html).

5. Record retention

quoted
  • Patient records must be retained by the Chiropractor or arrangements made for the maintenance and retention of patient records for seven (7) years from the date of the last treatment.5.1 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026
  • Whenever a patient changes from the care of one Chiropractor to another Chiropractor and upon the request of either the new Chiropractor or the patient the previous Chiropractor (a) may charge for the reasonable expenses of copying the patient's records and upon receiving payment for such expenses, shall transfer the patient's records to the new Chiropractor, or (b) if there is no copying charge, shall transfer the records of the patient to the new Chiropractor, within a reasonable time frame. Alternatively, if the patient and new Chiropractor agree, the Chiropractor may forward to the new Chiropractor a summary of the patient's records in lieu of the entire record at no charge to the patient. If a patient changes care from one Chiropractor to another Chiropractor, and fails to notify the previous Chiropractor or leaves the care of the previous Chiropractor for a period of 7 years from the date of the last treatment and fails to notify the previous Chiropractor, or fails to request the transfer of records to the new Chiropractor, then the previous Chiropractor shall maintain said records for a period of 7 years from the date of last treatment, after which time the records may be permanently disposed of in a manner that ensures confidentiality of the records.5.2 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026
  • This rule shall not apply to a Chiropractor who has seen or treated a patient on referral from another Chiropractor and who has provided a record of the diagnosis or treatment to another chiropractor, hospital or agency which has provided treatment for the patient.5.3 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026
  • A Chiropractor or the personal representative of the estate of a Chiropractor who disposes of patient records in accordance with the provisions of this rule is not liable for any direct or indirect loss suffered as a result of the disposal of a patient's records.5.4 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026
  • Any licensee who seeks to be placed on inactive status or who is terminating his or her practice in this State or who is leaving this State and is not transferring his or her records to another chiropractor shall notify the Board in writing and notify all patients treated within the last three (3) years by publication in a newspaper of general circulation throughout the State of Delaware and offer to make the patients records available to the patient or his or her duly authorized representative. Except in an emergency situation where as much notice as is reasonably possible shall be given, the notice by publication shall be made at least ninety (90) days prior to termination of the practice or leaving the State and must be published at least 3 times over this ninety (90) day period and must explain how a patient can procure his or her patient records. All patients who have not requested their records thirty (30) days prior to the termination of the licensee's practice or the licensee leaving the State shall be notified by first class mail by the licensee to permit patients to procure their records. Any patient records that have not been procured within 7 years after the licensee terminates his or her practice or leaves the State may be permanently disposed of in a manner that ensures confidentiality of the records.4.1 · regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11 · read 9 October 2026
  • (d) The person licensed under this chapter that provides outpatient treatment to a minor pursuant to this section shall, contemporaneously with such treatment, note in the child’s medical record the name of each person present when such treatment is being provided.§ 719(d) · delcode.delaware.gov · index.html · read 9 October 2026
Further provisions in the same documents: 2.0 (regulations.delaware.gov · bf4de29d-3dcf-4484-8f28-43027a663b11).

6. Assistants and delegation

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).

7. Corporate practice and ownership

quoted
  • (17) Engaging directly or indirectly in the division, transferring, signing, rebating or refunding of fees received for professional services or profiting by means of a credit or other valuable consideration such as wages, an unearned commission, discount or gratuity with any person who referred a patient, or with any relative or business associate of the referring person. Nothing in this paragraph shall be construed as prohibiting the members of any regularly or properly organized entity recognized under Delaware law and comprised solely of chiropractors from making any division of their total fees among themselves as they determine by contract necessary to defray their joint operating costs. This paragraph shall not apply to chiropractic positions held by chiropractors employed by or contracted with a Delaware licensed medical doctor or doctor of osteopathy that works in the State a minimum of 10 hours per week. It will also not apply to any Delaware-licensed hospitals. The estate of a licensed chiropractor shall have 1 year to divest of the chiropractic business.§ 711(b)(17) · delcode.delaware.gov · index.html · read 9 October 2026

8. Telehealth

Shown only where the jurisdiction publishes a provision specific to chiropractic.

quoted Further provisions in the same documents: § 6002 (delcode.delaware.gov · c060); § 6003 (delcode.delaware.gov · c060).

Documents read for this entry

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.