← The business of practice, every jurisdiction · Kentucky licensure
What Kentucky’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
No licensed doctor of chiropractic shall advertise or hold himself out to the public in any manner which is false, deceptive, misleading, or as being especially qualified or advanced in any branch of the practice of chiropractic except as certified by the board.312.021(1) · apps.legislature.ky.gov · statute.aspx?id=30764 · read 9 October 2026
Charges may be preferred by the board against the holder of a license to practice chiropractic in this state on any of the following grounds:312.150(1) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
That the licensee solicits or advises patients utilizing false, deceptive, or misleading statements or information;312.150(1)(d) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
A licensee shall not advertise the licensee's services except as provided by 201 KAR 21:065.201 KAR 21:015 Section 1(1) · apps.legislature.ky.gov · 015 · read 9 October 2026
A licensee may advertise chiropractic services through any medium if the advertisement is not false, deceptive, or misleading.201 KAR 21:065 Section 1 · apps.legislature.ky.gov · 065 · read 9 October 2026
A written advertisement may be sent or delivered to an individual addressee only if it is not prompted or precipitated by a specific event or occurrence involving or relating to the addressee or addressees as distinct from the general public.201 KAR 21:065 Section 3(1) · apps.legislature.ky.gov · 065 · read 9 October 2026
Telemarketing shall be permitted only if the telemarketing is nontargeted, taken from a general list of phone numbers, and if not violating the state's no-call provisions.201 KAR 21:015 Section 1(6)(a) · apps.legislature.ky.gov · 015 · read 9 October 2026
The licensee shall be held responsible for the content of any contact made by a telemarketer, agent, employee, or contractor representing the chiropractor.201 KAR 21:015 Section 1(6)(b) · apps.legislature.ky.gov · 015 · read 9 October 2026
No person shall engage or attempt to engage in the practice of chiropractic or hold himself out to be a doctor of chiropractic in Kentucky unless licensed in accordance with the provisions of this chapter.312.018(1) · apps.legislature.ky.gov · statute.aspx?id=48725 · read 9 October 2026
The provisions of subsection (1) of this section shall not apply to volunteer health practitioners providing services under KRS 39A.350 to 39A.366.312.018(2) · apps.legislature.ky.gov · statute.aspx?id=48725 · read 9 October 2026
Advertisement of chiropractic specialties shall include the word "chiropractic" with any specialty designation and conform to the standards established in 201 KAR Chapter 21.201 KAR 21:045 Section 4(1) · apps.legislature.ky.gov · 045 · read 9 October 2026
Any designation or certification not recognized by the board may only be advertised if:201 KAR 21:045 Section 4(2) · apps.legislature.ky.gov · 045 · read 9 October 2026
The designation or certification is not abbreviated, but is written out;201 KAR 21:045 Section 4(2)(a) · apps.legislature.ky.gov · 045 · read 9 October 2026
The certifying or conferring college, university, or organization is named; and201 KAR 21:045 Section 4(2)(b) · apps.legislature.ky.gov · 045 · read 9 October 2026
Proof of attainment of the advertised designation or certification is on file at the board office.201 KAR 21:045 Section 4(2)(c) · apps.legislature.ky.gov · 045 · read 9 October 2026
If the word "chiropractic" is not included in the name of the business, then the advertisement shall contain the name of at least one (1) doctor in the office and clearly identify them as a doctor of chiropractic, or clearly state in some manner that the office is a chiropractic office. Words or letters designating the particular doctor degree held by the chiropractor. "D.C." shall designate a doctor of chiropractic.201 KAR 21:065 Section 1(1)(b) · apps.legislature.ky.gov · 065 · read 9 October 2026
Unprofessional conduct shall include any departure or the failure to conform to the minimal standards of acceptable chiropractic practice or the willful or careless disregard for the health, welfare, or safety of patients, in any of which cases proof of actual injury need not be established. Unprofessional conduct shall include, but not be limited to, the following acts of a chiropractor:312.150(2) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
Directly or indirectly engaging in threatening, dishonest, or misleading fee collection techniques, including having patients enter into a contract for a course of treatment;312.150(2)(d) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
1. May I offer a prepayment option to a patient for a course of treatment?Frequently Asked Questions (no section number printed) · kbce.ky.gov · FAQ Document.pdf · read 9 October 2026
No. It is unprofessional conduct to charge a patient for services not rendered and may be grounds for disciplinary action. KRS 312.150(2)(c); KRS 312.150(1)(f).Frequently Asked Questions (no section number printed) · kbce.ky.gov · FAQ Document.pdf · read 9 October 2026
2. May I offer patients a contract for a course of treatment?Frequently Asked Questions (no section number printed) · kbce.ky.gov · FAQ Document.pdf · read 9 October 2026
No. It is unprofessional conduct to have a patient enter into a contract for a course of treatment and may be grounds for disciplinary action. KRS 312.150(2)(d); KRS 312.150(1)(f).Frequently Asked Questions (no section number printed) · kbce.ky.gov · FAQ Document.pdf · read 9 October 2026
In order to be effective, the notice of rescission shall be given by the consumer to the chiropractor within seventy-two (72) hours of the completion of the advertised free or discounted service or agreement to submit to a series or course of treatments.201 KAR 21:065 Section 2(3)(a) · apps.legislature.ky.gov · 065 · read 9 October 2026
Within ten (10) days of a notice of rescission, the chiropractor shall tender to the consumer any payment made by the consumer prior to the rescission for an unadvertised service performed.201 KAR 21:065 Section 2(2)(a) · apps.legislature.ky.gov · 065 · read 9 October 2026
Division of a professional fee shall not be made, except upon the basis of actual services rendered.201 KAR 21:015 Section 1(4)(a) · apps.legislature.ky.gov · 015 · read 9 October 2026
Unless prohibited by law, each licensed chiropractor of a business entity shall be allowed to pool or apportion fees received in accordance with a business agreement.201 KAR 21:015 Section 1(4)(b) · apps.legislature.ky.gov · 015 · read 9 October 2026
A licensee shall not pay or receive compensation for the referral or unlawful solicitation of patients.201 KAR 21:015 Section 1(5)(a) · apps.legislature.ky.gov · 015 · read 9 October 2026
A licensee, employee of a licensee, agent of a licensee, contractor of a licensee, or anyone acting in concert with the licensee shall not provide monetary compensation or other consideration of value to an individual in order to induce or entice the individual to commence a chiropractor-patient relationship or continue as a patient of the licensee.201 KAR 21:015 Section 1(5)(b) · apps.legislature.ky.gov · 015 · read 9 October 2026
The board may choose, in accordance with this administrative regulation, to require a licensee to place a consumer notice of a seventy-two (72) hour right of rescission on any advertisement offering a free or discounted service.201 KAR 21:065 Section 2(1)(a) · apps.legislature.ky.gov · 065 · read 9 October 2026
A chiropractor advertising free or discounted services shall in any advertisement or solicitation provide the consumer with notice, in print of no less than ten (10) point font, of the seventy-two (72) hour right of rescission. The notice shall include information on the form and manner in which the patient shall exercise the right of rescission.201 KAR 21:065 Section 2(1)(b) · apps.legislature.ky.gov · 065 · read 9 October 2026
Unprofessional conduct shall include any departure or the failure to conform to the minimal standards of acceptable chiropractic practice or the willful or careless disregard for the health, welfare, or safety of patients, in any of which cases proof of actual injury need not be established. Unprofessional conduct shall include, but not be limited to, the following acts of a chiropractor:312.150(2) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
Accepting for services rendered assigned payments from any third-party payor as payment in full, if the effect is to eliminate the need for payment by the patient of any required deductible or copayment applicable in the patient's health benefit plan, or collecting a fee or charge the licensee submits to a third-party payor for that service or treatment. However, in instances where the intent is not to collect excessive remuneration from a third-party payor but rather to provide services at a reduced rate to a patient unable to afford the deductible or copayment, the services may be performed for a lesser charge or fee. The third-party payor shall be informed by the licensee of the reduced charge; or312.150(2)(g) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
Record Maintenance. All patient records shall be maintained for a minimum of seven (7) years.201 KAR 21:100 Section 3 · apps.legislature.ky.gov · 100 · read 9 October 2026
Requests for Records. Requests for office records, or itemized statements, including dates, services and fees, shall be honored within ten (10) business days of receipt of the request.201 KAR 21:100 Section 2 · apps.legislature.ky.gov · 100 · read 9 October 2026
The patient's records shall include the initial history, exams, re-exams, diagnosis, update diagnosis, standing orders or plan of care (updated as needed or at re-exam ), and appropriate diagnostic and imaging studies. This information shall be legibly recorded in the patient's records and properly identified.201 KAR 21:100 Section 1(1) · apps.legislature.ky.gov · 100 · read 9 October 2026
Charges may be preferred by the board against the holder of a license to practice chiropractic in this state on any of the following grounds:312.150(1) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
That the licensee failed to provide a complete copy of the patient's medical records or an itemized statement to the patient upon request, pursuant to KRS 422.317, within ten (10) business days; or312.150(1)(i) · apps.legislature.ky.gov · statute.aspx?id=49059 · read 9 October 2026
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
Ownership or operation of a chiropractic facility within this state constitutes the practice of chiropractic requiring licensure. A chiropractic facility using an assumed name shall include the name of the owner or operator, and either the word "chiropractic" or "chiropractors."312.145(3) · apps.legislature.ky.gov · statute.aspx?id=30789 · read 9 October 2026
"Ownership or operation of a chiropractic facility" as established in KRS 312.145(3), means continued, ongoing ownership by a licensee, or in the event of the death or permanent disability of the licensee, ownership or operation of the facility by the licensee's spouse, heirs, successors, or assigns as can be designated by or in the licensee's estate, for up to twelve (12) months.201 KAR 21:001(15) · apps.legislature.ky.gov · 001 · read 9 October 2026
Unless prohibited by law, each licensed chiropractor of a business entity shall be allowed to pool or apportion fees received in accordance with a business agreement.201 KAR 21:015 Section 1(4)(b) · apps.legislature.ky.gov · 015 · read 9 October 2026
Shown only where the jurisdiction publishes a provision specific to chiropractic.
quotedA treating chiropractor who provides or facilitates the use of telehealth shall ensure:312.220(1) · apps.legislature.ky.gov · statute.aspx?id=30803 · read 9 October 2026
That the informed consent of the patient, or another appropriate person with authority to make the health care treatment decision for the patient, is obtained before services are provided through telehealth; and312.220(1)(a) · apps.legislature.ky.gov · statute.aspx?id=30803 · read 9 October 2026
That the confidentiality of the patient's medical information is maintained as required by this chapter and other applicable law. At a minimum, confidentiality shall be maintained through appropriate processes, practices, and technology as designated by the board and that conform to applicable federal law.312.220(1)(b) · apps.legislature.ky.gov · statute.aspx?id=30803 · read 9 October 2026
For purposes of this section, "telehealth" means the use of interactive audio, video, or other electronic media to deliver health care. It includes the use of electronic media for diagnosis, consultation, treatment, transfer of health or medical data, and continuing education.312.220(3) · apps.legislature.ky.gov · statute.aspx?id=30803 · read 9 October 2026
Client Requirements. A practitioner-patient relationship may commence via telehealth. An in-person initial meeting shall not be required unless the provider determines it is medically necessary to perform those services in person as set forth in KRS 211.336(2)(a).201 KAR 21:105 Section 2 · apps.legislature.ky.gov · 105 · read 9 October 2026
Representation of Services and Code of Conduct. A credential holder using telehealth to deliver chiropractic services or who practices telehealth chiropractic:201 KAR 21:105 Section 5 · apps.legislature.ky.gov · 105 · read 9 October 2026
Shall not allow fee-splitting through the use of telehealth chiropractic services in compliance with KRS 312.220(2)(b); and201 KAR 21:105 Section 5(3) · apps.legislature.ky.gov · 105 · read 9 October 2026
A person holding a license as a chiropractor who provides telehealth services to a person physically located in Kentucky shall be subject to the laws and administrative regulations governing chiropractic services in Kentucky.201 KAR 21:105 Section 6 · apps.legislature.ky.gov · 105 · read 9 October 2026
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.