← The business of practice, every jurisdiction · Missouri licensure
What Missouri’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
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
(14) Use of any advertisement or solicitation which is false, misleading or deceptive to the general public or persons to whom the advertisement or solicitation is primarily directed. False, misleading or deceptive advertisements or solicitations shall include, but not be limited to:331.060.2(14) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(a) Promises of cure, relief from pain or other physical or mental condition, or improved physical or mental health;331.060.2(14)(a) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(b) Any self-laudatory statement;331.060.2(14)(b) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(d) Any misleading or deceptive claims of patient cure, relief or improved condition; superiority in service, treatment or materials; new or improved service, treatment or material, or reduced costs or greater savings. Nothing herein shall be construed to make it unlawful to use any such claim if it is readily verifiable by existing documentation, data or other substantial evidence. Any claim which exceeds or exaggerates the scope of its supporting documentation, data or evidence is misleading or deceptive;331.060.2(14)(d) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(f) Attempting to attract patronage in any manner which castigates, impugns, disparages, discredits or attacks other healing arts and sciences or other chiropractic physicians;331.060.2(14)(f) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(6) For the purpose of this rule, an advertisement shall be defined as any form of public notice, regardless of medium, using a licensee’s name, trade name, or other professional designation of the licensee or chiropractic business.20 CSR 2070-2.060(6) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(B) A chiropractic physician shall not solicit any person involved in a motor vehicle accident or other type of traumatic accident, within thirty (30) days of the accident, if the chiropractic physician knows or reasonably should know that the physical, emotional, or mental state of the person makes it unlikely that the person would exercise reasonable judgment regarding a decision to seek chiropractic treatment. The burden of persuasion shall be on the licensee to establish that any such solicitation, made within thirty (30) days of a known accident, is not a violation of this rule.20 CSR 2070-2.060(7)(B) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
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
(14) Use of any advertisement or solicitation which is false, misleading or deceptive to the general public or persons to whom the advertisement or solicitation is primarily directed. False, misleading or deceptive advertisements or solicitations shall include, but not be limited to:331.060.2(14) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(e) Failure to use the term "chiropractor", "doctor of chiropractic", "chiropractic physician", or "D.C." in any advertisement, solicitation, sign, letterhead, or any other method of addressing the public;331.060.2(14)(e) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
Any person who shall practice chiropractic or attempt to practice chiropractic, or who shall use the title of doctor of chiropractic, or any word, title, or letters, to induce belief that he is engaged in the practice of chiropractic, without first complying with the provisions of this chapter, or any person who shall buy, sell, or fraudulently obtain any diploma or license to practice chiropractic shall be deemed guilty of a class A misdemeanor.331.080 · revisor.mo.gov · OneSection.aspx?section=331.080 · read 9 October 2026
(A) Any advertisement shall include the name of the licensee responsible for the content of the advertisement and the term chiropractor, doctor of chiropractic, chiropractic physician, or D.C.20 CSR 2070-2.060(6)(A) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
9. The board may through its rulemaking process authorize chiropractic physicians holding a current Missouri license to apply for certification in a specialty as the board may deem appropriate and charge a fee for application for certification, provided that:331.030.9 · revisor.mo.gov · OneSection.aspx?section=331.030 · read 9 October 2026
(1) The board establishes minimum initial and continuing educational requirements sufficient to ensure the competence of applicants seeking certification in the particular specialty; and331.030.9(1) · revisor.mo.gov · OneSection.aspx?section=331.030 · read 9 October 2026
(2) The board shall not establish any provision for certification of licensees in a particular specialty which is not encompassed within the practice of chiropractic as defined in section 331.010.331.030.9(2) · revisor.mo.gov · OneSection.aspx?section=331.030 · read 9 October 2026
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
(14) Use of any advertisement or solicitation which is false, misleading or deceptive to the general public or persons to whom the advertisement or solicitation is primarily directed. False, misleading or deceptive advertisements or solicitations shall include, but not be limited to:331.060.2(14) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(c) Any misleading or deceptive statement offering or promising a free service. Nothing herein shall be construed to make it unlawful to offer a service for no charge if the offer is announced as part of a full disclosure of routine fees including consultation fees;331.060.2(14)(c) · revisor.mo.gov · OneSection.aspx?section=331.060 · read 9 October 2026
(5) A licensed chiropractic physician shall not increase charges when a patient utilizes a third-party payment program.20 CSR 2070-2.060(5) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(8) Violation of the Health Care Payment Fraud and Abuse Act, Missouri Revised Statutes section 191.900 et seq. or the “anti-kickback” portions of the Medicare/Medicaid anti-fraud and abuse statute, 42 United States Code section 1320a-7b[b], by knowingly and willingly offering, paying, soliciting, or receiving remuneration in order to induce business reimbursed under the Medicare or state administered health care programs will be considered, at minimum, unprofessional or improper conduct in the practice of chiropractic.20 CSR 2070-2.060(8) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
Conduct will not be considered a violation of this rule, if the ownership or investment interest in such service meets the requirements of the “safe harbor” provisions of Title 42 Code of Federal Regulations part 1001.20 CSR 2070-2.060(8) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(D) A solicitation shall not refer to phrases such as “no out-of-pocket expense,” “we accept what your insurance will pay” or any similar statement prior to the retention of services that a payment made by an insurance carrier or other third party payor with copayment or deductible features will be accepted by the licensee as payment in full.20 CSR 2070-2.060(7)(D) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
1. Chiropractors shall maintain an adequate and complete patient record for each patient and may maintain electronic records provided that the record-keeping format is capable of being printed for review by the state board of chiropractic examiners.331.110.1 · revisor.mo.gov · OneSection.aspx?section=331.110 · read 9 October 2026
2. Patient records remaining under the care, custody, and control of the licensee shall be maintained by the licensee of the board or the licensee's designee for a minimum of seven years from the date of when the last professional service was provided.331.110.2 · revisor.mo.gov · OneSection.aspx?section=331.110 · read 9 October 2026
3. Any correction, addition, or change in any patient record made more than forty-eight hours after the final entry is entered in the record and signed by the chiropractor shall be clearly marked and identified as such and the date, time, and name of the person making the correction, addition, or change shall be included as well as the reason for the correction, addition, or change.331.110.3 · revisor.mo.gov · OneSection.aspx?section=331.110 · read 9 October 2026
(2) When closing a chiropractic practice the licensee shall take adequate measures to provide for the transfer of patient records and take reasonable steps to notify all patients, in writing, of what such patients must do to obtain their records, or to arrange for transfer to another chiropractic physician or health care provider.20 CSR 2070-2.060(2) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(3) The licensee shall retain patient records for at least seven (7) years from the date of the last visit to the licensee’s office.20 CSR 2070-2.060(3) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(E) No professional corporation shall dissolve or elect to cease being a professional corporation under the provisions of section 356.201, RSMo, until the corporation has provided the board with information which in the board’s view is sufficient to assure the board that adequate measures have been taken by the corporation to provide for the transfer of patient records, including X-rays, to either the patient or another health care provider of the patient’s choosing or to assure the board that the patient does not desire the records delivered to him/her or another health care provider.20 CSR 2070-2.100(1)(E) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
All physicians, chiropractors, hospitals, dentists, and other duly licensed practitioners in this state, herein called "providers", shall, upon written request of a patient, or guardian or legally authorized representative of a patient, furnish a copy of his or her record of that patient's health history and treatment rendered to the person submitting a written request, except that such right shall be limited to access consistent with the patient's condition and sound therapeutic treatment as determined by the provider.191.227.1 · revisor.mo.gov · OneSection.aspx?section=191.227 · read 9 October 2026
Beginning August 28, 1994, such record shall be furnished within a reasonable time of the receipt of the request therefor and upon payment of a fee as provided in this section.191.227.1 · revisor.mo.gov · OneSection.aspx?section=191.227 · read 9 October 2026
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
(A) A person licensed as a chiropractor in this state may form or be a member of a professional corporation organized under and existing in compliance with Chapter 356, RSMo, which corporation may be composed of any combination of the professions defined as a professional service in section 356.021, RSMo provided, that each person is duly licensed to practice his/her profession in this state under the laws applicable to that profession and provided further that the licensing authority of each profession by rule has authorized the members of that profession to form a professional corporation with a person licensed by the State Board of Chiropractic Examiners.20 CSR 2070-2.100(1)(A) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(B) A chiropractor licensed to practice chiropractic in Missouri may combine with any of the professions defined as a professional service in section 356.021, RSMo in the same professional corporation to further the providing of health-care services of the respective professions and services ancillary to that profession.20 CSR 2070-2.100(1)(B) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(C) The term ancillary services, as used in this rule, shall mean any service directly related to providing primary health care in the form of treatment or therapy to a person.20 CSR 2070-2.100(1)(C) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
(G) No chiropractor licensed pursuant to Chapter 331, RSMo shall practice in the form of a professional corporation or other business entity where a person who is not a licensed chiropractor has the right to direct or control the professional judgment of the chiropractic physician.20 CSR 2070-2.100(1)(G) · www.sos.mo.gov · 20c2070-2.pdf · read 9 October 2026
Shown only where the jurisdiction publishes a provision specific to chiropractic.
quotedA chiropractic physician licensed outside of this state shall not be required to obtain a Missouri license when:331.115 · revisor.mo.gov · OneSection.aspx?section=331.115 · read 9 October 2026
(1) In consultation as a result of transmission of individual patient data by electronic or other means from within this state to an out-of-state licensed chiropractor with a chiropractor licensed to practice in this state, so long as a chiropractor licensed in this state retains ultimate authority and responsibility for the diagnosis or treatment in the care of the patient located within this state; or331.115(1) · revisor.mo.gov · OneSection.aspx?section=331.115 · 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.