← The business of practice, every jurisdiction
What North Dakota’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
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
i. Has made use of any advertising statement of a character tending to deceive or mislead the public.43-06-15(1)(i) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
Chiropractors will be privileged to advertise their practice in any legitimate manner except as limited or prohibited in section 17-03-01-01.17-02-04-03 · www.legis.nd.gov · 17-02-04.pdf · read 9 October 2026
The board may revoke, suspend, or deny a license to any person otherwise qualified or licensed by the board who is found to have committed unprofessional conduct. Unprofessional conduct includes, but is not limited to, the following:17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
20. Advertising or soliciting for patronage that is not in the public interest, which includes:17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
b. Advertising or soliciting which guarantees any service or result.17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
2. All marketing must comply with the rules pertaining to advertising adopted by the board.17-03-01-02 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
3. Chiropractors who use marketing are required to keep records regarding the marketing for a period of two years. The records must include the script used, the name of the individual or company conducting the marketing, and the dates the marketing was conducted.17-03-01-02 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
A licensed chiropractor may use the title doctor of chiropractic, chiropractor, chiropractic physician, or D.C.43-06-11 · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
The board may revoke, suspend, or deny a license to any person otherwise qualified or licensed by the board who is found to have committed unprofessional conduct. Unprofessional conduct includes, but is not limited to, the following:17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
20. Advertising or soliciting for patronage that is not in the public interest, which includes:17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
d. Advertising or soliciting which make claims of professional superiority which cannot be substantiated by the licensee.17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
Any arrangement or agreement between a chiropractor and a patient for a course of future treatment for which funds in an amount of five hundred dollars or more during any twelve month period are collected in advance of these services shall be considered a prepaid care plan within the meaning of this section.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
Services under a prepaid care plan may cost less than if the services were purchased individually. The reduction in cost must bear a reasonable relationship to the expense avoided by the provider due to reduced accounting and debt collection activities in accordance with Office of Inspector General (OIG) Advisory Opinion 08-03, regarding prompt payment discount.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
1. Escrow account. A designated escrow account insured by the FDIC shall be established for deposit of all funds received in connection with the prepaid care plan. Such funds may not be commingled with a chiropractor's personal or business account.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
3. Early termination. The patient has the right to terminate the prepaid plan at any time; under such circumstances as completing care early, moving, or a new injury or illness. The chiropractor may terminate the prepaid plan at any time, for good and sufficient cause, except the chiropractor must ensure that patient abandonment does not occur.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
a. In event of early termination of a prepaid plan by the patient, the maximum fee charged cannot exceed the chiropractor's usual and customary fee for services rendered.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
b. In event of early termination of a prepaid plan by the chiropractor, any cost reduction for the package of services must be prorated when determining the amount of repayment.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
c. In event of early termination of a prepaid plan, the fee for the unused portion must be returned with no penalty.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
8. Failure to abide with the requirements of this section is unprofessional conduct.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
The board may revoke, suspend, or deny a license to any person otherwise qualified or licensed by the board who is found to have committed unprofessional conduct. Unprofessional conduct includes, but is not limited to, the following:17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
14. The offering, delivering, receiving, or accepting of any rebate, refund, commission, preference, patronage, dividend, discount, or other consideration as compensation or inducement for referring patients to any person.17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
20. Advertising or soliciting for patronage that is not in the public interest, which includes:17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
f. Advertising no out-of-pocket expenses or practicing same.17-03-01-01 · www.legis.nd.gov · 17-03-01.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
e. Has engaged in unprofessional or dishonorable conduct, including false or misleading advertising, rendering excessive or inappropriate treatment, or charging unconscionable fees.43-06-15(1)(e) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
7. The regulations in this section do not release a chiropractor from any contractual obligations that the chiropractor has with an insurer or other entity. A chiropractor who is contracted with an insurance carrier shall adhere to the terms of their provider contract in regards to the collection of copayments, co-insurances, and applied deductibles.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
The board may revoke, suspend, or deny a license to any person otherwise qualified or licensed by the board who is found to have committed unprofessional conduct. Unprofessional conduct includes, but is not limited to, the following:17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
3. Failing to maintain the chiropractic standard of care for a patient record and a billing record for each patient which accurately reflects the evaluation or treatment, or both, of the patient and the fees charged to the patient. Unless otherwise provided, all patient records must be retained for at least seven years.17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
13. Except as required by law, the unauthorized disclosure of any information about a patient revealed or discovered during the course of examination or treatment.17-03-01-01 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
g. The chiropractor shall cause a reconciliation of the escrow account to be made no less than quarterly, with a copy provided to the patient, and shall retain a copy of the reconciliations and all supporting documents for no less than seven years.17-03-01-05 · www.legis.nd.gov · 17-03-01.pdf · read 9 October 2026
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
Shown only where the jurisdiction publishes a provision specific to chiropractic.
quoteda. "The practice of chiropractic" includes:43-06-01(4)(a) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
(7) Telehealth.43-06-01(4)(a)(7) · www.legis.nd.gov · t43c06.pdf · read 9 October 2026
5. "Telehealth" means the use of electronic communications to provide and deliver chiropractic-related information and chiropractic services, including chiropractic-related information and services, over any distance. Telehealth encompasses chiropractic care and chiropractic promotion activities, including education, advice, reminders, interventions, and the monitoring of interventions.43-06-01(5) · www.legis.nd.gov · t43c06.pdf · 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.