← The business of practice, every 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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(2) CHIROPRACTIC AGREEMENT or AGREEMENT. A contract between a chiropractor and a patient or his or her legal representative in which the chiropractor or the chiropractor's chiropractic practice agrees to provide chiropractic services to the patient for an agreed upon fee and period of time.Section 34-24-125(a)(2) · chiro.alabama.gov · CodeUPDATED26.pdf · read 9 October 2026
(f) To be considered a chiropractic agreement for the purposes of this section, the agreement shall satisfy all of the following:Section 34-24-125(f) · chiro.alabama.gov · CodeUPDATED26.pdf · read 9 October 2026
(6) Specify the duration of the agreement and any automatic renewal periods and require that no more than 12 months of the periodic fee be paid in advance.Section 34-24-125(f)(6) · chiro.alabama.gov · CodeUPDATED26.pdf · read 9 October 2026
(8) Provide that, upon termination of the agreement by the patient, all unearned fees are to be returned to the patient.Section 34-24-125(f)(8) · chiro.alabama.gov · CodeUPDATED26.pdf · read 9 October 2026
A chiropractor who offers any treatment plan which includes payment of fees for services, goods, or appliances to be performed or supplied in the future i.e., prior to the furnishing or supplying of any services, goods or appliances shall comply with all of the following requirements.190-X-5-.07 · chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf · read 9 October 2026
(a) Maintain for each patient a signed statement which explains fully and completely the services, goods, or appliances to be provided and the terms and conditions of payment. This statement shall include provisions for an accounting to the patient upon request as well as provisions for the return of all unearned fees in the event the patient chiropractic relationship is terminated.190-X-5-.07(a) · chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf · read 9 October 2026
(b) The treatment plan shall include an accurate description of the services, goods, or appliances to be performed or supplied as well as the period of time in which the referenced services, goods or appliances will be performed or supplied.190-X-5-.07(b) · chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf · read 9 October 2026
(c) Complete records of such account funds shall be maintained for five (5) years after the performance or supplying of the services goods or appliances or from the termination of treatment. In addition, records shall include a ledger of all funds received and payments made which must be patient specific.190-X-5-.07(c) · chiro.alabama.gov · RulesMarch2026WCAG20260225.pdf · read 9 October 2026
(1) The following acts constitute grounds for denial of a license or disciplinary action, as specified in s. 456.072(2):460.413(1) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
(y) Failing to preserve identity of funds and property of a patient, the value of which is greater than $501. As provided by rule of the board, money or other property entrusted to a chiropractic physician for a specific purpose, including advances for costs and expenses of examination or treatment, is to be held in trust and must be applied only to that purpose. Money and other property of patients coming into the hands of a chiropractic physician are not subject to counterclaim or setoff for chiropractic physician’s fees, and a refusal to account for and deliver over such money and property upon demand shall be deemed a conversion. This is not to preclude the retention of money or other property upon which the chiropractic physician has a valid lien for services or to preclude the payment of agreed fees from the proceeds of transactions for examinations or treatments. Controversies as to the amount of the fees are not grounds for disciplinary proceedings unless the amount demanded is clearly excessive or extortionate, or the demand is fraudulent. All funds of patients paid to a chiropractic physician, other than advances for costs and expenses, shall be deposited into one or more identifiable bank accounts maintained in the state in which the chiropractic physician’s office is situated, and funds belonging to the chiropractic physician may not be deposited therein except as follows:460.413(1)(y) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
1. Funds reasonably sufficient to pay bank charges may be deposited therein.460.413(1)(y)1. · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
2. Funds belonging in part to a patient and in part presently or potentially to the physician must be deposited therein, but the portion belonging to the physician may be withdrawn when due unless the right of the physician to receive it is disputed by the patient, in which event the disputed portion may not be withdrawn until the dispute is finally resolved.460.413(1)(y)2. · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
Every chiropractic physician shall maintain complete records of all funds, securities, and other properties of a patient coming into the possession of the physician and render appropriate accounts to the patient regarding them.460.413(1)(y) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
In addition, every chiropractic physician shall promptly pay or deliver to the patient, as requested by the patient, the funds, securities, or other properties in the possession of the physician which the patient is entitled to receive.460.413(1)(y) · www.leg.state.fl.us · index.cfm?App_mode=Display_Statute&URL=0400-0499/0460/0460.html · read 9 October 2026
(1) The provisions of this rule apply to all trust funds received or disbursed by chiropractors in the course of their professional practice. “Trust funds” are defined as unearned fees in the form of cash or property other than cash, which are received by a chiropractor prior to the chiropractor rendering his services or his selling of goods and appliances.64B2-14.001(1) · www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-14&caid=389957&type=4&file=64B2-14.doc · read 9 October 2026
(1) It is considered unprofessional conduct for any chiropractor to enter into a financial contract which obligates a patient for care or payment for care using coercion, duress, fraud, overreaching diagnosis, harassment, intimidation or undue influence.Ga. Comp. R. & Regs. R. 100-7-.08(1) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
(a) Any services provided prior to the signing of the contract must not be included in the contract.Ga. Comp. R. & Regs. R. 100-7-.08(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 · read 9 October 2026
(b) The patient must be given a permanent copy of the signed contact; and the contract must provide a clearly defined refund policy typed in not less than 12 point font. An initial line must be next to the refund policy and must be initialed by the patient.Ga. Comp. R. & Regs. R. 100-7-.08(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 · read 9 October 2026
(c) The contract must contain the statement "There is insufficient evidence to suggest that not receiving chiropractic care will lead to death, paralysis, disability or permanent harm." Said statement must be typed in not less than 12 point font.Ga. Comp. R. & Regs. R. 100-7-.08(1)(c) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
(2) Any chiropractor who enters into a pre-payment financial contract with a patient must allow the patient 48 hours to sign and return the contract. During this 48-hour evaluation period from the time when a copy of the written contract is provided to the patient; no content of the contract can be changed.Ga. Comp. R. & Regs. R. 100-7-.08(2) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
(3) Any chiropractor who enters into a pre-paid financial contract with a patient shall determine and record the patient's clinical objective which the pre-paid care is designed to achieve and provide the patient with a copy of this objective.Ga. Comp. R. & Regs. R. 100-7-.08(3) · rules.sos.ga.gov · Download_pdf.aspx?st=GASOS&year=2026&dept=Departments&pdf=Department%20100%20RULES%20OF%20GEORGIA%20BOARD%20OF%20CHIROPRACTIC%20EXAMINERS · read 9 October 2026
A chiropractic physician shall promptly refund any unearned fees within thirty (30) days upon request and cancellation of the prepaid contract.IDAPA 24.03.01, Appendix A – Chiropractic Physicians Code of Ethics, 4. Prepaid Funds · adminrules.idaho.gov · 240301.pdf · read 9 October 2026
A full accounting of the patient account shall be provided to the patient at the time of the refund or upon request.IDAPA 24.03.01, Appendix A – Chiropractic Physicians Code of Ethics, 4. Prepaid Funds · adminrules.idaho.gov · 240301.pdf · read 9 October 2026
843.8(11) A chiropractic physician who offers a prepayment plan for chiropractic services will:481—843.8(11) · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
a. Have a written prepayment policy statement that is maintained in the office and available to patients upon request. The policy statement, at a minimum, will include provisions that:481—843.8(11)“a” · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
(1) Prepaid funds will not be expended until services are provided; and481—843.8(11)“a”(1) · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
(2) The patient will receive a prompt refund of any unused funds upon request. The refund will be calculated based on a defined method, which will be clearly set forth in the written prepayment policy statement.481—843.8(11)“a”(2) · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
b. Require the patient to sign and date a prepayment document that incorporates the conditions and descriptions of the written prepayment policy statement.481—843.8(11)“b” · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
c. Maintain the signed and dated written prepayment policy statement in the patient’s record.481—843.8(11)“c” · www.legis.iowa.gov · 481.843.pdf · read 9 October 2026
481—845.1(151,272C) Grounds for discipline. The board may impose any of the disciplinary sanctions provided in rule 481—504.3(272C) when the board determines that the licensee is guilty of any of the following acts or offenses or those listed in 481—Chapter 504:481—845.1 · www.legis.iowa.gov · 481.845.pdf · read 9 October 2026
845.1(3) Violate the provisions of direct health care agreements pursuant to Iowa Code section 135N.1.481—845.1(3) · www.legis.iowa.gov · 481.845.pdf · read 9 October 2026
(a) As used in this section:65-4978. · www.ksrevisor.org · 065_049_0078.html · read 9 October 2026
(1) "Health care provider" means a person licensed under the healing arts act as specified by K.S.A. 65-2802 (d), and amendments thereto. Health care provider includes an individual or other legal entity alone or with others professionally associated with the individual or other legal entity.65-4978. · www.ksrevisor.org · 065_049_0078.html · read 9 October 2026
(2) "Medical retainer agreement" means a contract between a health care provider and an individual patient or patient's legal representative in which the health care provider agrees to provide routine health care services to the individual patient for an agreed-upon fee and period of time.65-4978. · www.ksrevisor.org · 065_049_0078.html · read 9 October 2026
(b) (1) A medical retainer agreement is not insurance and shall not be subject to any provisions of chapter 40 of the Kansas Statutes Annotated, and amendments thereto. Entering into a medical retainer agreement is not the business of insurance and is not subject to any provisions of chapter 40 of the Kansas Statutes Annotated, and amendments thereto.65-4978. · www.ksrevisor.org · 065_049_0078.html · read 9 October 2026
(c) At the top of the first page of the medical retainer agreement, the language shall prominently state in writing, in boldface type in 10 point font or greater and in the following form with all words capitalized:65-4978. · www.ksrevisor.org · 065_049_0078.html · read 9 October 2026
NOTICE: THIS MEDICAL RETAINER AGREEMENT DOES NOT CONSTITUTE INSURANCE, IS NOT A MEDICAL PLAN THAT PROVIDES HEALTH INSURANCE COVERAGE FOR PURPOSES OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT AND COVERS ONLY LIMITED, ROUTINE HEALTH CARE SERVICES AS DESIGNATED IN THIS AGREEMENT.65-4978. · www.ksrevisor.org · 065_049_0078.html · read 9 October 2026
This notice shall be followed by a short, parallel line which shall be initialed by the patient or the patient's legal representative to indicate the patient or patient's legal representative has read the notice statement.65-4978. · www.ksrevisor.org · 065_049_0078.html · 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
It shall be considered unprofessional conduct for any chiropractor to enter into a contract which would obligate a patient to pay for care to be rendered in the future unless the contract provides that the patient is entitled to a complete refund for any care not received.§309 · wwwcfprd.doa.louisiana.gov · 9_RULES.pdf · read 9 October 2026
A chiropractor shall:COMAR 10.43.13.06 · regs.maryland.gov · index.full.html · read 9 October 2026
D. Provide sufficient information to a patient to allow the patient to make an informed decision regarding treatment, including:COMAR 10.43.13.06D · regs.maryland.gov · index.full.html · read 9 October 2026
(4) The estimated cost of treatment and alternatives to treatment;COMAR 10.43.13.06D(4) · regs.maryland.gov · index.full.html · read 9 October 2026
(5) The right of the patient to:COMAR 10.43.13.06D(5) · regs.maryland.gov · index.full.html · read 9 October 2026
(a) Withdraw from treatment at any time, including the risks associated with withdrawing from treatment;COMAR 10.43.13.06D(5)(a) · regs.maryland.gov · index.full.html · read 9 October 2026
(b) Decline to participate in treatment if an aspect of the treatment will be recorded, documented, photographed, observed, or otherwise used in an educational program; orCOMAR 10.43.13.06D(5)(b) · regs.maryland.gov · index.full.html · read 9 October 2026
(6) Terminate any treatment contract at any time, for any or no reason, with no fee or penalty incurred;COMAR 10.43.13.06D(6) · regs.maryland.gov · index.full.html · 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 $1,000 or more are collected in advance of these services shall be considered a prepay plan within the meaning of this part.Minn. R. 2500.6060, subp. 1 · www.revisor.mn.gov · full · read 9 October 2026
All funds received in connection with prepay plans shall be deposited into a designated escrow account insured by the FDIC, and shall not be commingled with a chiropractor's personal or business account.Minn. R. 2500.6060, subp. 2, item A · www.revisor.mn.gov · full · read 9 October 2026
Funds may only be transferred out of the escrow account for the following reasons:Minn. R. 2500.6060, subp. 2, item B · www.revisor.mn.gov · full · read 9 October 2026
After services, goods, or appliances have been provided to the patient, and only in the amounts specifically related to the services, goods, or appliances provided.Minn. R. 2500.6060, subp. 2, item B(1) · www.revisor.mn.gov · full · read 9 October 2026
To reimburse the patient any amounts owed following a notice by either the patient or the chiropractor to terminate the prepay plan. Any amounts shall be transferred according to the written agreement.Minn. R. 2500.6060, subp. 2, item B(2) · www.revisor.mn.gov · full · read 9 October 2026
All prepay plans shall be in writing, signed by both the chiropractor and the patient, with a copy provided to the patient and a copy maintained in the patient's record, and shall include at least the following:Minn. R. 2500.6060, subp. 3 · www.revisor.mn.gov · full · read 9 October 2026
A statement that the patient has the right to cancel the prepay plan without penalty within three business days of entering into the plan by submitting a written and signed cancellation notice, and upon the chiropractor's receipt of the cancellation notice, the chiropractor shall have seven days to fully refund any unused funds to the patient. This right of cancellation shall not be waived or otherwise surrendered.Minn. R. 2500.6060, subp. 3, item G · www.revisor.mn.gov · full · read 9 October 2026
No prepay plan may be based upon a package which would exceed 50 visits per individual.Minn. R. 2500.6060, subp. 4, item A · www.revisor.mn.gov · full · read 9 October 2026
Any chiropractor who accepts prepayment for services planned, but not yet delivered must enter a written contract with the client that describes:24.126.412(1) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(d) a clear process for cancellation of the contract and refund of the prepayment, less reasonable administrative fees.24.126.412(1)(d) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(2) Chiropractors must:24.126.412(2) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(a) deposit the prepayment amounts in a federally insured financial institution within 10 business days of receipt of the prepayment;24.126.412(2)(a) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(b) hold the money in trust in a separate account from all other accounts; and24.126.412(2)(b) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(c) withdraw the amount of money stated in the contract only after providing the service.24.126.412(2)(c) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
(3) Chiropractors must document compliance with this rule.24.126.412(3) (MAR Notice No. 24-126-39) · boards.bsd.dli.mt.gov · 24-126-39pro-arm.pdf · read 9 October 2026
4. The agency has amended ARM 24.126.301, 24.126.401, 24.126.412, 24.126.504, 24.126.511, 24.126.515, 24.126.701, 24.126.704, 24.126.2103, and 24.126.2301 as proposed.Montana Administrative Register 12-6/21/24 (no section number printed), item 4 · boards.bsd.dli.mt.gov · 24-126-39adp-arm-Final-Notice.pdf · read 9 October 2026
1. As used in subsection 10 of NRS 634.018, the Board will interpret the phrase “conduct unbecoming a person licensed to practice chiropractic or detrimental to the best interests of the public” to include, without limitation:NAC 634.430 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
(d) Entering into a financial agreement or making a financial arrangement with a potential or existing patient as an inducement to enter into or continue care. This paragraph does not prohibit a licensee from providing complimentary chiropractic services to an existing patient.NAC 634.430 · www.leg.state.nv.us · NAC-634.html · read 9 October 2026
Q. “Pre-paid treatment plans” include any agreement between a licensee and patient or prospective patient that includes payment or collection of money for treatment planned, anticipated or held in reserve to occur or potentially occur more than 14 days following the payment or collection of those monies.16.4.1.7 · www.srca.nm.gov · 16.004.0001.html · read 9 October 2026
Chiropractic physicians accepting pre-payment for services planned but not yet delivered must:16.4.1.16 · www.srca.nm.gov · 16.004.0001.html · read 9 October 2026
A. Establish an escrow account to hold all pre-payment funds.16.4.1.16 · www.srca.nm.gov · 16.004.0001.html · read 9 October 2026
B. The patient's file must contain the proposed treatment plan including enumeration of all aspects of evaluation, management and treatment planned to therapeutically benefit the patient relative to the condition determined to be present and necessitating treatment.16.4.1.16 · www.srca.nm.gov · 16.004.0001.html · read 9 October 2026
(1) The patient's financial file must contain documents outlining any necessary procedures for refunding unused payment amounts in the event that either the patient or the doctor discharge the others services or therapeutic association.16.4.1.16 · www.srca.nm.gov · 16.004.0001.html · read 9 October 2026
C. A contract for services and consent of treatment document must be maintained in the patient's file that specifies the condition for which the treatment plan is formulated, prognosis and alternate treatment options.16.4.1.16 · www.srca.nm.gov · 16.004.0001.html · read 9 October 2026
D. The chiropractic physician is responsible for providing all treatment appropriate and necessary to address and manage the condition including unforeseen exacerbations or aggravations, within the chiropractic physicians licensure, that may occur during the course of time for which the contract is active. This does not include alternative services procured by the patient or treatment by providers other than the treating chiropractor or those under the chiropractors direct supervision.16.4.1.16 · www.srca.nm.gov · 16.004.0001.html · read 9 October 2026
E. If nutritional products or other hard goods including braces, supports or patient aids are to be used during the proposed treatment plan the patient documents must state whether these items are included in the gross treatment costs or if they constitute a separate and distinct service and fee.16.4.1.16 · www.srca.nm.gov · 16.004.0001.html · read 9 October 2026
There is no per se prohibition on offering a pre-paid plan for chiropractic services. However, participating in the insurance business is illegal under Insurance Law §1102. Under this law, the fee paid for the plan must cover the cost of rendering the services offered, and if such services are required as a result of a “fortuitous event” as defined in Insurance Law §1101(a)(2), such services must be offered for an additional fee.Frequently Asked Questions — Chiropractic Scope of Practice (no section number printed) · www.op.nysed.gov · frequently-asked-questions-chiropractic · read 9 October 2026
If the pre-paid plan does not cover the services rendered, including overhead, or offers unlimited services covering fortuitous events without an additional fee, the plan would be an “unauthorized insurance product” and illegal under New York State law.Frequently Asked Questions — Chiropractic Scope of Practice (no section number printed) · www.op.nysed.gov · frequently-asked-questions-chiropractic · read 9 October 2026
(a) Prepaid Treatment Plan Defined. A "prepaid treatment plan" is a contract between a patient and a physician under which the patient, instead of paying for services as they are delivered, agrees in advance to pay a pre-determined total amount to the physician for a series of specified treatments and services to be performed by the physician or the physician's staff in the future and that are not covered by insurance. The patient's financial obligation may be payable in a lump sum or in periodic installments.21 NCAC 10 .0305 · reports.oah.state.nc.us · chapter 10 rules.pdf · read 9 October 2026
(b) Non-Conforming Plans Unlawful. A physician who offers to a patient a prepaid treatment plan that does not conform to this Rule shall be subject to disciplinary action pursuant to G.S. 90-154(b)(9), committing or attempting to commit fraud, deception, or misrepresentation.21 NCAC 10 .0305 · reports.oah.state.nc.us · chapter 10 rules.pdf · read 9 October 2026
(d) Refund Calculation. The patient shall have the right to terminate a prepaid treatment plan at any point prior to the stated expiration without incurring any financial penalty. The physician may charge the patient the full amount for dispensed products that cannot be re-stocked, including opened nutritional supplements and used cervical pillows, orthotic and neurological appliances, and similar durable medical equipment. In all other respects, the amount of the refund payable to the patient shall be calculated strictly pro-rata, based on the measure of duration recited in the plan document (office visits or calendar days). No other method of refund calculation shall be permitted, and any provision in the plan that specifies another method of calculation shall be void.21 NCAC 10 .0305 · reports.oah.state.nc.us · chapter 10 rules.pdf · read 9 October 2026
(e) Notice of Plan Termination; Prompt Refund. The physician may require that a patient give notice of plan termination by delivery of a paper writing dated and signed by the patient or a person authorized to sign on the patient's behalf. The physician shall not impose any other procedural impediments to obtaining a refund. The physician shall issue the appropriate pro-rata refund within ten business days after receiving notice of plan termination.21 NCAC 10 .0305 · reports.oah.state.nc.us · chapter 10 rules.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
Ensure that your patients fully understand each form and/or pre-payment plan they sign.Ohio State Chiropractic Board January 2024 (newsletter; no section number printed) · dam.assets.ohio.gov · Newsletter Jan 2024.pdf · read 9 October 2026
A pre-paid plan is a package of services and/or products that are purchased by patients at a reduced or discounted cost than if the services were purchased individually.811-015-0002 · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=262373 · read 9 October 2026
(1) Chiropractic physicians may accept pre-payment for services planned but not yet delivered only if they do so in such a way that it does not constitute the practice of insurance.811-015-0002(1) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=262373 · read 9 October 2026
(b) Chiropractic physicians or clinics who are certified by the Oregon Department of Insurance as Medical Retainer Plans are exempted from this section.811-015-0002(1)(b) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=262373 · read 9 October 2026
(a) The pre-payment plan must include a written explanation on how the unused portion of funds are calculated or prorated should the patient complete care early or discontinue care due to the patient’s choice, doctor’s choice, moving, new injury, or condition. The written explanation must be clearly labeled “Refund Policy” in plain language that is understood by the patient. The explanation must include a table of calculations that illustrates the amount of refunds or amount owed in the event of the pre-paid plan’s early termination.811-015-0002(3)(a) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=262373 · read 9 October 2026
(b) The patient may have the right to terminate the pre-paid plan at any time. In the event of early termination of a pre-paid plan by the patient, the maximum fee charged cannot exceed the chiropractic physician's usual and customary fee cash pay (including any time of service discount) for the services rendered.811-015-0002(3)(b) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=262373 · read 9 October 2026
(c) The chiropractic physician or clinic may terminate the pre-paid plan at any time, for good and sufficient cause, except licensee must ensure that patient abandonment does not occur. In the event of early termination of a pre-paid plan by the chiropractic physician or clinic, the maximum fee charged cannot exceed pro-rated fees as agreed upon in the pre-paid plan.811-015-0002(3)(c) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=262373 · read 9 October 2026
(4) Pre-paid plans must comply with all other applicable state or federal laws.811-015-0002(4) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=262373 · read 9 October 2026
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
(13) A chiropractic physician providing services to a person who is making a claim as a result of a personal injury who charges or collects from the person any amount in excess of the reimbursement to the chiropractic physician by the insurer as a condition of providing or continuing to provide services or treatment.§ 5-30-13(b)(13) · webserver.rilegislature.gov · 5-30-13.htm · read 9 October 2026
It shall be considered unprofessional conduct for any chiropractor to enter into a contract which would obligate a patient to pay for care to be rendered in the future, unless the contract provides that the patient is entitled to a complete refund for any care not received.WAC 246-808-550 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
Any chiropractor who ceases practice in their community for any reason, including retirement, illness, disability, or relocation shall comply with the following duties:WAC 246-808-655 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
(3) The chiropractor shall refund any part of fees paid in advance that have not been earned.WAC 246-808-655 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
(1) A chiropractor shall not enter into an agreement for, charge, or collect an illegal or clearly excessive fee.WAC 246-808-400 · app.leg.wa.gov · default.aspx?cite=246-808&full=true · read 9 October 2026
Any arrangement or agreement between a licensee and a patient for a course of future treatment for which funds in an amount of five hundred dollars ($500.00) or more during any twelve (12) month period are collected in advance of these services shall be considered a prepaid care plan within the meaning of this section.Chapter 11, Section 6(a) · 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 · read 9 October 2026
A licensee who offers such a plan is subject to the following requirements:Chapter 11, Section 6(a) · 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 · read 9 October 2026
Escrow account. A designated escrow account insured by the Federal Deposit Insurance Corporation, state bank, or credit union shall be established for deposit of all funds received in connection with the prepaid care plan. Such funds may not be commingled with a licensee’s personal or business account.Chapter 11, Section 6(a)(i) · 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 · read 9 October 2026
Written plan. All prepaid care plans require a written plan, signed by both the licensee and the patient, with a copy maintained in the patient’s record and a copy provided to the patient, and must include at least the following:Chapter 11, Section 6(a)(ii) · 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 · read 9 October 2026
A statement that the patient has the right to cancel the prepaid care plan without penalty within three (3) business days of entering into the plan by submitting a written and signed cancellation notice, and upon the licensee’s receipt of the cancellation notice, the licensee shall have seven (7) working days to fully refund any unused funds to the patient. This right of cancellation may not be waived or otherwise surrendered.Chapter 11, Section 6(a)(ii)(H) · 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 · read 9 October 2026
Early termination. The patient has the right to terminate the prepaid care plan at any time without financial penalty.Chapter 11, Section 6(a)(iii) · 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 · read 9 October 2026
A prepaid care plan is not health insurance and does not meet the Affordable Care Act “individual mandate” requirements for health insurance coverage.Chapter 11, Section 6(a)(vi) · 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 · read 9 October 2026
Failure to abide with the requirements of this section shall be considered “unprofessional conduct” within the meaning of Chapter 7 and shall constitute grounds for disciplinary action by the Board.Chapter 11, Section 6(b) · 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 · 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.