← 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. Shown only where the jurisdiction publishes a provision specific to chiropractic.
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You may apply for an Interstate Telehealth Registration only if you are licensed in a state other than Delaware and will provide health-care services via telehealth and telemedicine only if a health-care provider-patient relationship has been established in accordance with § 6003 of Title 24.Chiropractic Interstate Telehealth Registration (no section number printed) · dpr.delaware.gov · chiropractic-interstate-telehealth-registration · read 9 October 2026
As a health-care provider you must:Chiropractic Interstate Telehealth Registration (no section number printed) · dpr.delaware.gov · chiropractic-interstate-telehealth-registration · read 9 October 2026
be currently licensed in good standing in all states in which you are licensed as a health-care provider.Chiropractic Interstate Telehealth Registration (no section number printed) · dpr.delaware.gov · chiropractic-interstate-telehealth-registration · read 9 October 2026
not be actively licensed in a state that has enacted a compact in which Delaware participates in that compact.Chiropractic Interstate Telehealth Registration (no section number printed) · dpr.delaware.gov · chiropractic-interstate-telehealth-registration · read 9 October 2026
not be the subject of an administrative complaint that is currently pending before another state’s licensing authority or board.Chiropractic Interstate Telehealth Registration (no section number printed) · dpr.delaware.gov · chiropractic-interstate-telehealth-registration · read 9 October 2026
not be currently under investigation by another state’s licensing authority or board, or any authority in this State.Chiropractic Interstate Telehealth Registration (no section number printed) · dpr.delaware.gov · chiropractic-interstate-telehealth-registration · read 9 October 2026
Telecommunication is insufficient for supervision purposes or as a means for directing delegated acts.17 DCMR § 4899.1 (Supervision) · dchealth.dc.gov · DC Regulations - Chiropractic.120916.pdf · read 9 October 2026
(c) “Supervision” means observation of the dry needling procedure by a licensed chiropractic physician, allopathic or osteopathic physician, or physical therapist holding a Doctor of Physical Therapy degree who has actively performed dry needling for at least 1 year, as required pursuant to Section 460.4085(1)(b), F.S. The observation may be in person or via synchronous telehealth as defined in Section 456.47, F.S.64B2-17.004(1)(c) · www.flrules.org · readFile.asp?sid=0&tid=0&cno=64B2-17&caid=1634079&type=4&file=64B2-17.doc · read 9 October 2026
A 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
A person licensed under this chapter may provide telehealth services as long as the licensee acts within the scope of practice of the licensee's license, in accordance with any requirements and restrictions imposed by this subchapter and in accordance with standards of practice.§567 · legislature.maine.gov · title32sec567.html · read 9 October 2026
When providing telehealth services, a person licensed under this chapter shall comply with all state and federal confidentiality and privacy laws.§568 · legislature.maine.gov · title32sec568.html · read 9 October 2026
All laws and rules governing professional responsibility, unprofessional conduct and generally accepted standards of practice that apply to a person licensed under this chapter also apply to that licensee while providing telehealth services.§569 · legislature.maine.gov · title32sec569.html · read 9 October 2026
The board shall adopt rules governing telehealth services by persons licensed under this chapter.§570 · legislature.maine.gov · title32sec570.html · read 9 October 2026
These rules must establish standards of practice and appropriate restrictions for the various types and forms of telehealth services.§570 · legislature.maine.gov · title32sec570.html · read 9 October 2026
A. This chapter governs the practice of chiropractic using telehealth as an adjunct to, or replacement for, in-person patient visits.COMAR 10.43.17.01A · regs.maryland.gov · index.full.html · read 9 October 2026
C. A telehealth practitioner shall be held to the same standards of practice and documentation as those applicable for in-person chiropractic practice appointments.COMAR 10.43.17.04C · regs.maryland.gov · index.full.html · read 9 October 2026
B. A telehealth practitioner may not treat a patient based solely on an online questionnaire.COMAR 10.43.17.05B · regs.maryland.gov · index.full.html · read 9 October 2026
B. The failure of a telehealth practitioner to comply with this chapter shall constitute unprofessional conduct and may be subject to disciplinary action by the Board.COMAR 10.43.17.06B · regs.maryland.gov · index.full.html · read 9 October 2026
(1) A licensee shall obtain consent from the patient for treatment before providing a telehealth service under section 16284 of the code, MCL 333.16284.R 338.12016(1) · ars.apps.lara.state.mi.us · DownloadAdminCodeFile?FileName=R+338.12001+to+R+338.12054.pdf&ReturnHTML=True · read 9 October 2026
(2) A licensee shall keep proof of consent for telehealth treatment in the patient’s up-to-date medical record and satisfy section 16213 of the code, MCL 333.16213.R 338.12016(2) · ars.apps.lara.state.mi.us · DownloadAdminCodeFile?FileName=R+338.12001+to+R+338.12054.pdf&ReturnHTML=True · read 9 October 2026
(3) A licensee providing any telehealth service shall do both of the following:R 338.12016(3) · ars.apps.lara.state.mi.us · DownloadAdminCodeFile?FileName=R+338.12001+to+R+338.12054.pdf&ReturnHTML=True · read 9 October 2026
(a) Act within the scope of the licensee’s practice.R 338.12016(3)(a) · ars.apps.lara.state.mi.us · DownloadAdminCodeFile?FileName=R+338.12001+to+R+338.12054.pdf&ReturnHTML=True · read 9 October 2026
(b) Exercise the same standard of care applicable to a traditional, in-person health care service.R 338.12016(3)(b) · ars.apps.lara.state.mi.us · DownloadAdminCodeFile?FileName=R+338.12001+to+R+338.12054.pdf&ReturnHTML=True · read 9 October 2026
A 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
Persons licensed by the board shall be permitted to provide services through the use of telemedicine. "Telemedicine" means the use of audio, video, or other electronic media for the purpose of diagnosis, consultation, or treatment.316-A:15-a · www.gencourt.state.nh.us · 316-A-mrg.htm · read 9 October 2026
The Board cautions, however, that licensees practicing via telemedicine will be held to the same standard of care as licensees employing more traditional in-person chiropractic settings.Telemedicine (no section number printed) · ncchiroboard.com · Telemedicine-Apr21-2023.pdf · read 9 October 2026
The Board does not endorse a separate standard of care for telemedicine.Telemedicine (no section number printed) · ncchiroboard.com · Telemedicine-Apr21-2023.pdf · read 9 October 2026
Licensees using telemedicine technologies to provide care to patients located in North Carolina must provide, or rely upon, an appropriate evaluation prior to diagnosing and/or treating the patient.Telemedicine (no section number printed) · ncchiroboard.com · Telemedicine-Apr21-2023.pdf · read 9 October 2026
The licensee treating a patient via telemedicine must maintain a complete record of the telemedicine patients’ care consistent with the prevailing patient record standards.Telemedicine (no section number printed) · ncchiroboard.com · Telemedicine-Apr21-2023.pdf · read 9 October 2026
The Board deems the practice of chiropractic to occur in the state where the patient is located.Telemedicine (no section number printed) · ncchiroboard.com · Telemedicine-Apr21-2023.pdf · read 9 October 2026
Therefore, any licensee using telemedicine to regularly provide chiropractic services to patients located in North Carolina should be licensed to practice chiropractic in North Carolina.Telemedicine (no section number printed) · ncchiroboard.com · Telemedicine-Apr21-2023.pdf · read 9 October 2026
a. "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
(1) As used in this section, “telehealth” means a variety of methods, through the use of electronic and telecommunications technologies, for the distance delivery of health care services, including chiropractic services, excluding in-person services, and clinical information designed to improve the health status of a patient, and to enhance delivery of the health care services and clinical information.811-015-0066(1) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=249280 · read 9 October 2026
(2) A chiropractic physician who is licensed by, and is in active status with, the Oregon Board of Chiropractic Examiners to practice chiropractic may use telehealth if:811-015-0066(2) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=249280 · read 9 October 2026
(a) The use of telehealth is an appropriate manner in which to provide a chiropractic service;811-015-0066(2)(a) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=249280 · read 9 October 2026
(b) The chiropractic physician is providing a chiropractic service that is within the scope of practice of the chiropractic physician; and811-015-0066(2)(b) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=249280 · read 9 October 2026
(3) The use of telehealth as described in subsection (2) of this section is not an expansion of the scope of practice of chiropractic physicians. The use of telehealth establishes a doctor-patient relationship.811-015-0066(3) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=249280 · read 9 October 2026
(4) The board shall treat a chiropractic service that is delivered by a chiropractic physician through telehealth as described in subsection (2) of this section the same as the board treats the chiropractic service when delivered in person. The board shall apply identical quality and practice standards to a particular chiropractic service regardless of the method of delivery of the chiropractic service.811-015-0066(4) · secure.sos.state.or.us · viewSingleRule.action;JSESSIONID_OARD=gIAhm15F_7A-t_19vKlBBXHcspHa8ZWm8D8CpQ1m546yC6XNwvfP!-999993626?ruleVrsnRsn=249280 · read 9 October 2026
The Board has determined that this rule applies to both existing and new patients.GUIDE TO PRACTICE & POLICY QUESTIONS (no section number printed), PG 071 · www.oregon.gov · 25-10-22_P&P.pdf · read 9 October 2026
Oregon licensed chiropractic physicians can utilize telehealth for initial consultations and examinations provided that the following criteria and procedures are met, pursuant to all relevant administrative rules and statutes.GUIDE TO PRACTICE & POLICY QUESTIONS (no section number printed), PG 071 · www.oregon.gov · 25-10-22_P&P.pdf · read 9 October 2026
8. Telehealth includes telemedicine and means the use of asynchronous or synchronous telecommunication technology by a chiropractor to provide chiropractic services to a patient at a different physical location than the chiropractor. “Telehealth” does not include the use, in isolation, of email, instant message, text messaging or fax.CH-3-19-20B · doh.wa.gov · CQAC-TelehealthPolicy.pdf · read 9 October 2026
Generally, practitioners providing chiropractic services via telehealth to patients located in Washington State must hold either a license or temporary practice permit issued by the commission, with limited exceptions.CH-3-19-20B · doh.wa.gov · CQAC-TelehealthPolicy.pdf · read 9 October 2026
The commission must treat chiropractic care delivered by a chiropractor through telehealth in an identical manner to the provision of comparable chiropractic care delivered by a chiropractor in person (Section 5 of ESSB 5481).CH-3-19-20B · doh.wa.gov · CQAC-TelehealthPolicy.pdf · read 9 October 2026
A chiropractor’s failure to conform to professional practice standards, including the standard of care as found in chapter 18.25 RCW and 246-808 WAC whether the chiropractic care is provided in-person or via telehealth, may subject the chiropractor to potential discipline by the commission.CH-3-19-20B · doh.wa.gov · CQAC-TelehealthPolicy.pdf · read 9 October 2026
The commission does not endorse or evaluate the suitability of specific equipment and technology used to provide telehealth services.CH-3-19-20B · doh.wa.gov · CQAC-TelehealthPolicy.pdf · read 9 October 2026
Telehealth Practice. Practice occurs where the patient resides or receives services, regardless of means.Chapter 11, Section 2(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
A licensee should not render healthcare advice and/or care using telehealth technologies without:Chapter 11, Section 2(b)(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
Fully verifying and authenticating the location and identity of the requesting patient;Chapter 11, Section 2(b)(i)(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
Disclosing and validating the provider’s identity and applicable credential(s); andChapter 11, Section 2(b)(i)(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
Obtaining appropriate consents from requesting patients after disclosures regarding the delivery models and treatment methods or limitations, including any special informed consents regarding the use of telehealth technologies.Chapter 11, Section 2(b)(i)(C) · 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
An appropriate licensee-patient relationship has not been established when the identity and credentials, including license status, of the provider may be unknown to the patient.Chapter 11, Section 2(b)(i)(C) · 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
Informed Consent. Evidence documenting appropriate patient informed consent for the use of telehealth technologies must be obtained and maintained.Chapter 11, Section 2(b)(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
Appropriate informed consent should, at a minimum, include the following terms:Chapter 11, Section 2(b)(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
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.