Welcome to the Board of Chiropracti Examiners

Right Column

Enforcement
Licensing
Continuing Education
Chiropractic College Application


DESCRIPTION FILE TYPE REVISION DATE
Complaint Form Fillable PDF File 11/01/2003
Complaint Form in Spanish PDF File 11/01/2003
Customer Satisfaction Survey PDF File 11/01/2003
Customer Satisfaction Survey in Spanish PDF File 11/01/2003
Guidelines for Petitioners (For Use with All Petitions) PDF File 05/01/2001
Petition for Early Termination of Probation (Instructions) PDF File 05/01/2001
Petition for Early Termination of Probation (Form) PDF File 05/01/2001
Petition for Penalty Reduction (Instructions) PDF File 05/01/2001
Petition for Penalty Reduction (Form) PDF File 05/01/2001
Petition for Reinstatement of License (Instructions) PDF File 05/01/2001
Petition for Reinstatement of License (Form) PDF File 05/01/2001
Quarterly Probation Report PDF File 07/01/2004
Reporting Requirements for Prosecuting Agencies and Court Clerks PDF File 07/01/2004


DESCRIPTION FILE TYPE REVISION DATE
Address Change Request Fillable PDF File 05/12/2005
Replacement License Renewal Form & Instructions Fillable PDF File 11/01/2005
Duplicate License Request Form Fillable PDF File 08/05/2003
Inactive to Active License Request Form PDF File 08/31/2006
Application for Satellite Office Certificate PDF File 05/30/2003
Application for Certification of Registration as a Chiropractic Corporation PDF File 01/01/2005
Chiropractic Corporation Special Report PDF File 11/01/2003
Application for Chiropractic Referral Service PDF File 04/01/2001
Application for Restoration of a Forfeited License PDF File 12/07/2004
Application for Restoration of a Cancelled License PDF File 12/07/2004
Application for a Chiropractic License PDF File 07/01/2005
Chiropractic College Certificate PDF File 06/01/2002
Verification of Prechiropractic Hours PDF File 011/01/2006
Application for Reciprocal License to Practice Chiropractic PDF File 07/01/2005
Certification of Licensure and State Endorsement PDF File 11/01/2006
Request for Live Scan Service Instructions PDF File 03/01/2002
Request for Live Scan Service PDF File 04/01/2001


DESCRIPTION FILE TYPE REVISION DATE
Application for Approval as a Continuing Education Provider PDF File 01/05/2005
Application for Approval of a Continuing Education Course PDF File 01/19/2006


DESCRIPTION FILE TYPE REVISION DATE
Application for New Chiropractic College PDF File 09/20/2006


Visit the Flex Your Power Website Energy efficiency and conservation information. Find incentives/rebates, technical assistance, retailers, product guides, case studies and more.
Save a child with AMBER ALERT Amber Alert logo. AMBER ALERT empowers law enforcement, the media and the public to combat abduction by sending out immediate information.