Chiropractic Applicants, Licensing and Registration  


Chiropractors

  • Doctor of Chiropractic License Application (Fillable PDF to Print Out or Print Out and Type/Print Legibly)
    • Unofficial Copies of Undergraduate Transcripts w/ Application
    • Unofficial Copies of Chiropractic College Transcripts w/Application
    • Request Official Transcripts to be sent Directly to this Board
    • Request Official NBCE Score Report to be sent Directly to this Board
    • Copy of Healthcare Provider Level CPR
    • Two Certificate(s) of Moral Character Forms to be completed by Licensed D.C. & sent by that D.C.
    • Criminal History Records Check - Fingerprinting Instructions
      • MD Fingerprinting Form - In State Only
      • Out of State Fingerprinting MUST contact Board of Fingerprint Card first
      • Fingerprint Receipt Must be enclosed with Application
      • Verification of Out of State Licensure to be sent Directly to this Board by Issuing Agency
      • MD Board Exam Schedule
  • PDF Fillable "Certificate of Moral Character Form"to be completed and mailed by licensed D.C.
  • D.C. Application for Re-examination
  • Special Accommodations Request (Requires medical/school documentation)  

Licensed Chiropractors

Chiropractic Assistant Applicants



Stage 1 - (4 page packet with all required documents must be submitted)
Stage 2  
  • 4 Month Review Form
    • Form MUST include copy of CPR certification and Proof of enrollment in Board approved CA Instructional Coursework
Stage 3 - the following application (with all required fees and documentation) must be  
                remitted by the deadline date complete.

Additional Forms