California Chiropractic Legal Issues

California law governing chiropractic can be a bit abstruse, since it is spread over different sources.

For example, the Chirorpactic Act can be found in Appendix I to the California Business & Professions Code in Deering's California Codes Annotated.

One then needs to go to the rules in Title 16, Division 4 which will be the California Board of Chiropractic Examiners - Code of Regulations.

But fortunately, the California Board of Chiropractic Examiners keeps some handy links on its website, under Regulations. Click on
http://www.chiro.ca.gov/regulations and go from there. You can find the
Regulations, for example, at http://www.chiro.ca.gov/regulations/chiroregulations.mst.pdf.

The table of contents is reproduced below.

TABLE OF CONTENTS
Page
Article 1.
General Provisions........................................................................4
Section
§ 301. Tenses, Gender and Number.
§ 302. Practice of Chiropractic.
§ 303. Filing of Addresses.
§ 304. Discipline by Another State.
§ 305. Procedure in Disciplinary Proceedings.
§ 306. Delegation of Certain Functions.
§ 306.1. Chiropractic Quality Review Panel (CQRP).
§ 306.2. Person Not an Employee of the Board Hired to Provide
Expertise to Board in Evaluation of Conduct of Licensee;
Administration of a Board Examination; Non Liability of
Board.
§ 306.3. Investigators; Authority to Inspect Premises.
§ 307. Refund of Fees.
§ 308. Display of License.
§ 309. Posting of Notice of Revocation or Suspension.
Article 2.
Practice of Chiropractic.................................................................11
Section
§ 310. Change of Name
§ 310.1. Replacement License
§ 310.2. Use of the Title "Chiropractor" by Unlicensed Persons.
§ 311. Advertisements.
§ 312 Illegal Practice
§ 312.1 Ownership of a Chiropractic Practice
§ 312.2 Ownership of a Practice upon the Death or Incapacity of a Licensee
§ 313. Inducing Student to Practice Chiropractic
§ 314. Law Violators
§ 315. Mental Illness
§ 316. Responsibility for Conduct on Premises
§ 317. Unprofessional Conduct
§ 317.1. Chiropractic Referral Services
§ 317.5. Investigation and Enforcement Costs; Payment by Licentiate
§ 318. Chiropractic Patient Records/Accountable Billings
§ 319. Free or Discount Services
Article 3.
Application for License to Practice Chiropractic...................................22
Section
§ 320. Temporary Permits or Licenses
§ 321. Application for License
§ 322. Age of Applicant
§ 323. Reciprocity. Interpretation of Section 9 of the Act
§ 325. Denial of License Application; Issuance of Probationary License

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Article 4.
Approved School and Qualifications of Applicants................................25
Section
§ 330. Application for Approval
§ 331.1. Approval and Eligibility
§ 331.2. Inspection and Survey
§ 331.3. Supervision
§ 331.4. Financial Management
§ 331.5. Records
§ 331.6. Catalog
§ 331.7. Calendar
§ 331.8. Faculty
§ 331.9. Student Faculty Ratio
§ 331.10. Faculty Organization
§ 331.11. Scholastic Regulations
§ 331.12.1. Curriculum
§ 331.12.2. Curriculum
§ 331.12.3. Eligibility to Take Board Examination
§ 331.13. Physical Facilities
§ 331.14. Quality of Instruction
§ 331.15. Violations or Failure to Comply
§ 331.16. Definition of Board
Article 5.
Examinations............................................................................40
Section
§ 340. Examinations
§ 341. Other Articles Forbidden
§ 342. Conduct During Examination
§ 343. Basis of Questions
§ 344. Cheating
§ 345. Retention of Papers
§ 346. Interpretation of Part of Section 6(c) of the Act
§ 347. Cheating
§ 348. Failure to Appear for Examination
§ 349. Interpretation of Section 6(d) of the Act
§ 350. Interpretation of Part of Section 6(c) of the Act
§ 351. Failure to Appear for Examination
§ 352. Interpretation of Section 6(d) of the Act
§ 353. Failure of the Examination
§ 354. Successful Examination
Article 6.
Continuing Education...................................................................46
Section
§ 355. Renewal and Restoration
§ 355.1. Continued Jurisdiction of a License
§ 355.2. Inactive License
§ 356. Course Content
§356.1
Cardiopulmonary Resuscitation/Basic Life Support Training
§ 356.5. Continuing Education Provider Approval, Duties and Responsibilities
§ 357. Approval of Continuing Education Courses
§ 358. Exemptions and Reduction of Requirement
§ 359. Revoked or Suspended Licenses
§360.
Continuing Education Audits
Article 7.
Chiropractic Corporations.............................................................53
Section
§ 367.1. Citation of Rules
§ 367.2. Definitions
§ 367.3. Professional Relationships, Responsibilities, and Conduct Not Affected
§ 367.4. Office for Filing
§ 367.5. Application, Review of Refusal to Approve
§ 367.6. Requirements for Issuance of Certificate of Registration
§ 367.7. Name of Corporation
§ 367.8. Security for Claims Against a Chiropractic Corporation
§ 367.9. Shares: Ownership and Transfer
§ 367.10. Certificate of Registration; Continuing Validity; Reports
Article 8.
Conflict of Interest Code...............................................................56
§ 375.
General Provisions Appendix
Article 9.
Enforcement and Discipline...........................................................57
Section
§ 384. Disciplinary Guidelines
§ 386.
Fraud
§ 390. Issuance of Citations
§ 390.1. Criteria to Be Considered
§ 390.2. Violation Codes and Penalty
§ 390.3. Citations for Unlicensed Practice
§ 390.4. Contested Citations
§ 390.5. Compliance with Citation/Order of Abatement
§ 390.6 Notification to Other Boards and Agencies

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Article 1. General Provisions
§301. Tenses, Gender and Number.
For the purpose of the rules and regulations contained in this chapter, the present tense
includes the past and future tenses, and the future, the present; the masculine gender includes the
feminine, and the feminine, the masculine; and the singular includes the plural, and the plural,
the singular.
HISTORY
1. For prior history of sections 300 and 301, see Registers 88, No. 23 and 76, No. 50 (Register
90, No. 21)
§302. Practice of Chiropractic.
(a) Scope of Practice.
(1) A duly licensed chiropractor may manipulate and adjust the spinal column and other joints
of the human body and in the process thereof a chiropractor may manipulate the muscle and
connective tissue related thereto.
(2) As part of a course of chiropractic treatment, a duly licensed chiropractor may use all
necessary mechanical, hygienic, and sanitary measures incident to the care of the body,
including, but not limited to, air, cold, diet, exercise, heat, light, massage, physical culture, rest,
ultrasound, water, and physical therapy techniques in the course of chiropractic manipulations
and/or adjustments.
(3) Other than as explicitly set forth in section 10(b) of the Act, a duly licensed chiropractor
may treat any condition, disease, or injury in any patient, including a pregnant woman, and may
diagnose, so long as such treatment or diagnosis is done in a manner consistent with chiropractic
methods and techniques and so long as such methods and treatment do not constitute the practice
of medicine by exceeding the legal scope of chiropractic practice as set forth in this section.
(4) A chiropractic license issued in the State of California does not authorize the holder
thereof:
(A) to practice surgery or to sever or penetrate tissues of human beings, including, but not
limited to severing the umbilical cord;
(B) to deliver a human child or practice obstetrics;
(C) to practice dentistry;
(D) to practice optometry;
(E) to use any drug or medicine included in materia medica;
(F) to use a lithotripter;
(G) to use ultrasound on a fetus for either diagnostic or treatment purposes; or

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(H) to perform a mammography.
(5) A duly licensed chiropractor may employ the use of vitamins, food supplements, foods for
special dietary use, or proprietary medicines, if the above substances are also included in section
4057 of the Business and Professions Code, so long as such substances are not included in
materia medica as defined in section 13 of the Business and Professions Code.
The use of such substances by a licensed chiropractor in the treatment of illness or injury must
be within the scope of the practice of chiropractic as defined in section 7 of the Act.
(6) Except as specifically provided in section 302(a)(4), a duly licensed chiropractor may
make use of X-ray and thermography equipment for the purposes of diagnosis but not for the
purposes of treatment. A duly licensed chiropractor may make use of diagnostic ultrasound
equipment for the purposes of neuromuscular skeletal diagnosis.
(7) A duly licensed chiropractor may only practice or attempt to practice or hold himself or
herself out as practicing a system of chiropractic. A duly licensed chiropractor may also
advertise the use of the modalities authorized by this section as a part of a course of chiropractic
treatment, but is not required to use all of the diagnostic and treatment modalities set forth in this
section. A chiropractor may not hold himself or herself out as being licensed as anything other
than a chiropractor or as holding any other healing arts license or as practicing physical therapy
or use the term "physical therapy" in advertising unless he or she holds another such license.
(b) Definitions.
(1) Board. The term "board" means the State Board of Chiropractic Examiners.
(2) Act. The term "act" means the Chiropractic Initiative Act of California as amended.
Note: The Chiropractic Initiative Act of California is listed in West's Annotated California
Codes following section 1000 of the Business and Professions Code, and in Deering's California
Codes Annotated as an appendix to the Business and Professions Code.
(3) Duly licensed chiropractor. The term "duly licensed chiropractor" means any chiropractor
in the State of California holding an unrevoked certificate to practice chiropractic, as that term is
defined in section 7 of the Act, that has been issued by the board.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10(a), Business and Professions Code.
Reference: Sections 1000-5 and 1000-7, Business and Professions Code.
HISTORY:
1. Renumbering of subsection (b) to subsection (c) filed 7-7-78; effective thirtieth day thereafter
(Register 78, No. 27). For prior history, see Register 65, No. 24.
2. Redesignation of section 318 as subsection 302(b) filed 7-7-78; effective thirtieth day
thereafter (Register 78, No. 27).
3. Repealer and new section filed 8-4-87; operative 9-3-87 (Register 87, No. 32).
4. Change without regulatory effect of subsection (b)(2) (Register 88, No. 23).
5. Amendment of subsection (a) filed 4-4-91 as an emergency; operative 4-4-91 (Register 91,
No. 17). A Certificate of Compliance must be transmitted to OAL by 8-3-91 or emergency
language will be repealed by operation of law on the following day.

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6. Amendment of subsection (a) with amendments refiled 6-3-91 as an emergency; operative 6-
3-91 (Register 91, No. 34). A Certificate of Compliance must be transmitted to OAL by 10-1-91
or emergency language will be repealed by operation of law on the following day.
7. Certificate of Compliance as to 6-3-91 order transmitted to OAL 9-27-91 and filed 10-23-91
(Register 92, No. 24).
8. Change without regulatory effect amending subsection (a)(5) filed 1-12-2000 pursuant to
section 100, title 1, California Code of Regulations (Register 2000, No. 2).
§303. Filing of Addresses.
Each person holding a license to practice chiropractic in the State of California under any and
all laws administered by the board shall file his proper and current place of practice address of
his principal office and, where appropriate, each and every sub-office, with the board at its office
in Sacramento and shall immediately notify the board at its said office of any and all changes of
place of practice address, giving both his old and his new address within 30 days of change.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e), Business and Professions Code.
Reference: Section 1000-10(a), Business and Professions Code.
HISTORY:
1. Amendment filed 1-4-77; effective thirtieth day thereafter (Register 77, No.2).
2. Amendment filed 7-30-87; operative 8-29-87 (Register 87, No. 32)
§304. Discipline by Another State.
The revocation, suspension, or other discipline by another state of a license or certificate to
practice chiropractic, or any other health care profession for which a license or certificate is
required, shall constitute grounds for disciplinary action against a chiropractic licensee or
grounds for the denial of chiropractic licensure of an applicant in this state.
NOTE: Authority cited: Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923,
p. lxxxviii). Reference: Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923,
p. lxxxviii).
HISTORY:
1. New section filed 2-5-80; effective thirtieth day thereafter (Register 80, No. 5). For prior
history, see Register 76, No. 50.
2. Repealer of section heading and section and new section heading and section filed 4-6-2000;
operative 5-6-2000 (Register 2000, No. 14).
§305. Procedure in Disciplinary Proceedings.
All proceedings relating to the refusal to grant, suspension or revocation of a license to
practice chiropractic, or for the reissuance or reinstatement of a license which has been
suspended or revoked, or for the disciplining of licensees in any manner other than by a
Chiropractic Quality Review Panel, shall be conducted in accordance with the provisions of
Section 11500 et seq. of Chapter 5 of Part 1 of Division 3 of Title 2 of the Government Code.
NOTE: Authority cited: Sections 1000-4(b), 1000-4(e) and 1000-10(b), Business and
Professions Code (Chiropractic Initiative Act). Reference: Section 1000-4(h), Business and
Professions Code.

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HISTORY: 1. Amendment of section and new Note filed 5-13-93; operative 6-14-93 (Register
93, No. 20).
§306. Delegation of Certain Functions.
The power and discretion of the board to receive and file accusations; issue notices of hearing,
statements to respondent, statements of issues, subpoenas, and subpoenas duces tecum; receive
and file notices of defense; set and calendar cases for hearing; certify and deliver or mail copies
of decisions; and perform other functions necessary to expedite the business of the board in
connection with the conduct of the proceedings mentioned in Section 305 hereof in accordance
with the provisions of Chapter 5 of Part 1 of Division 3 of Title 2 of the Government Code, are
hereby delegated to the Executive Director.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e), Business and Professions Code.
Reference: Section 1000-3, Business and Professions Code.
HISTORY:
1. Amendment filed 12-6-65; effective thirtieth day thereafter (Register 65, No. 24).
2. Amendment filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
§306.1. Chiropractic Quality Review Panel (CQRP).
The board shall establish a Chiropractic Quality Review Panel (CQRP) by county throughout
California to hear cases referred by the board's executive director.
(a) The authority and duties of CQRP's are:
(1) To review chiropractic care provided by California licensees.
(2) To act on all matters assigned to it by the board's executive director.
(3) To inspect all chiropractic records where reasonable cause exists to initiate a quality
review.
(b) The composition and purpose of CQRP's are as follows:
(1) Each panel shall be composed of three licensees appointed by the board.
(2) Each panel member shall have at least 5 years experience practicing chiropractic in
California.
(3) Each panel member shall have no disciplinary action against their license.
(4) The purpose of the CQRP is to review specific complaints and where appropriate to
provide recommendations of continuing education and to strengthen aspects of the licensee's
chiropractic practice.
(A) The "continuing education" recommendations are limited to specific continuing education
seminars required by licensees.
(B) "Recommendations to strengthen aspects of a licensee's practice" will be a panel
recommendation consistent with chiropractic standards of care in California.

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(c) CQRP Hearing Procedures are as follows:
(1) A closed panel hearing shall be conducted with a court reporter.
(2) Any licensee required to appear before a panel will be notified by certified mail with a
summary of the specific complaint together with supporting documents at least 30 days prior to
the scheduled panel hearing.
(3) When requested by the panel, licensees shall present to the panel all patient treatment
records relevant to the specific complaint as required by California Code of Regulations, Title
16, Section 318.
(4) The failure to present all requested patient records authorizes the panel to presume that the
information in the records is adverse to the licensee.
(5) The licensee may bring in any witnesses and documents to assist in responding to the
complaint.
(6) The licensee may have counsel present during the panel hearing.
(7) The licensee will be given an adequate opportunity to respond to any questions by the
panel.
(8) A postponement of the scheduled panel hearing may be granted by the board's executive
director upon a showing of good cause made at least 10 days prior to the scheduled hearing.
(9) The failure of a licensee to appear, without good cause, constitutes grounds for a
recommendation to the executive director for filing of a disciplinary action, or further
investigation.
(d) CQRP report procedures:
(1) At the conclusion of the CQRP hearing the panel shall prepare a written report based on
the evidence presented at the panel hearing with specific recommendations regarding the licensee
and/or the licensee's practice.
Panel recommendations are the following:
(A) Continuing education seminars in related field;
(B) Recommendations that would strengthen aspects of licensee's chiropractic practice;
(C) Further investigation;
(D) Refer case to Office of Attorney General for preparation of formal disciplinary action;
(E) Close case with warning;
(F) Close case without warning;

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(G) Dismiss complaint.
(2) The report and recommendations shall go directly to the board's executive director.
(3) Any departure from accepted chiropractic procedures or practices shall be outlined in this
written panel report with the recommendations from subsection (d)(1)(A)-(G) deemed necessary
by a vote of a majority of the three member panel.
(4) All panel recommendations are subject to approval by the board's executive director
without further input from the licensee. The executive director shall prepare a final report, which
shall include all approved recommendations, and send a copy of the final report to the licensee
and panel members.
(5) The evidence presented at the panel hearing shall be submitted to the board office. All
evidence used by the panel is admissible in any subsequent disciplinary proceeding against a
licensee.
(e) The procedures for appealing the final CQRP report are as follows:
(1) The panel report is reviewed by the board's executive director. After the review, the final
report is sent to the licensee. The licensee has 30 days from receipt of the report to file a written
appeal with the board.
(2) The appeal shall be considered by a committee of the board consisting of no more than
three members.
(3) If the committee grants the appeal a final decision shall be prepared and returned to the
executive director for distribution to the licensee and panel members.
(4) If the board's committee denies the appeal, the final report becomes a final decision after
30 days.
(5) The licensee may appeal the final decision by filing a writ of mandate pursuant to
California Code of Civil Procedure, Section 1094.5. The writ of mandate shall be filed in a
Superior Court in Los Angeles, San Francisco, or Sacramento counties.
306.2. Persons Not Employees Hired Under Contract with the Board.
If a person, not a regular employee of the board, is hired or is under contract to provide
expertise or to perform investigations for the Board of Chiropractic Examiners in the evaluation
of the conduct of a licensee or administration of a board examination, and such person is named
as a defendant in a civil action directly resulting from opinions rendered, statements made,
investigations conducted or testimony given, the board shall provide for representation required
to defend the defendant in that civil action. The board shall not be liable for any judgment
rendered against that person. The Attorney General shall be utilized in those civil actions.
NOTE: Authority cited: Sections 1000-4(b), 1000-4(e) and 1000-10(a), Business and
Professions Code (Chiropractic Initiative Act). Reference: Sections 1000-4(h) and 154.5,
Business and Professions Code.
HISTORY:

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1. New section filed 5-13-93; operative 6-14-93 (Register 93, No. 20).
2. Amendment of section heading and section filed 9-23-2002; operative 10-23-2002 (Register
2002, No. 39).
§306.3. Investigators; Authority to Inspect Premises.
The board or its designee may inspect the physical premises of any chiropractic office during
regular business hours.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e), Business and Professions Code
(Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxviii). Reference: Sections 1000-
4(b), 1000-4(e) and 1000-4(h), Business and Professions Code (Chiropractic Initiative Act of
California, Stats. 1923, p. 1xxxviii).
HISTORY:
1. New section filed 10-2-2002; operative 11-1-2002 (Register 2002, No. 40).
§307. Refund of Fees.
The board is not authorized or permitted by law to return any portion of the license application
fee of a qualified applicant.
HISTORY
1. Amendment filed 12-6-65; effective thirtieth day thereafter (Register 65, No. 24).
§308. Display of License.
(a) Each person holding a license shall display a current active license in a conspicuous place
in the licensee's principal office or primary place of practice.
(b) Any licensed Doctor of Chiropractic with more than one place of practice shall obtain
from the Board a Satellite Office Certificate for each additional place of practice. Said certificate
must be renewed annually.
(c) A licensed Doctor of Chiropractic must display in a conspicuous place a current active
Satellite Office Certificate at the office for which it was issued.
No licensed Doctor of Chiropractic shall display any chiropractic license, certificate or
registration, which is not currently active and valid.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Sections
1000-5 and 1000-7, Business and Professions Code.
HISTORY:
1. New section filed 2-26-51 as an emergency; effective upon filing (Register 23, No. 4).
2. Amendment filed 1-4-77; effective thirtieth day thereafter (Register 77, No. 2).
3. Amendment filed 2-27-78; effective thirtieth day thereafter (Register 78, No. 9).
4. Amendment filed 2-15-79; effective thirtieth day thereafter (Register 79, No. 7).
5. Amendment filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
6. Amendment of section and Note filed 10-8-2002; operative 11-7-2002 (Register 2002, No.
41).
§309. Posting of Notice of Revocation or Suspension.

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NOTE: Authority cited: Section 4(b), Chiropractic Initiative Act of California.
HISTORY:
1. New section filed 7-7-78; effective thirtieth day thereafter (Register 78, No. 27).
2. Repealer filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
Article 2. Practice of Chiropractic
§310. Change of Name.
Any licensee who shall change his name according to the law, shall, within 10 days of such
change, reregister his name with the Executive Director of the board by submitting to the board
office a written statement of the change and evidence of legal documentation.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e), Business and Professions Code.
Reference: Sections 1000-7 and 1000-10(b), Business and Professions Code.
HISTORY:
1. Amendment filed 1-4-77; effective thirtieth day thereafter (Register 77, No. 2).
2. Repealer and new section filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
§310.1. Replacement License.
Any licensee shall be entitled to a replacement license if his original license is lost, stolen or
mangled, or upon written request and legal documentation of name change. Each request for a
replacement license must be accompanied by a nonrefundable fee of $25.00, and signed written
statement as to the circumstances of loss of said license, or the return to the board office of the
mangled license.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e), Business and Professions Code.
Reference: Sections 1000-7 and 1000-10(b), Business and Professions Code.
HISTORY:
1. Renumbering and amendment of former Section 310.1 to Section 310.2 and new Section
310.1 filed 7-30-87; operative 8-29-87 (Register 87, No. 32). For history of former Section
310.1, see Register 78, No. 50.
§310.2. Use of Title by Unlicensed Persons.
No person shall engage in the practice of chiropractic, as defined in Section 302, without
holding a license which is in an active status, issued by the Board.
Any person who advertises or promotes, in any manner, the words "doctor" or
"chiropractor", the letters, prefixes or suffixes "Dr." or "D.C.", or any other word, title or
letters indicating or implying that he or she is engaged in the practice of chiropractic, or who
represents or holds himself or herself out as a doctor of chiropractic without having, at the
time of so doing, a valid, unrevoked, or unsurrendered license, is in violation of the
Chiropractic Initiative Act.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code Reference: Section
1000-15, Business and Professions Code
HISTORY:

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1. Renumbering and amendment of former Section 310.1 to Section 310.2 filed 7-30-87;
operative 8-29-87 (Register 87, No. 32). For history of former Section 310.1, see Register 78,
No. 50.
2. Editorial correction of Note (Register 2000, No. 2).
3. Amendment of section heading and section filed 7-20-2001; operative 8-19-2001 (Register
2001, No. 29).
§311. Advertisements.
Constructive educational publicity is encouraged, but the use by any licensee of advertising
which contains misstatements, falsehoods, misrepresentations, distorted, sensational or fabulous
statements, or which is intended or has a tendency to deceive the public or impose upon
credulous or ignorant persons, constitutes grounds for the imposition of any of the following
disciplinary penalties:
(a) Suspension of said licensee's right to practice in this State for a period not exceeding one
(1) year.
(b) Placing said licensee upon probation.
(c) Taking such other action, excepting the revocation of said licensee's license, in relation to
disciplining said licensee as the board in its discretion may deem proper.
§312. Illegal Practice.
Unlicensed individuals are not permitted to diagnose, analyze, or perform a chiropractic
adjustment. An "unlicensed individual" is defined as any person, including a student or graduate
of a chiropractic institution, who does not hold a valid California chiropractic license. An
exemption is hereby created for student doctors participating in board approved preceptorship
programs.
The permitted activities of unlicensed individuals are as follows:
(a) Unlicensed individuals may take the history of a patient. However, this activity is separate from the consultation which at all times must be conducted by the licensed doctor.
(b) Unlicensed individuals may conduct standard neurological, orthopedic, physical and
chiropractic examinations, except they may not perform such examinations which require diagnostic or analytic interpretations nor may they render a conclusion either verbally or in writing regarding the patient's physical condition. As an example, unlicensed individuals may not perform evaluations of heart or lung soundings. Such individuals shall be at all times under the immediate and direct supervision of a licensed Doctor of Chiropractic.
"Immediate and direct supervision" means the licensed Doctor of Chiropractic shall be at all times on the premises where the examinations are being conducted. The licensed Doctor of Chiropractic shall be responsible for the verification of the recorded findings and will be solely responsible for rendering a conclusion based on the findings.
(c) Unlicensed individuals may administer physical therapy treatments as an adjunct to
chiropractic adjustment, provided the physical therapy treatment is conducted under the adequate supervision of a licensed Doctor of Chiropractic.

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Adequate supervision shall include all of the following:
(1) The doctor shall be present in the same chiropractic facility with the unlicensed individual
at least fifty percent of any work week or portion thereof the said individual is on duty unless this
requirement has been waived by the board. The doctor shall be readily available to the said
individual at all other times for advice, assistance and instruction.
(2) The doctor shall initially examine and prepare a written treatment program for a patient
prior to the providing of physical therapy treatment by the unlicensed individual.
(3) The doctor shall provide periodic reevaluation of the treatment program and of the
individual's performance in relation to the patient. "Periodic reevaluation" shall mean at least
once every thirty days the patient is under active care.
(4) The doctor shall perform and record an evaluation of the patient and his or her response to
treatment at the termination thereof.
(d) Unlicensed individuals may mark X-ray films administered by a Doctor of Chiropractic.
"Marking X-rays" is defined as drawing and measuring between reference points and making
angular and linear measurements. Unlicensed individuals are not permitted to make any
diagnostic conclusions or chiropractic analytical listings, and the licensed doctor is responsible
for any pathological entities covered or obstructed by the markings.
(e) Unlicensed individuals may not administer X-rays unless they hold a valid X-ray
technician certificate from the Department of Health Services, or participate under the direct supervision of a licensed Doctor of Chiropractic in a training program approved by that department and set forth in Section 25668.1 of the California Health and Safety Code. This
prohibition, set forth in Section 30403 of Title 17 of the California Administrative Code includes
the following activities:
(1) Positioning of patient;
(2) Setting up of X-ray machines;
(3) Pushing a button;
(4) Developing of films. The Department of Health Services has determined that unlicensed
individuals may develop X-ray film if that is their sole radiologic responsibility.
Unlicensed individuals who exceed the permitted scope of practice set forth in this regulation
shall be in violation of Section 15 of the Chiropractic Act and shall be prohibited from applying
for a California chiropractic license for such time as may be determined by the board. Student
doctors participating in board approved preceptorship programs are not to be considered
"unlicensed individuals" when working in said program.
NOTE: Authority cited: Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923,
p. lxxxviii). Reference: Section 15 of the Chiropractic Initiative Act of California (Stats. 1923,
p. lxxxviii) and Section 25668.1, California Health and Safety Code; Section 30403 of Title 17,
California Administrative Code.
HISTORY:

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1. Repealer and new section filed 7-16-79; effective thirtieth day thereafter (Register 79, No.
29).
2. Amendment filed 2-1-80; effective thirtieth day thereafter (Register 80, No. 5).
§312.1. Ownership of a Chiropractic Practice.
No unlicensed individual may own a chiropractic practice regardless of the form in which the
practice is established (individual ownership, partnership, corporation, etc.). This does not preclude a layperson from owning the facilities in which the practice is conducted, and the equipment provided. It does prohibit a layperson from being in a position of making and/or influencing decisions relating to diagnosis, or treatment of patients which are matters requiring chiropractic licensure.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Sections
1000-7, 1000-10 and 1000-15, Business and Professions Code.
HISTORY:
1. New section filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
§312.2. Ownership of Practice upon the Death or Incapacity of a Licensee.
In the event of the death of a chiropractic licensee, or the legal declaration of the mental
incompetency of the licensee to practice, the unlicensed heirs or trustees of the chiropractor must
dispose of the practice within six (6) months. At all times during that period the practice must be
supervised by a licensed chiropractor. The board will consider a petition to extend this period if
it is submitted within four (4) months after the death or the declaration of incompetence of the
licensee, including identification of any extenuating circumstances that will prevent compliance.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Sections
1000-7, 1000-10 and 1000-15, Business and Professions Code.
§313. Inducing Student to Practice Chiropractic.
No licensee of chiropractic in the State of California shall offer or cause to be offered to a
student or prospective student of chiropractic any promise or inducement, either written or
verbal, which may induce said student or prospective student to believe he or she, during the
freshman, sophomore, junior or senior years, or within the time that he or she shall be a student
in, and/or before graduation from chiropractic school or college, and/or before receiving a
license from the board, may be legally employed in any chiropractic private office, or
chiropractic school or college, to practice chiropractic, with or without compensation, and no
student shall accept or rely upon any such promise or understanding except that junior or senior
students only may, for professional instruction, be assigned to regular clinic practice, during
regular clinic hours, in the clinic conducted upon the premises of a regularly incorporated
chiropractic school or college, and then only when said clinic is in charge of a duly licensed
chiropractor as clinic instructor. This section does not apply to students and doctors who
participate in preceptorship programs sponsored by chiropractic institutions holding status with
the Council on Chiropractic Education or seeking such status. Violation of this rule by any
student shall be deemed to be also a violation of Section 312 hereof.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Sections
1000-10(b) and 1000-15, Business and Professions Code.

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HISTORY:
1. Amendment filed 2-15-79; effective thirtieth day thereafter (Register 79, No. 7).
2. Amendment filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
§314. Law Violators.
It shall be the duty of every licensee to notify the secretary or any member of the board, of any
violation of the act, or of these rules and regulations, in order that the board may take appropriate
disciplinary action.
§315. Mental Illness.
(a) Administrative Adjudication. The proceedings under this regulation shall be conducted in
accordance with Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2
of the Government Code, and the board shall have all the powers granted therein.
(b) Psychiatric Examinations. When reasonable cause exists that a person holding a license
under this Act is mentally ill to the extent that it may affect his ability to conduct with safety to
the public the practice authorized by such license, the board may order the license holder to be
examined by one or more physicians specializing in psychiatry designated by the board. The
report of such persons shall be made available to the license holder and may be received as direct
evidence in a proceeding conducted pursuant to subsection (c) of this regulation.
(c) Probation, Suspension, etc., in Event of Mental Illness; Reinstatement. If a license holder
has been found to be mentally ill by one or more physicians specializing in psychiatry designated
by the board, the results of which indicates that such illness does effect his ability to conduct,
with safety, the practice authorized by his license, the board may take action, in accordance with
subdivision (a) of this regulation, by any one of the following methods:
(1) Placing him on probation.
(2) Suspending his right to practice for a period not exceeding one year.
(3) Revoking his license.
(4) Taking such other action in relation to his license as the board in its discretion deems
proper.
The board shall not restore such license to good standing until it shall receive competent
evidence, from one or more physicians specializing in psychiatry, designated by the board, of the
absence or control of the condition which caused its action and until it is satisfied that with due
regard to the public interest the licensee's right to practice may be safely reinstated.
Before reinstating such a person, the board may require the person to pass an oral or written
examination, or both, to determine his present fitness to resume his practice.
(d) Conditions of Reinstatement. In setting aside action taken under subsection (c) of this
regulation, the board may impose terms and conditions to be followed by the license holder after
his license has been reinstated. The authority of the board to impose terms and conditions
includes, but is not limited to, the following:

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(1) Requiring the license holder to obtain additional professional training and to pass an
examination upon the completion of the training. The examination may be written or oral, or
both, and may be a practical or clinical examination, or both, at the option of the board.
(2) Requiring the license holder to submit to a complete diagnostic examination by one or
more physicians appointed by the board. If the board requires the certificate holder to submit to
such an examination, the board shall receive and consider any other report of a complete
diagnostic examination given by one or more physicians of the license holder's choice.
(3) Setting any other requirement the board in its discretion deems proper.
HISTORY:
1. Amendment filed 8-19-77; effective thirtieth day thereafter (Register 77, No. 34).
§316. Responsibility for Conduct on Premises.
(a) Every licensee is responsible for the conduct of employees or other persons subject to his
supervision in his place of practice, and shall insure that all such conduct in his place of practice
conforms to the law and to the regulations herein.
(b) Where a chiropractic license is used in connection with any premises, structure or facility,
no sexual acts or erotic behavior involving patients, patrons or customers, including, but not
necessarily limited to, sexual stimulation, masturbation or prostitution, shall be permitted on said
premises, structure or facility.
(c) The commission of any act of sexual abuse, sexual misconduct, or sexual relations by a
licensee with a patient, client, customer or employee is unprofessional conduct and cause for
disciplinary action. This conduct is substantially related to the qualifications, functions, or duties
of a chiropractic license.
This section shall not apply to sexual contact between a licensed chiropractor and his or her
spouse or person in an equivalent domestic relationship when that chiropractor provides
professional treatment.
NOTE: Authority cited: Sections 1000-4, 1000-10 and 1057, Business and Professions Code.
Reference: Sections 726 and 1000-10, Business and Professions Code.
HISTORY:
1. New section filed 7-13-71; effective thirtieth day thereafter (Register 71, No. 29).
2. New subsection (c) and amendment of Note filed 7-26-96; operative 8-25-96 (Register 96,
No. 30).
§317. Unprofessional Conduct.
The board shall take action against any holder of a license who is guilty of unprofessional
conduct which has been brought to its attention, or whose license has been procured by fraud or
misrepresentation or issued by mistake.
Unprofessional conduct includes, but is not limited to, the following:
(a) Gross negligence;

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(b) Repeated negligent acts;
(c) Incompetence;
(d) The administration of treatment or the use of diagnostic procedures which are clearly
excessive as determined by the customary practice and standards of the local community of
licensees;
(e) Any conduct which has endangered or is likely to endanger the health,welfare, or safety of
the public;
(f) The administering to oneself, of any controlled substance, or the use of any dangerous drug
or of alcoholic beverages to the extent or in a manner as to be dangerous or injurious to oneself,
or to any other person or to the public, or to the extent that the use impairs the ability of the
person to conduct with safety to the public the practice authorized by the license;
(g) Conviction of a crime which is substantially related to the qualifications, functions or
duties of a chiropractor;
(h) Conviction of any offense, whether felony or misdemeanor, involving moral turpitude,
dishonesty, physical violence or corruption. The board may inquire into the circumstances
surrounding the commission of the crime in order to fix the degree of discipline or to determine
if such conviction was of an offense involving moral turpitude, dishonesty, physical violence or
corruption. A plea or verdict of guilty, or a plea of nolo contendere is deemed to be a conviction
within the meaning of the board's disciplinary provisions, irrespective of a subsequent order
under the provisions of Section 1203.4 of the Penal Code. The board may order a license to be
suspended or revoked, or may decline to issue a license upon the entering of a conviction or
judgement in a criminal matter.
(i) The conviction of more than one misdemeanor or any felony involving the use,
consumption, or self-administration of any dangerous drug or alcoholic beverage, or any
combination of those substances.
(j) The violation of any of the provisions of law regulating the dispensing or administration of
narcotics, dangerous drugs, or controlled substances;
(k) The commission of any act involving moral turpitude, dishonesty, or corruption, whether
the act is committed in the course of the individual's activities as a license holder, or otherwise;
(l) Knowingly making or signing any certificate or other document relating to the practice of
chiropractic which falsely represents the existence or nonexistence of a state of facts;
(m) Violating or attempting to violate, directly or indirectly, or assisting in or abetting in the
violation of, or conspiring to violate any provision or term of the Act or the regulations adopted
by the board thereunder;
(n) Making or giving any false statement or information in connection with the application for
issuance of a license;

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(o) Impersonating an applicant or acting as a proxy for an applicant in any examination
required by the board for the issuance of a license or certificate;
(p) The use of advertising relating to chiropractic which violates section 17500 of the Business
and Professions Code;
(q) The participation in any act of fraud or misrepresentation;
(r) Except as may be required by law, the unauthorized disclosure of any information about a
patient revealed or discovered during the course of examination or treatment;
(s) The employment or use of persons known as cappers or steerers to obtain business;
(t) 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;
(u) Participation in information or referral bureaus which do not comply with section 317.1 of
the regulations;
(v) Entering into an agreement to waive, abrogate, or rebate the deductible and/or co-payment
amounts of any insurance policy by forgiving any or all of any patient's obligation for payment
thereunder, when used as an advertising and/or marketing procedure, unless the insurer is
notified in writing of the fact of such waiver, abrogation, rebate, or forgiveness in each such
instance.
In all insurance billings where a waiver of a deductible or a co-payment is intended as an
advertising and/or marketing procedure, the chiropractor's statement and insurance billing shall
contain the following statement:
I/WE WAIVE CO-PAYMENT AND/OR DEDUCTIBLES. IT IS MY/OUR INTENTION TO
DO THE FOLLOWING: (Indicate one choice below)
( ) BILL THE PATIENT $__________AFTER RECEIPT FROM YOU OF $___________ .
( ) WAIVE ANY FURTHER PAYMENT FROM THE PATIENT AFTER RECEIPT
FROM YOU OF $__________ .
( ) IN CASES WHERE PREDETERMINATION OF INSURANCE BENEFITS IS NOT
POSSIBLE, I/WE PROVIDE THE FOLLOWING WRITTEN EXPLANATION OF MY/OUR
BILLING INTENTIONS: ______________________________________________________
____________________________________________________________________________
(w) Not referring a patient to a physician and surgeon or other licensed health care provider
who can provide the appropriate management of a patient's physical or mental condition, disease
or injury within his or her scope of practice, if in the course of a diagnostic evaluation a
chiropractor detects an abnormality that indicates that the patient has a physical or mental
condition, disease, or injury that is not subject to appropriate management by chiropractic
methods and techniques. This subsection shall not apply where the patient states that he or she is
already under the care of such other physician and surgeon or other licensed health care provider

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who is providing the appropriate management for that physical or mental condition, disease, or
injury within his or her scope of practice.
(x) The offer, advertisement, or substitution of a spinal manipulation for vaccination.
(y) [Reserved]
(z).[Reserved]
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code
(Chiropractic Initiative Act of California, Stats. 1923, p. lxxxviii). Reference: Sections 1000-
4(b), and 1000-10, Business and Professions Code (Chiropractic Initiative Act of California,
Stats. 1923, p. lxxxviii).
§317.1. Chiropractic Referral Services.
Chiropractic referral services shall conform to the following:
(1) A referral bureau shall be made up of at least five doctors, each of whom does not have
fiduciary relationship one to the other, with one participating office representing no more than 20
percent of the bureau's available practitioners. The board will consider any extenuating
circumstances which will prevent a service from complying with these requirements;
(2) An application shall be filed with the board office which has been approved by the board,
and properly identifies the service, structure and members;
(a) A nonrefundable application fee of $25.00 shall be submitted with the referral service
application.
(3) A telephone number shall be for a separate answering service;
(4) The answering service of the bureau shall refer the caller to the next doctor on the list on a
rotating basis. The following are exceptions:
(a) A request for a specialist;
(b) Geographic considerations;
(c) Request for services in a language other than English.
(5) Records on each referral shall be kept and include the following:
(a) Date of referral;
(b) Name and address of patient;
(c) Name and address of doctor referred to.

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(6) When a 24-hour emergency referral service is offered, a member of the group shall be
available.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Section
651, Business and Professions Code.
HISTORY:
1. New section filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
§317.5. Investigation and Enforcement Costs; Payment by Licentiate.
(a) In any order in resolution of a disciplinary proceeding before the Board of Chiropractic
Examiners, the board may request the administrative law judge to direct a licentiate found to
have committed a volition or violations of the Chiropractic Initiative Act to pay a sum not to
exceed the reasonable costs of the investigation and enforcement of the case.
(b) A certified copy of the actual costs, or a good faith estimate of costs where actual costs are
not available, signed by the board bringing the proceeding or its designated representative shall
be prima facie evidence of reasonable costs of investigation and prosecution of the case. The
costs shall include the amount of investigative and enforcement costs up to the date of the
hearing, including, but not limited to, charges imposed by the Attorney General.
(c) The administrative law judge shall make a proposed finding of the amount of reasonable
costs of investigation and prosecution of the case when requested pursuant to subdivision (a).
The board may reduce or eliminate the cost award, or remand to the administrative law judge
where the proposed decision fails to make a finding on costs requested pursuant to subdivision
(a).
(d) Where an order for recovery of costs is made and timely payment is not made as directed
in the board's decision, the board may enforce the order for repayment in any appropriate court.
This right of enforcement shall be in addition to any other rights the board may have as to any
licentiate to pay costs.
(e) In any action for recovery of costs, proof of the board's decision shall be conclusive proof
of the validity of the order of payment and the terms for payment.
(f)(1) Except as provided in paragraph (2), the board shall not renew or reinstate any license of
any licentiate who has failed to pay all of the costs ordered under this section.
(2) Notwithstanding paragraph (1), the board may, in its discretion, conditionally renew or
reinstate for a maximum of one year the license of any licentiate who demonstrates financial
hardship and who enters into a formal agreement with the board to reimburse the board within
that one-year period for the unpaid costs.
(g) All costs recovered under this section shall be considered a reimbursement for costs
incurred and shall be deposited in the fund of the board recovering the costs.
(h) Nothing in this section shall preclude the board from including the recovery of the costs of
investigation and enforcement of a case in any stipulated settlement.

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NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code.
(Chiropractic Initiative Act of California, Stats. 1923, p. lxxxviii).
Reference: Sections 1000-4(b) and 1000-10, Business and Professions Code.
(Chiropractic Initiative Act of California, Stats. 1923, p. lxxxviii).
§318. Chiropractic Patient Records/Accountable Billings.
(a) Chiropractic Patient Records. Each licensed chiropractor is required to maintain all active and
inactive chiropractic patient records for five years from the date of the doctor's last treatment of
the patient. Active chiropractic records are all chiropractic records of patients treated within the
last 12 months. Chiropractic patient records shall be classified as inactive when there has elapsed
a period of more than 12 months since the date of the last patient treatment.
All chiropractic patient records shall be available to any representative of the Board upon
presentation of patient's written consent or a valid legal order. Active chiropractic patient records
shall be immediately available to any representative of the Board at the chiropractic office where
the patient has been or is being treated. Inactive chiropractic patient records shall be available
upon ten days notice to any representative of the Board. The location of said inactive records
shall be reported immediately upon request.
Active and inactive chiropractic patient records must include all of the following:
(1) Patient's full name, date of birth, and social security number (if available);
(2) Patient gender, height and weight. An estimated height and weight is acceptable where the
physical condition of the patient prevents actual measurement;
(3) Patient history, complaint, diagnosis/analysis, and treatment must be signed by the primary
treating doctor. Thereafter, any treatment rendered by any other doctor must be signed or
initialed by said doctor;
(4) Signature of patient;
(5) Date of each and every patient visit;
(6) All chiropractic X-rays, or evidence of the transfer of said X-rays.
(b) Accountable Billings. Each licensed chiropractor is required to ensure accurate billing of
his or her chiropractic services whether or not such chiropractor is an employee of any business
entity, whether corporate or individual, and whether or not billing for such services is
accomplished by an individual or business entity other than the licensee. In the event an error
occurs which results in an overbilling, the licensee must promptly make reimbursement of the
overbilling whether or not the licensee is in any way compensated for such reimbursement by his
employer, agent or any other individual or business entity responsible for such error. Failure by
the licensee, within 30 days after discovery or notification of an error which resulted in an
overbilling, to make full reimbursement constitutes unprofessional conduct.
NOTE: Authority cited: Section 4(b), Chiropractic Initiative Act of California (Stats. 1923, p. lxxxviii).
Reference: Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923, p. lxxxviii).

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§319. Free or Discount Services.
Licensees may advertise that they will perform certain designated routine professional services
free or at a discount if such advertising claims are truthful. However, no charge shall be made for
any other professional services rendered or commodities provided to a patient during any office
visit in which free or discounted services are offered or provided unless, prior to the accrual of
any charges, the patient shall have been informed of the cost of such additional services and/or
commodities and shall have agreed to pay for them.
For the purposes of this section, no separate charge shall be made for the professional
evaluation of diagnostic tests or procedures which are provided free or without cost, or at a
discount, whether such professional evaluation is made at the time of the initial office visit or at
any later time.
NOTE: Authority cited: Section 4(b), Chiropractic Initiative Act of California.
Article 3. Application for License to Practice Chiropractic
§320. Temporary Permits or Licenses.
The California law does not provide for the granting of temporary permits or licenses.
§321. Application for License.
An Application for a License to Practice Chiropractic shall be submitted on an application
form (No. 09A-1 (Rev. 9/92)) prescribed and provided by the board, and titled Application for
License to Practice Chiropractic, accompanied by such evidence, statements, or documents as are
therein required, and filed with the board at its office in Sacramento, with the required
nonrefundable application fee of one hundred dollars ($100.00).
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(c), Business and Professions Code.
Reference: Section 1000-5, Business and Professions Code.
HISTORY:
1. Amendment filed 5-26-88; operative 6-25-88 (Register 88, No. 23).
2. Change without regulatory effect amending section filed 11-17-92 pursuant to title 1, section
100, California Code of Regulations (Register 92, No. 47).
§322. Age of Applicant.
No applicant under the age of twenty-one (21) years of age shall be admitted to examination
before the board for licensure to practice chiropractic in California.
§323. Reciprocity. Interpretation of Section 9 of the Act.

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The board makes the following interpretation of Section 9 of the Act which states candidates
for licensure are considered to have fulfilled the requirement of reciprocity if they provide the
documentation required by the board showing the following:
(a) Graduation from a board approved chiropractic college, and completion of the minimum
number of hours and subjects as were required by California law at the time the applicant's
license was issued.
(b) Equivalent successful examination in each of the subjects examined in California in the
same year as the applicant was issued a license in the state from which he is applying.
(c) They must hold a valid and up-to-date license from the state from which they are
reciprocating.
(d) The state from which they are licensed will reciprocate with California.
(e) The board reserves the right to require any additional education or examination for
reciprocity.
(f) A nonrefundable application fee of $25.00.
(g) A fee, as set forth in Section 5 of the Act, if licensure is granted.
(h) Five (5) years of chiropractic practice.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Section
1000-9, Business and Professions Code.
HISTORY:
1. New section filed 1-4-77; effective thirtieth day thereafter (Register 77, No. 2). For prior
history, see Register 76, No. 50.
2. Amendment filed 2-15-79; effective thirtieth day thereafter (Register 79, No. 7).
3. Amendment of subsections (a) and (b) filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
4. New subsection (h) filed 7-25-96; operative 8-24-96 (Register 96, No. 30).
§325. Denial of License Application; Issuance of Probationary License.
The board may refuse a license to any applicant for any of the grounds enumerated in Business
and Professions Code Section 480. The board may, in its sole discretion, issue a probationary
license to any such applicant who has met all other requirements for licensure. The board may
issue the license subject to any terms or conditions not contrary to public policy, including, but
not limited to, the following:
(a) Medical, psychiatric, or psychological evaluation.
(b) Continuing medical, psychiatric, or psychological treatment.
(c) Restriction of practice.
(d) Continuing participation in a board-approved rehabilitation program.

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(e) Abstention from the use of alcohol or drugs.
(f) Random blood and or urine testing for alcohol or drugs.
(g) Compliance with all laws and regulations.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code
(Chiropractic Initiative Act of California, Stats. 1923, p. lxxxviii). Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code (Chiropractic Initiative Act of California, Stats.
1923, p. lxxxviii).
HISTORY:
1. New section filed 11-2-99; operative 12-2-99 (Register 99, No. 45).
§325.1. License Reapplication.
A person whose application for licensure was denied upon any of the grounds specified in
Section 10(b) of the Act or Business and Professions Code section 480 may reapply after a
period of not less than two years has elapsed from the date of the denial letter.
A person whose application for licensure was denied and proceeded in accordance with the
provisions of Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of
the Government Code may reapply for licensure two years form the effective date of the
decision.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code (Chiropractic
Initiative Act of California, Stats. 1923). Reference: Sections 1000-4(b) and 1000-10, Business
and Professions Code (Chiropractic Initiative Act of California, Stats. 1923).
HISTORY:
1. New section filed 6-28-2004; operative 7-28-2004 (Register 2004, No. 27).
§326. Criteria for Rehabilitation.
(a) When considering the denial of a license, the Board, in evaluating the rehabilitation of the
applicant and his or her present eligibility for a license, will consider the following criteria:
(1) The nature and severity of the act(s) or offense(s) under consideration as grounds for
denial.
(2) Evidence of any act(s) committed subsequent to the act(s) or crime(s) under
consideration as grounds for denial.
(3) The time that has elapsed since commission of the act(s) or crime(s) referred to in
subdivision (1) or (2).
(4) Whether the applicant has complied with any terms of parole, probation, restitution
or any other sanctions lawfully imposed against the applicant.
(5) Evidence, if any, of rehabilitation submitted by the applicant.

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(b) When considering the suspension or revocation of a license on the grounds that a
licensee has been convicted of a crime, the Board, in evaluating the rehabilitation of such
person and his or her present eligibility for a license, will consider the following criteria:
(1) Nature and severity of the act(s) or offense(s).
(2) Total criminal record.
(3) The time that has elapsed since commission of the act(s) or offense(s).
(4) Whether the licensee has complied with all terms of parole, probation, restitution or
any other sanctions lawfully imposed against the licensee.
(5) Evidence, if any, of rehabilitation submitted by the licensee.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions
Code (Chiropractic Initiative Act of California, Stats, 1923, p. lxxxviii). Reference:
Sections 1000-4 and 1000-10, Business and Professions Code (Chiropractic Initiative Act
of California, Stats. 1923, p. lxxxviii).
HISTORY:
1. New section filed 7-7-2003; operative 8-6-2003 (Register 2003, No. 28).
Article 4. Approved Schools and Qualifications of Applicants
§330. Application for Approval.
An application for approval on a form provided by the Board, shall be filed with the Board at
its principal office in Sacramento and addressed to the Secretary of the State Board of
Chiropractic Examiners. Such application shall be on file at least six months prior to any
inspection.
NOTE: Authority cited for Article 4 (Sections 330-331.16): Sections 4(b) and 4(f), Chiropractic
Initiative Act (Stats. 1923, p. 1xxxviii). Reference: Sections 4(b) and 4(f), Chiropractic Initiative
Act.
HISTORY:
1. Repealer of Article 4 (Sections 330-331.17) and new Article 4 (Sections 330-331.16) filed 12-
10-76; effective thirtieth day thereafter (Register 76, No. 50). For prior history of Article 4, see
Register 55, No. 16, and Register 65, No. 24.
§331.1. Approval and Eligibility.
(a) A school which initially meets the requirements of these rules shall be first provisionally
approved. No school will be finally approved until a provisional program has been in operation
for at least two years.
(b) No school shall be provisionally approved until it shall present competent evidence of its
organizational and financial ability to attain the minimum educational requirements set forth by
these rules and institutional goals set forth in its application.

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(c) No school shall be provisionally approved unless there is a reasonable need for such school
in the geographical area in which it is proposed to locate.
(d) No school shall be provisionally approved until competent evidence of compliance with
the requirements of Section 29023(a)(2) of the Education Code is filed with the Board.
§331.2. Inspection and Survey.
(a) No school shall be approved, provisionally or finally, until it has been inspected by the
Board or its duly authorized representative, including but not limited to the Council on
Chiropractic Education, and is found to be in compliance with the rules herein set forth.
(b) Each school shall permit to the Board or its authorized representatives unhampered
opportunity to inspect the school's facilities, interview its entire faculty and management,
examine student, teaching, grading, performance and graduation records, and inspect and audit,
for cause, at the school's expense, the financial and corporate records.
§331.3. Supervision.
(a) Every approved school shall be under the supervision of a full-time president, dean, or
other executive officer who shall carry out the objective and program of the school. Said officer
shall have a minimum of two years experience in school administration prior to his appointment,
or its equivalent in training.
(b) The president, dean, or other executive officer shall render a report annually, covering
topics such as student enrollment, number and changes in faculty and administration, changes in
the curriculum, courses given, and the projections for future policy. Said annual report shall be
filed with the Board within one month following the end of the academic year.
(c) It shall be the duty of the president, dean, or other executive officer to obtain from each
faculty member, prior to the beginning of the semester or school year, an outline and time
schedule for each subject of the course. He shall approve such outlines and determine from time
to time if they are being observed. A copy of this outline and a schedule of classes, showing the
day and hour of presentation and the instructor shall be filed with the Board within three (3)
weeks after the beginning of the term.
(d) The dean shall maintain a record of the teaching load of each member of the staff in terms
of classes taught, supervision, student counseling, committee work, and other assigned activities.
(e) A permanent file of all class schedules, beginning with those as of the date of the school's
approval shall be maintained by the dean. These shall be available for inspection and comparison
with the courses described in the relative catalogs.
(f) Schedules must be kept up to date and posted on a bulletin board available for student
inspection.
§331.4. Financial Management.
The college shall keep accurate financial records and shall file an annual financial report
including a profit and loss statement as well as an asset and liability statement prepared and

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signed by a qualified accountant. Said financial report shall be filed with the Board within three
(3) months following the end of the school's fiscal year.
§331.5. Records.
There shall be maintained a good system of records, showing conveniently and in detail, the
attendance, discipline, grades and accounts of the students, by means of which an exact
knowledge can be obtained regarding each students work. A personal file must be maintained for
each student containing his admission credentials, photographs and other identifying personal
items. Fireproof storage must be provided for the safekeeping of records.
§331.6. Catalog.
The school shall issue, at least biennially, a catalog setting forth the character of the work
which it offers, and said catalog shall be filed with the Board. The content and format shall
follow the usual pattern of professional school catalogs, and shall contain the following
information:
(a) A list of its trustees, president, dean and other administrative officers and members of the
faculty with their respective qualifications;
(b) Courses set forth by department, showing for each subject its content, value in term,
semester hours, or credit hours;
(c) Entrance requirements, conditions for academic standing and discipline, such as
attendance, examinations, grades, promotion and graduation;
(d) Matriculation, tuition, laboratory, graduation and special fees, and estimated costs of
books, instruments, dormitory and board; and
(e) Descriptions of the library, audio-visual facilities, laboratories and clinic facilities setting
forth at least the minimum requirement hereinafter set forth in rules.
(f) No school will be accepted or retained in good standing which publishes in its catalog or
otherwise, any misrepresentation regarding its curriculum, faculty or facilities for instruction.
§331.7. Calendar.
Each school may elect to use the semester, trimester or four-quarter term system.
A school calendar shall designate the beginning and ending dates of terms or semesters, the
vacation periods and legal holidays observed, and the dates for semester and final examinations.
The recitation or lecture period shall be not less than 50 minutes in length. The school may
operate on a five or six-day week or any combination thereof, but the total number of hours of
instruction shall be not less than 30 hours nor more than 35 hours per week. The total number of
hours provided for each complete student's course, leading to the degree of Doctor of
Chiropractic, shall be not less than 4,400 hours distributed over four academic years of nine
months each.
§331.8. Faculty.

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All faculty members shall meet the standards of the Council on Chiropractic Education.
HISTORY:
1. Repealer and new section filed 8-18-77; effective thirtieth day thereafter (Register 77, No.
34).
§331.9. Student Faculty Ratio.
(a) The full-time equivalent student-faculty ratio shall be at least one full-time professor to
every fifteen (15) students enrolled in the school.
(b) A full-time professor is one who devotes a minimum of 38 hours per week to his academic
duties.
(c) The maximum enrollment for any class in laboratory or clinical work shall be limited to the
number which may, by Board standards, sufficiently be trained with the equipment and facilities
available in such laboratory clinic.
(d) All classes and laboratory sessions, including clinics, shall be conducted under the
presence and supervision of a full-time professor.
(e) There shall be one instructor for each twenty-five (25) students in the laboratory and/or
clinic courses.
§331.10. Faculty Organization.
(a) A faculty shall be organized by departments. Regularly scheduled meetings of the full
faculty shall be had to provide a free exchange of ideas concerning:
(1) The content and scope of the curriculum;
(2) The teaching methods and facilities;
(3) Student discipline, welfare and awards;
(4) Faculty discipline and welfare;
(5) Committee reports and recommendations;
(6) Recommendations for the promotion and graduation of students;
(7) Administration and educational policies; and
(8) Recommendations to the administrative officers and to the trustees.
(b) The dean shall appoint the following standing committees of which he shall be a member
ex officio: admissions and credentials, curriculum, clinic, laboratories, library and examinations,
grades and records.
§331.11. Scholastic Regulations.

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(a) Admission.
(1) Each school shall have a committee on admissions and credentials. The admission of
students shall be in the hands of a responsible officer who is a member of the committee and his
decision shall be subject to the approval of the committee.
(2) No applicant shall be admitted to any school until he has been personally interviewed for
the purpose of determining his character, scholastic aptitude, mental and physical fitness to study
and practice. When a great geographic distance precludes personal interview, the same
information, supported by affidavits and photographs, may be substituted for the personal
interview.
(3) Documentary evidence of preliminary education must be obtained and kept on file. All
transcripts of other schools must be obtained directly from such schools.
(4) It is strongly recommended by the Board that an entrance examination compiled and
administered by recognized testing agencies (e.g., A.C.T., S.A.T.) be required of all students
prior to matriculation in order to prove their ability to do college level work.
(b) Date of Matriculation. No student shall be matriculated at a later date than one week
immediately following the advertised date of the commencement of the school term.
(c) Qualifications of Students. No student shall be matriculated in an approved school unless
he is of good moral character and is without major physical deficiencies, except as provided in
Section 8.1 of the Act.
(d) Professional Education. Students shall not be matriculated in any school approved by the
board unless they possess, and submit to the school upon their application for matriculation,
either:
(1) A diploma from a standard high school or other institution of standard secondary school
grade evidencing completion by the student of a four (4) year course, or
(2) A certificate from the board stating that the student has submitted proof, satisfactory to the
board, of education equivalent in training power to a high school course. The certificate shall
bear a date prior to the applicant's matriculation date in any school approved by the board.
(3) A student who seeks admission in any school approved by the Board after November 3,
1976, shall be subject to the following: The candidate must have completed, with a satisfactory
scholastic record, at least 60 semester hours or an equivalent number of quarter hours in
prechiropractic subjects at a college listed in the U.S. Office of Education "Education Directory--
Higher Education." The specific prechiropractic subjects and hor requirements shall be in
accordance with the standards adopted by the Council on Chiropractic Education.
(e) Advanced Standing.
(1) Applicants for admission to advanced standing shall be required to furnish evidence to the
school:

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(A) That they can meet the same entrance requirements as candidates for the first year class;
(B) That courses equivalent in content and quality to those given in the admitting school in the
year or years preceding that to which admission is desired have been satisfactorily completed;
(C) That the work was done in a chiropractic college acceptable to the committee on
admissions of the college; and
(D) That the candidate has a letter of recommendation from the dean of the school from which
transfer is made.
(2) Credits for work done in colleges of liberal arts and sciences will be allowed based on the
regulations of the Council on Chiropractic Education.
(3) Credits for basic science subjects on the professional level shall be in accordance with the
provisions of the regulations of the Council on Chiropractic Education.
(4) A student desiring to re-enter the college after a lapse in attendance of one or more years
shall fulfill the entrance requirements applying to the class which he seeks to enter. Students
whose education was interrupted by service in the armed forces are exempt from this
requirement.
(5) For all such students admitted to advance standing there will be, therefore, on file with the
registrar the same documents as required for admission to the first-year class and in addition a
certified transcript of work completed, together with a letter of honorary dismissal from the
college from which transfer was made.
(6) No candidate for a degree shall be accepted for less than one full academic year of resident
study.
(f) Attendance. In order to obtain credit for a course, a student shall have been present in class
at least 90 percent of the time and shall have received a passing letter grade. When the absence
exceeds 10 percent, the student shall be automatically dropped from the class. If the absences
have been due to illness or other excusable reasons and if evidence of these reasons can be
submitted, the student may apply for readmission through the dean's office and may be given
credit for attendance upon the recommendation of his instructor and completion of course
requirements.
Students shall be required to spend the last academic year of the course in residence in the
college which confers the degree.
(g) Promotion.
(1) Promotion from one school term to another should be by recommendation of the
instructors and consent of the committee on credentials or other similar committee. The decision
should be based upon careful evaluation of the student's attendance, application, conduct and
grades in quizzes and examinations. In other words, the final standing of the student in each
subject shall be based upon the composite judgment of the responsible instructors in that
department, and not solely upon the result of written examinations.
(2) A student failing in any subject in a school term should be required to repeat the subject.

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(h) Requirements for Graduation. The requirements for admission to the school shall have
been fulfilled and the candidate, in addition to scholastic qualitative requirements, shall have
completed a minimum quantitative requirement of 4,400 hours of instruction in four academic
years of nine months each. The last year shall have been spent in the school granting the degree.
The candidate shall have complied with all the regulations of the school and be recommended for
the degree by the faculty.
(i) Special (Graduate of An Approved Chiropractic School) or Unclassified Subject. Persons
so registered may not be a candidate for a degree. If they desire to become candidates, they shall
satisfy the usual requirements for admission as well as the degree requirement. No work done
under this classification will be accepted for credit beyond 90 days from the date of
matriculation. Holders of a valid chiropractic degree are exempt from this requirement.
(j) Degree. The degree conferred for completion of professional undergraduate work shall be
Doctor of Chiropractic (D.C.).
NOTE: Authority cited: Section 4(b), Chiropractic Initiative Act of California (Stats. 1923, p.
1xxxviii). Reference: Sections 4(b) and 5, Chiropractic Initiative Act of California (Stats. 1923,
p. 1xxxviii).
HISTORY:
1. New subsection (d)(3) filed 8-19-77; effective thirtieth day thereafter (Register 77, No. 34).
2. Amendment of subsection (e)(3) filed 6-20-78; effective thirtieth day thereafter (Register 78,
No. 25).
3. Amendment of subsection (e)(2) filed 12-12-78; effective thirtieth day thereafter (Register 78,
No. 50).
4. Amendment of subsection (d) filed 9-6-79; effective thirtieth day thereafter (Register 79, No.
36).
5. Amendment of subsection (d)(3) filed 2-5-80; effective thirtieth day thereafter (Register 80,
No. 5).
§331.12.1. Curriculum.
All applicants for the Board Examination who matriculated into a chiropractic college prior to
the passage of Proposition 15 (November 3, 1976) shall fulfill the requirements of this section.
(a) Course of Study. The school shall have established curriculum which indicates objectives,
content and methods of instruction for each subject offered.
(b) Required Hours and Subjects. The school shall offer, and shall require for graduation, a
course of not less than 4,000 academic hours extended over a period of four school terms of not
less than nine months each. Such course shall include the minimum educational requirements set
forth in Section 5 of the Act. The minimum number of hours required in the basic subjects shall
be as follows:
Anatomy including embryology (minimum of 480 hours), histology
(minimum of 160 hours), and dissection (minimum of 160 hours)
800 hours

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Physiology
320 hours
Biochemistry, inorganic and organic chemistry
320 hours
Pathology (minimum of 280 hours), bacteriology (minimum of 160 hours),
and toxicology (minimum of 40 hours) 480 hours
Public health, hygiene and sanitation, and first aid 120 hours
Diagnosis (minimum of 480 hours), pediatrics (minimum of 40 hours),
psychiatry (minimum of 40 hours), dermatology, syphilology and
serology (minimum of 40 hours), and X-ray (minimum of 120 hours) 720 hours
Obstetrics and gynecology
120 hours
Principles and practice of chiropractic (minimum of 960 hours),
physiotherapy (minimum of 120 hours), and dietetics (minimum of 40 hours) 1,120 hours
(c) Subject Presentation. Laboratory teaching with actual student participation must be
included in anatomy, dissection, histology, chemistry, physiology, bacteriology, pathology.
The classes shall be presented in a proper sequence so that the normal shall be presented first
before the abnormal is to be considered (i.e., the student must learn anatomy, chemistry and
physiology before he is taught pathology and diagnosis). The subject presentation should be of a
nature and depth comparable to that found at State colleges in equivalent courses.
ANATOMY: Includes gross anatomy, dissection, embryology, and histology with particular
emphasis on neurology.
PHYSIOLOGY: To include the physiology of blood and lymph, circulation, respiration,
excretion, digestion, metabolism, endocrines, special senses and nervous system.
CHEMISTRY: To include inorganic and organic chemistry, physical chemistry, the chemistry
of foods, digestion and metabolism.
PATHOLOGY AND BACTERIOLOGY: Pathology to include general and special pathology.
Bacteriology to include parasitology and serology.
PUBLIC HEALTH AND HYGIENE AND SANITATION: To include sanitary and hygienic
procedures, First Aid, prevention of disease and Public Health Department regulations.
DIAGNOSIS: To include physical, clinical, laboratory and differential diagnosis; pediatrics,
geriatrics, dermatology, syphilology, psychology, psychiatry and roentgenology (technique and
interpretation).
OBSTETRICS AND GYNECOLOGY: To include the standard routine diagnostic procedures,
and clinical and laboratory examinations.

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PRINCIPLES AND PRACTICE OF CHIROPRACTIC, DIETETICS, PHYSIOTHERAPY,
AND OFFICE PROCEDURE: To include history and principles of chiropractic, spinal analysis,
adjustive techniques and orthopedics.
NUTRITION: To include dietetics and clinical nutrition, including primary and secondary
nutritional deficiencies.
PHYSIOTHERAPY: To include the theory, principles and use of the standard recognized
physiotherapy equipment and procedures.
OFFICE PROCEDURE: To include private office and case management, the writing and
completion of reports and forms for insurance claims, and the provisions, rules and regulations of
the Chiropractic Act.
(d) Additional Hours and Subjects. The school, if it desires, may offer and may require for
graduation, course of more than 4,000 hours. Such additional hours may be in elective subjects.
(e) Clinics. Each student shall be provided with actual clinical experience in the examining,
diagnosing, and treatment of patients. Said clinical experience shall include spinal analysis,
palpation, chiropractic philosophy, symptomatology, laboratory diagnosis, physical diagnosis, X-
ray interpretation, postural analysis, diagnostic impressions, and adjusting of various
articulations of the body, psychological counseling, dietetics and physical therapy. Individual
case files on each patient together with a record of dates and treatments given and student
treating shall be kept and available to the board for inspection.
HISTORY:
1. Amendment filed 2-27-78; effective thirtieth day thereafter (Register 78, No. 9).
§331.12.2. Curriculum.
All applicants for licensure shall be required to comply with this section in order to qualify for
a California chiropractic license.
(a) Course of Study: Every school shall have a curriculum which indicates objectives, content
and methods of instruction for each subject offered.
(b) Required Hours and Subjects: Each applicant shall offer proof of completion of a course of
instruction in a Board-approved chiropractic college of not less than 4,400 hours which includes
minimum educational requirements set forth in Section 5 of the Act. The course of instruction
completed by the applicant shall consist of no less than the following minimum hours, except as
otherwise provided:
Group I
Anatomy, including embryology, histology and human dissection
616 hours
Group II
Physiology (must include laboratory work)
264 hours
Group III Biochemistry, clinical nutrition, and dietetics
264 hours
Group IV Pathology, bacteriology, and toxicology
440 hours

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Group V
Public health, hygiene and sanitation, and emergency care
132 hours
Group VI Diagnosis, including E.E.N.T. and serology, dermatology and sexually
transmitted diseases, geriatrics, X-ray interpretation, and neurology
792 hours
Group VII Obstetrics, gynecology, and pediatrics
132 hours
Group VIII Principles and practice of chiropractic to include chiropractic
technique, chiropractic philosophy, orthopedics, X-ray technique,
and radiation protection
430 hours
Clinic, including office procedure
518 hours
Physiotherapy
120 hours
Psychiatry
32 hours
Electives
660 hours
Total 4,400 hours
(c) Subject Presentation: Laboratory teaching with actual student participation shall be
included in human dissection, histology, chemistry, physiology, bacteriology, pathology, X-ray
and physiotherapy. Each school shall have and use at least one phantom or equivalent equipment
for X-ray class and other courses as may be necessary for adequate teaching.
Classes shall be presented in proper academic sequence. Each student shall be taught micro
and gross anatomy, human dissection, and physiology before pathology; biochemistry before or
concurrent with physiology; and diagnosis before or concurrent with the study of pathology.
Clinic hours shall be taken only after a student completes all hours in or concurrently with
diagnosis.
(1) ANATOMY: To include gross anatomy, human dissection, embryology and histology.
(2) PHYSIOLOGY: To include the physiology of blood and lymph, circulation, respiration,
excretion, digestion, metabolism, endocrines, special senses and nervous system.
(3) BIOCHEMISTRY AND NUTRITION: Biochemistry to include the chemistry of foods,
digestion, and metabolism. Nutrition to include dietetics and clinical nutrition in the prevention
and treatment of illnesses.
(4) PATHOLOGY AND BACTERIOLOGY: Pathology to include general and special
pathology. Bacteriology to include parasitology and serology.
(5) PUBLIC HEALTH, HYGIENE, SANITATION AND EMERGENCY CARE: To include
sanitary and hygienic procedures, First Aid, minor surgery, prevention of disease, and Public
Health Department regulations.
(6) DIAGNOSIS: To include physical, clinical, laboratory and differential diagnosis;
E.E.N.T., geriatrics, serology, dermatology, syphilology, roentgenology (technique and
interpretation) and the rules and regulations of the Radiologic Technology Certification
Committee of the State Department of Health Services.
(7) OBSTETRICS, GYNECOLOGY AND PEDIATRICS: To include the standard routine
diagnostic procedures and clinical and laboratory examinations.
(8)
PRINCIPLES
AND
PRACTICE
OF
CHIROPRACTIC,
DIETETICS,
PHYSIOTHERAPY, AND OFFICE PROCEDURE: To include history and principles of
chiropractic, spinal analysis, adjustive technique of all articulations of the body, orthopedics and
patient counseling in curriculum subject matters.

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(9) PHYSIOTHERAPY: To be eligible for licensure, each applicant must furnish proof
satisfactory to the Board of successful completion of the required 120 hours of physiotherapy
course work and additional clinical training in which the theory, principles and use of the
standard recognized physiotherapy equipment and procedures were demonstrated to and used by
the applicant. This shall include a minimum of thirty (30) patient office visits in which
physiotherapy procedures are performed by the student on their own clinic patients. If
physiotherapy course work is not offered by the chiropractic college where the student
matriculated, the required instruction and clinical training in physiotherapy may be completed at
another Board-approved chiropractic college, provided such course is a regular credit course
offered primarily to matriculated students.
Physiotherapy course work not completed prior to graduation from chiropractic college may
be fulfilled by course work taken subsequent to graduation at a Board-approved chiropractic
college in conjunction with clinical training in physiotherapy offered by that college. Such
course work and clinical training must be regular credit course work and clinical training offered
primarily to matriculated students.
(10) OFFICE PROCEDURE: To include private office and case management, the writing and
completion of reports and forms for insurance claims, and the provisions, rules and regulations of
the Chiropractic Act, and the Radiologic Technology Certification Committee of the State
Department of Health Services.
(d) Additional Hours and Subjects: It is recommended that a school offer elective subjects,
including chiropractic meridian therapy, counseling, hypnotherapy and biofeedback. The school
may offer and require for graduation courses of more than 4,400 hours.
(e) Clinics: Each student shall be provided with actual clinical experience in the examining,
diagnosing, and treatment of patients. Such clinical experience shall include spinal analysis,
palpation, chiropractic philosophy, symptomatology, laboratory diagnosis, physical diagnosis, X-
ray interpretation, postural analysis, diagnostic impressions, and adjusting of various
articulations of the body, psychological counseling and dietetics. Individual case files on each
patient together with a record of dates and treatments given and student treating shall be kept and
available to the board for inspection.
Clinical hours, as described in this section, including those relating to physiotherapy, must be
completed in a clinic operated or supervised by a chiropractic college.
Each student shall be required to complete, as a minimum for graduation, the following:
(1) Twenty-five (25) physical examinations of which at least ten (10) are of outside (not
student) patients.
A physical examination shall include an evaluation of all vital signs, case history, orthopedic
and neurological testing.
Students shall also have practical clinical laboratory training, including twenty-five (25)
urinalyses, twenty (20) complete blood counts (CBCs), ten (10) blood chemistries, and thirty
(30) X-ray examinations. Students shall perform ten (10) proctological and ten (10)
gynecological examinations. Proctological and gynecological examinations may be performed on
a phantom approved by the Board. Gynecological and proctological examinations not completed
prior to graduation may be completed after graduation at a Board-approved chiropractic college.

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(2) Students shall perform a minimum of two hundred and fifty (250) patient treatments
(visits), including diagnostic procedures, chiropractic adjustive technique and patient evaluation.
(3) Written interpretation of at least thirty (30) different X-ray views, either slide or film,
while a senior in the clinic, in addition to other classroom requirements which shall include the
spinal column, all other articulations of the body, and soft tissue.
(4) Minimum of five hundred eighteen (518) hours of practical clinical experience (treating
patients in the clinic).
NOTE: Authority cited: Authority cited: Section 1000-4(b), Business and Professions Code
(Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxvii). Reference: Section 1000-4(g)
and 5, Business and Professions Code (Chiropractic Initiative Act of California, Stats. 1923, p.
1xxxvii).
HISTORY:
1. Repealer and new section filed 8-19-77; effective thirtieth day thereafter (Register 77, No.
34).
2. Renumbering of Section 331.12.3 to Section 331.12.2 and amendment filed 2-27-78; effective
thirtieth day thereafter (Register 78, No. 9). For history of former Section 331.12.2, see Register
76, No. 50.
3. Amendment of subsection (e) filed 6-4-80; effective thirtieth day thereafter (Register 80, No.
23).
4. Amendment filed 4-17-2001; operative 5-17-2001 (Register 2001, No. 16).
5. Amendment of subsection (e)(1) and amendment of Note filed 9-10-2002; operative 10-10-
2002 (Register 2002, No. 37).
§331.12.3. Eligibility to Take Board Examination.
To be eligible to take the board examination, each applicant for licensure must furnish proof
satisfactory to the Board of meeting all licensure requirements.
NOTE: Authority cited: Section 4(b) and 4(g) of the Chiropractic Initiative Act of California
(Stats. 1923, p. lxxxviii). Reference: Section 5 of the Chiropractic Initiative Act of California
(Stats. 1923, p. lxxxviii).
HISTORY:
1. New section filed 10-7-77; effective thirtieth day thereafter (Register 77, No. 41).
2. Renumbering of Section 331.12.4 to Section 331.12.3 and amendment filed 2-27-78; effective
thirtieth day thereafter (Register 78, No. 9).
3. Amendment of subsection (a) filed 6-20-78; effective thirtieth day thereafter (Register 78, No.
25).
4. Repealer filed 7-16-79; effective thirtieth day thereafter (Register 79, No. 29).
5. New section filed 4-17-2001; operative 5-17-2001 (Register 2001, No. 16).
§331.13. Physical Facilities.
(a) General: Each school shall own, or enjoy the assured use of a physical plant large enough
to accommodate classrooms, lecture rooms, laboratories, a clinic, a library and administrative
and faculty offices. Each school shall meet and maintain the standards and requirements
established by or under the authority of the laws of the State of California governing educational

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institutions and all applicable city and county ordinances wherein the school is located and shall
maintain competent evidence of such compliance, for examination by the Board.
(b) Administrative Offices: The administrative offices shall provide adequate office space for
faculty members.
There shall be space available for faculty conferences.
All furnishings shall be serviceable and functional and there shall be sufficient office
equipment, subject to Board approval, to efficiently manage the business of the school.
There shall be fireproof storage for all records and documents required by the Chiropractic
Initiative Act, statute, or regulations.
All administrative offices shall meet the standards and requirements incorporated by
subparagraph (a) above.
(c) Classrooms: There shall be sufficient number and size of classrooms to separately
accommodate the graded classes in 1st, 2nd, 3rd and 4th year classes. No two or more subjects
shall be taught in the same classroom simultaneously. No two or more student classes (1st, 2nd,
3rd and 4th year) shall be taught in the same classroom simultaneously.
Classrooms shall be located where there is quiet and freedom from interruption and
distraction.
All classrooms shall be furnished with audio-visual aids appropriate to the subject matter
being taught, and desks and chairs or tablet armchairs. There shall be effective shades to darken
rooms equipped with visual projection apparatus.
All classrooms shall meet the standards and requirements incorporated by subparagraph (a)
above.
(d) Laboratories: Laboratories shall be well lighted and ventilated and shall be equipped for
the practical work in human dissection, histology, chemistry, physiology, bacteriology,
pathology, laboratory diagnosis, roentgenology, physiotherapy and chiropractic technique.
Anatomy and pathology laboratories shall contain standard equipment. No more than ten (10)
students shall be assigned per table. Sinks should be equipped with wrist action or foot pedal
valves, and supplied in a sufficient number. Human cadavers and specimens for individual and
small group demonstrations shall be supplied. If human cadavers are not available, or state law
prohibits their use, schools must obtain prior written approval from this Board.
Microscopic laboratories shall have one microscope and one desk light for each two (2)
students in the class.
Chiropractic technique laboratories shall be equipped with one chiropractic adjusting table for
every four (4) students in the class.
Actual student experience with X-ray phantom or equivalent for all areas of the body shall be
necessary.

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Additionally, all laboratories shall meet the standards and requirements incorporated in
subparagraph (a) above.
(f) Teaching Aids and Equipment: For the subject of physiotherapy there shall be sufficient
generally recognized equipment for classroom and clinic purposes (to include sine galvanic,
ultrasound, diathermy, ultraviolet, heat, cold, percussion, and transaction). For the practical work
and physical diagnosis students shall be required to own the ordinary and usual diagnostic
instruments, including, but not limited to, thermometers, stethoscopes, sphygmomanometers,
oto-ophthalmoscope examination sets, and orthopedic-neurological examination instruments.
Each school shall own and teach the use of the current standard diagnostic instruments and a list
of same shall be made available to the Board upon request. For classroom demonstration and
visual education aids, each school shall own charts, mannequins, skeletons, bone collections,
anatomical and embryological models, stereopticons, balopticons, micro-projections, and video
players or similar projection equipment. The film and slide library shall be constantly augmented
by the addition of new material.
(g) Library: A library shall be provided for the use of the student body. The minimum
requirements for a library are:
(1) Operation of the library shall be under the direct supervision of a full-time librarian
holding a degree in library science.
(2) The library shall be open to students a minimum of eight (8) hours per day. It shall have
room available for study purposes to accommodate at least ten (10) percent of the enrolled
students at one time. Hours shall be posted.
(3) The library volumes shall be cataloged, using a generally accepted system.
(4) The library shall consist of a minimum of 5,000 volumes of which 2,000 shall be less than
ten years of age. Only cataloged scientific volumes which are of interest to the published
curriculum of the school can be counted as library volumes. Unbound journals and periodicals
shall not be counted in determining compliance with this rule.
(5) Each school shall conduct a program of student orientation as to the use of the library and
class assignments involving the use of the library.
(h) Clinic: Each school shall operate a general out-patient clinic where the senior students will
obtain actual experience, practical knowledge and skill in:
(1) Diagnosis, including physical examination, palpation, spinal analysis, clinical pathological,
laboratory findings, X-ray, and tentative and working diagnoses.
(2) Adjustive technique, dietetics, and psychotherapy for the care or prevention of disease in
accordance with Section 7 of the Act.
Such a clinic shall at all times be under the supervision of a clinician who meets the standards
of the Council on Chiropractic Education.
The minimum requirements of a clinic are:

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(A) A reception room with a minimum seating capacity for ten (10) persons.
(B) A minimum of five (5) patient dressing rooms that are equipped with at least curtains to
ensure privacy.
(C) An administration area wherein at least one full-time secretary shall be located and patient
files shall be maintained.
(D) A minimum of one (1) office for each faculty member supervising the clinic with a
minimum of two (2) such offices.
(E) Separate lavatories for men and women with a minimum of one (1) each.
(F) A minimum of one (1) physical examination room for every ten (10) students concurrently
present and enrolled in the clinic.
(G) A minimum of one (1) chiropractic adjusting table for every five (5) students performing
adjustments on clinic patients with a minimum of five (5) such tables.
(H) A minimum of one (1) X-ray examination room that is equipped with at least one (1) X-
ray machine that has a capacity of no less than 125 KV plus 300 M.A. There shall also be an X-
ray developing room that is equipped with the appropriate and necessary film processing
equipment as required by the Board. This room may be an area within the X-ray procedure room
or shall be located in the immediate area in the same building of such X-ray procedure room. A
list of minimal X-ray equipment which shall be used must be obtained from the Board.
(I) A lab room equipped with a sterilization facility, unless waived in writing by the Board.
(J) In addition to the requirements of section 331.12(e), each student's work, conduct,
reliability and personality shall be evaluated in writing by his or her supervising teacher and such
evaluation shall become a part of the student's record and shall be available for inspection by the
Board.
(i) Operation and Maintenance of the Physical Plant. In addition to the requirement of
subparagraph (a) above, each school shall operate and maintain all physical equipment in good
repair.
Lockers shall be available for student use.
HISTORY:
1. Amendment of subsection (h)(2) filed 8-19-77; effective thirtieth day thereafter (Register 77,
No. 34).
2. Amendment of subsection (h)(2) filed 8-29-77 as an emergency; designated effective 9-18-77.
Certificate of Compliance included (Register 77, No. 34).
3. Amendment filed 4-17-2001; operative 5-17-2001 (Register 2001, No. 16).
§331.14. Quality of Instruction.
Nothing herein contained shall constitute any limitation or restriction upon the power of the
Board to refuse to approve, or to disapprove, any school if in the opinion of the Board the quality

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of instruction is not sufficiently high to meet the objective of the State Chiropractic Act or these
rules.
§331.15. Violations or Failure to Comply.
(a) Any violation of these rules, or failure to comply with them, shall be grounds to revoke
approval of any school, and to refuse approval to any school, or to any applicant.
(b) If any school provisionally approved or approved by the Board undergoes fundamental
changes in its administration, organization or stated objectives, provisional approval or approval
shall be suspended until such time as the Board again appraises the institution.
Such changes include but are not limited to change in ownership of the school or its assets or
noncompliance with Section 29032(a)(2) of the Education Code.
(c) In the event an approved school or a school applying for provisional approval fails to
maintain or meet the required standards, the institution will be given a bill of particulars and
granted 60 days to comply; in the event such corrections are not made within said time, the
institution will be removed from the approved list or denied provisional approval.
(d) Institutions rejected or removed from the approved list may apply for reconsideration or
reinstatement in accordance with Rule 331.
§331.16. Definition of Board.
Whenever the Board is used in this article, it shall mean the Board of Chiropractic Examiners
unless otherwise indicated.
Article 5. Examinations
§340. Examinations.
The examination shall be administered a minimum of two (2) times each year. It shall be
heldin a location accessible to the applicants; and it shall be administered in a manner which
maintains the validity and reliability of the examination, and provides on-site anonymity to the
applicants. The examination shall be conducted in a manner to assure a reasonable expectation of
the fair and impartial evaluation of the applicants' knowledge, and their ability to practice
chiropractic in the best interests of the public health and welfare.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Section
1000-6(c), Business and Professions Code.
HISTORY:
1. Renumbering of Article 6 (Sections 355 through 366) to Article 5 (Sections 340 through 351)
filed 1-31-72; effective thirtieth day thereafter (Register 72, No. 6). For prior history see
Registers 65, No. 24, and 68, No. 2. For history of former Article 5, see Register 55, No. 16.
2. Amendment filed 10-7-77; effective thirtieth day thereafter (Register 77, No. 41).
3. Repealer and new section filed 7-30-87; operative 8-29-87 (Register 87, No. 32).

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§341. Other Articles Forbidden.
During the examination, no applicant will be permitted to have in his possession any paper or
object other than the examination questions, examination paper, pencil supplied by the board,
and a watch. Further, an applicant is forbidden from wearing any jewelry which includes rings,
tie clasps, belt buckles and bracelets which identifies an applicant with a particular chiropractic
association, philosophy, or school.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Section
1000-6(c), Business and Professions Code.
HISTORY:
1. Repealer of former Section 341, and renumbering and amendment of Section 344 to Section
341 filed 7-30-87; operative 8-29-87 (Register 87, No. 32). For prior history, see Register 79,
No. 7.
§342. Conduct During Examination.
No applicant will be permitted to communicate in any way with any other applicant, nor will
he be permitted to question any examiner in reference to or interpretation of the questions under
consideration. Applicants must rely solely upon their own judgment as to the meaning of each
question, and on their own knowledge of the subject in answering. Any disturbance on the part of
the applicant will disqualify said applicant and he will be required to leave the examination
room.
NOTE: Authority cited: Sections 1000-4(b), 1000-4(e), Business and Professions Code.
Reference: Sections 1000-4(c) and 1000-6(c), Business and Professions Code.
HISTORY:
1. Amendment filed 10-7-77; effective thirtieth day thereafter (Register 77, No. 41).
2. Repealer of former Section 342, and renumbering and amendment of Section 345 to Section
342 filed 7-30-87; operative 8-29-87 (Register 87, No. 32). For prior history, see Register 79,
No. 7.
§343. Basis of Questions.
All examination questions shall be with respect to the subject listed in Groups 1 to 8,
inclusive, set forth in Sections 331.12.1, 331.12.2, and 331.12.3 of these rules. They shall be
based upon material contained in standard textbooks approved by the board.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Sections
1000-5 and 1000-6(c), Business and Professions Code.
HISTORY:
1. Repealer of former Section 343, and renumbering and amendment of former Section 346 to
Section 343 filed 7-30-87; operative 8-29-87 (Register 87, No. 32). For prior history, see
Register 79, No. 7.
§344. Cheating.
Any person, who upon good cause shown, is suspected of cheating shall be ousted from the
examination and, upon a finding that said person did, in fact, cheat on that exam, said person will

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be denied further examination for a period of at least one year thereafter. Notice of such action
against an individual caught cheating shall be submitted to all state chiropractic boards.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e), Business and Professions Code.
Reference: Sections 1000-4(c) and 1000-6(c), Business and Professions Code.
HISTORY:
1. Amendment filed 10-7-77; effective thirtieth day thereafter (Register 77, No. 41).
2. Renumbering and amendment of former Section 344 to Section 341, and renumbering and
amendment of Section 347 to Section 344 filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
For prior history, see Register 79, No. 7.
§345. Retention of Papers.
Examination papers will be retained by the board for one year and destroyed at the end of that
time.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e), Business and Professions Code.
Reference: Sections 1000-4(c) and 1000-6(c), Business and Professions Code.
HISTORY:
1. Renumbering and amendment of former Section 345 to Section 342, and renumbering and
amendment of former Section 348 to Section 345 filed 7-30-87; operative 8-29-87 (Register 87,
No. 32). For prior history, see Register 79, No. 7.
§346. Interpretation of Part of Section 6(c) of the Act.
The board makes the following interpretation of that part of Section 6(c) of the Act which
states that: "Any applicant failing to make the required grade shall be given credit for the
branches passed, and may, without further costs, take the examination at the next regular
examination on the subjects in which he failed."
Candidates are considered to have failed a subject if they receive a grade in that subject of less
than seventy-five percent (75%).
If first-time applicants, or retake applicants considered as first-time applicants by this section,
having taken the examination and failed to receive the grade as required in Section 6(c),
(a) do not take the examination in the failed branches as required by the board, at the next
regular examination, or
(b) fail to obtain grades sufficient to bring the general average to at least seventy-five percent
(75%), or receives less than sixty percent (60%) in more than two subjects in which examined
(grades in the subjects credited the previous examination are to be included in determining such
general average), or
(c) fail to receive a 75 percent (75%), or better, on each part of the practical examination, then
the credit allowed in the branches passed in the first examination shall lapse.
If, thereafter, candidates desire to reapply, they shall renew their application together with an
additional application license fee, and shall be examined in the same manner and to the same
extent as though they had not previously taken any examination.

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NOTE: Authority cited: Sections 1000-4, 1000-6 and 1000-10, Business and Professions Code.
Reference: Section 1000-6(c), Business and Professions Code.
HISTORY:
1. Amendment filed 10-7-77; effective thirtieth day thereafter (Register 77, No. 41).
2. Renumbering and amendment of former Section 346 to Section 343, and renumbering and
amendment of Section 350 to Section 346 filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
For prior history, see Register 79, No. 7.
§347. Cheating.
NOTE: Authority cited: Section 4(b), Chiropractic Initiative Act of California. Reference:
Section 4(b), Chiropractic Initiative Act of California.
HISTORY:
1. Amendment filed 12-12-78; effective thirtieth day thereafter (Register 78, No. 50).
2. Renumbering and amendment of Section 347 to Section 344 filed 7-30-87; operative 8-29-87
(Register 87, No. 32). For prior history, see Register 79, No. 7.
§348. Failure to Appear for Examination.
An applicant for a license to practice chiropractic who fails to appear for examination within
one year after being first qualifying therefor shall be considered to have abandoned his
application and shall forfeit the license fee paid in connection therewith. If such person thereafter
applies for a license, he shall be required to establish his eligibility for such license in the same
manner as an original applicant in accordance with the provisions of the act and the regulations
of the board in effect at the time the new application is filed.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Section
1000-5, Business and Professions Code.
HISTORY:
1. Renumbering and amendment of former Section 348 to Section 345, and renumbering and
amendment of former Section 351 to Section 348 filed 7-30-87; operative 8-29-87 (Register 87,
No. 32). For prior history, see Register 79, No. 7.
§349. Interpretation of Section 6(d) of the Act.
(a) For applicants applying for licensure through June 30, 1996, the board makes the
following interpretation of Section 6(d) of the Act which states:
"An applicant having fulfilled the requirements of Section 5 and paid the fee thereunder, and
having obtained a diplomate certificate from the National Board of Chiropractic Examiners, may
offer such certificate together with a transcript of grades secured in said national board
examination, and the California Board of Chiropractic Examiners may accept same in lieu of all
or a portion of the California board examination as determined by the board."
(1) To be considered by the board, proof of status with the National Board of Chiropractic
Examiners must be submitted to the board's office in compliance with application instructions
and postmarked on or before the final filing date designated by the board.
(2) Applicants with National Board status who fail the board examination, under the
provisions of Section 346 must retake the entire written and practical examinations of the board.

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(3) Effective January 1, 1996: Prior to being scheduled for the practical portion of the
California board examination, the applicant must show proof of either National Board status or
successful completion of the entire written portion of the California licensure examination.
(4) National Board status means attainment of passing scores on the National Board Parts I,
II, III, and Physiotherapy examinations.
(b) For applicants applying for licensure on or after July 1, 1996, the Board makes the
following interpretation of Section 6(d) of the Act which states:
"An applicant having fulfilled the requirements of Section 5 and paid the fee thereunder, and
having obtained a diplomate certification from the National Board of Chiropractic Examiners,
may offer such certificate together with a transcript of grades secured in said national board
examination, and the California Board of Chiropractic Examiners may accept same in lieu of all
or a portion of the California board examination as determined by the board."
(1) To be eligible for the California Chiropractic Board examination, proof of status with the
National Board of Chiropractic Examiners must be submitted to the board's office in compliance
with application instructions and postmarked on or before the final filing date designated by the
board.
(2) All applicants for licensure must show proof of National Board status, and successful
scores for the California Chiropractic Board examination, which may cover California laws and
regulations governing the practice of chiropractic, and/or other subjects as taught in chiropractic
schools or colleges.
(3) Applicants who fail components of the California Chiropractic Board examination after
two attempts must, under the provisions of Section 346, retake all of the California Chiropractic
Board examination.
(4) The National Board of Chiropractic Examiners examination Parts I, II, III, IV, and
Physiotherapy, and the California Chiropractic Board examination shall constitute the California
board licensure requirement.
(5) National Board status means attainment of passing scores on the National Board Parts I, II,
III, IV, and Physiotherapy examinations.
(6) The California Chiropractic Board examination means the examination developed by the
Board of Chiropractic Examiners or an agency designated by the board. This California
Chiropractic Board examination shall cover California laws and regulations governing the
practice of chiropractic, and/or other subjects as taught in chiropractic schools or colleges, and
must be taken after the candidate has graduated from chiropractic college.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10(a), Business and Professions Code.
Reference: Section 1000-6(d), Business and Professions Code.
HISTORY:
1. Repealer filed 10-7-77; effective thirtieth day thereafter (Register 77, No. 41).
2. Renumbering and amendment of former Section 352 to Section 349 filed 7-30-87; operative
8-29-87 (Register 87, No. 32).
3. Amendment of second paragraph and subsection (a), new subsections (c)-(d) and amendment
of Note filed 8-14-95; operative 1-1-96 (Register 95, No. 33).

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4. Redesignation and amendment of first paragraph to subsection (a), subsection renumbering,
amendment of newly designated subsection (a)(4) and new subsections (b)-(b)(6) filed 6-18-96;
operative 6-18-96 pursuant to Government Code section 11343.4(d) (Register 96, No. 25).
§350. Interpretation of Part of Section 6(c) of the Act.
NOTE: Authority cited: Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923,
p. lxxxviii). Reference: Section 6 of the Chiropractic Initiative Act of California (Stats. 1923, p.
lxxxviii).
HISTORY:
1. Amendment filed 1-4-77; effective thirtieth day thereafter (Register 77, No. 2). For prior
history, see Register 76, No. 12.
2. Amendment filed 8-18-77; effective thirtieth day thereafter (Register 77, No. 34).
3. Amendment filed 10-7-77; effective thirtieth day thereafter (Register 77, No. 41).
4. Amendment filed 2-15-79; effective thirtieth day thereafter (Register 79, No. 7).
5. Renumbering and amendment of Section 350 to Section 346 filed 7-30-87; operative 8-29-87
(Register 87, No. 32).
§351. Failure to Appear for Examination.
HISTORY:
1. Renumbering and amendment of Section 351 to Section 348 filed 7-30-87; operative 8-29-87
(Register 87, No. 32). For prior history, see Register 80, No. 5.
§352. Interpretation of Section 6(d) of the Act.
NOTE: Authority cited Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923,
p. lxxxviii). Reference: Section 6 d) of the Chiropractic Initiative Act of California (Stats. 1923,
p. lxxxviii).
HISTORY:
1. New section filed 10-7-77; effective thirtieth day thereafter (Register 77, No. 41).
2. Amendment of subsection (a) filed 2-5-80; effective thirtieth day thereafter (Register 80, No.
5).
3. Renumbering and amendment of Section 352 to Section 349 filed 7-30-87; operative 8-29-87
(Register 87, No. 32).
§353. Failure of the Examination.
HISTORY:
1. New section filed 10-7-77; effective thirtieth day thereafter (Register 77, No. 41).
2. Repealer filed 2-27-78; effective thirtieth day thereafter (Register 78, No. 9).

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§354. Successful Examination.
Notwithstanding Section 312, applicants who are notified in writing by the Board of the
successful completion of the Board examination, may immediately commence the practice of
chiropractic in California pending the receipt of their certificate.
NOTE: Authority cited: Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923,
p. 1xxxviii). Reference: Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923,
p. 1xxxviii).
HISTORY: 1. New section filed 10-18-79; effective thirtieth day thereafter (Register 79, No.
42).
Article 6. Continuing Education
§355. Renewal and Restoration.
(a) Commencing with the renewal period for 1973, each licensee and each applicant for
restoration of a license forfeited for failure to renew shall, as a condition to renewal or
restoration of his license and in addition to paying the annual renewal fee of one hundred fifty
dollars ($150.00) or restoration fee of double the annual renewal fee as provided by section 12 of
the Act (California Business and Professions Code section 1000-12), submit proof that he has
completed within the past 12 months a course of continuing education approved by the board on
a form (No. 09RA-1 (8/91) provided by the board titled Renewal Application. The Renewal
Application as provided by the board will indicate the current year of renewal.
(b) In lieu of submitting the proof of completion of continuing education required under
subsection (a) above, any such licensee or applicant may submit a statement, which shall be
verified or certified under penalty of perjury, that he or she will not engage in the practice of
Chiropractic within the State of California during the period for which renewal or restoration is
sought unless he or she first completes an approved course of continuing education and submits
proof thereof to the board; and that he or she understands that failure to do so will constitute
grounds for the suspension or revocation of his or her license. A license that has expired for
failure to renew may be renewed at any time within three years after the expiration date. If no
application is received within three years, the Board shall cancel the license.
(c) To restore a cancelled license, the person must submit to the Board's office, in compliance
with the application instructions, an application for restoration, pay a fee of twice the annual
amount of the renewal fee, and provide evidence of Board-approved continuing education, as
specified in California Code of Regulations, section 356, for each 12-month period in which the
license was cancelled. Continuing education required to restore a cancelled licensed must be
commenced and completed during the 12-month period immediately preceding the request for
restoration.
(d) Licenses for doctors of chiropractic which heretofore expired on the last day of December
each year will henceforth expire on the last day of the birth month of the licensee in each year.
To facilitate the conversion to the birthdate renewal system for doctors of chiropractic,
licenses that expire on December 31, 1991 will be renewed for periods from seven (7) to
eighteen (18) months. The fee to be paid shall be that determined by multiplying 1/12 of the

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renewal fee by the number of months of licensure in accord with the following schedule. All fees
shall be rounded to the nearest whole dollar.
Will Be Licensed for
Licensees Born In
The Period Months of Licensure
January
January 92-January 93
13
February
January 92-February 93
14
March January 92-March 93
15
April January 92-April 93 16
May
January 92-May 93 17
June January 92-June 93 18
July
January 92-July 92 7
August January 92-August 92 8
September January 92-September 92 9
October January 92-October 92 10
November January 92-November 92 11
December January 92-December 92 12
This will be a one time reduction or increase, effective January 1992 all licenses will be
annually renewed on a birthdate renewal system.
This subsection shall remain in effect until June 30, 1993, and on such date is repealed.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10(a), Business and Professions Code.
Reference: Section 1000-12, Business and Professions Code.
HISTORY:
1. New article 6 (sections 355 through 358) filed 1-31-72; effective thirtieth day thereafter
(Register 72, No. 6).
2. Amendment of subsection (a) filed 5-26-88; operative 6-25-88 (Register 88, No. 23).
3. Amendment of subsection (a) and new subsection (c) filed 4-23-91; operative 5-23-91
(Register 91, No. 21).
4. Amendment of subsection (b), new subsection (c) and subsection relettering filed 3-19-2001;
operative 4-18-2001 (Register 2001, No. 12).
§355.1. Continued Jurisdiction of a License.
The suspension, expiration, or forfeiture by operation of law of a license issued by the board,
or its suspension, or forfeiture, by order of the board or by order of a court of law, or its
surrender without the written consent of the board shall not, during any period in which it may be
renewed, restored, reissued, or reinstated, deprive the board of its authority to institute or
continue a disciplinary proceeding against the licensee upon any ground provided by law or to
enter an order suspending or revoking the license or otherwise taking disciplinary action against
the licensee on any such ground.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code
(Chiropractic Initiative Act of California, Stats. 1923, p. lxxxviii). Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code (Chiropractic Initiative Act of California, Stats.
1923, p. lxxxviii).
HISTORY:
1. New section filed 12-6-2000; operative 1-5-2001 (Register 2000, No. 49).
2. Editorial correction restoring inadvertently omitted word (Register 2001, No. 3).

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3. Amendment filed 7-7-2003;operative 8-6-2003 (Register 2003, No. 28).
§355.2. Inactive License.
A licensed chiropractor may apply to the board to request that his or her license be placed on
inactive status. An inactive license shall be renewed during the same time period at which an
active license is renewed. The renewal fee for a license in an inactive status shall be the same fee
assessed for renewal of an active license. Licensees holding an inactive license shall be exempt
from continuing education requirements.
The holder of an inactive license shall not engage in the practice of chiropractic during the
time the license is inactive.
Licensees on inactive status who have not committed any acts or crimes constituting grounds
for discipline may submit a written request for an active license and the following:
(a) Evidence of board-approved continuing education for each 12-month period or portion
thereof the license was inactive. The continuing education must be taken prior to the request for
activation and shall comply with California Code of Regulations section 356; or
(b) If practicing in another state, provide proof of licensure and continuing education from that
state for each 12-month period the license was inactive in California.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code.
(Chiropractic Initiative Act of California, Stats. 1923, p. lxxxviii). Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code. (Chiropractic Initiative Act of California, Stats.
1923, p. lxxxviii).
HISTORY;
1. New section filed 7-2-2001; operative 8-1-2001 (Register 2001, No. 27).
§356. Course Content.
(a) All doctors engaged in active practice, whether on a full-time or part-time basis, shall
complete a minimum of twelve (12) hours per licensing year of continuing education courses
approved by the board.
The board shall consider for approval the application of any continuing education course
which conforms to the criteria below and is sponsored by a board approved continuing education
provider.
A continuing education course may contain more than twelve (12) hours of approved subject
material. Any twelve (12) approved hours may be selected for continuing education credit,
provided, however, the same course may not be attended more than once for credit within that
licensing year, and four (4) hours of every twelve (12) hours selected for continuing education
credit must be in the subject area of adjustive technique. The four (4) hours in adjustive
technique may be satisfied by lecture and demonstration.
The basic objectives and goals of continuing education are the growth, maintenance of
knowledge and competency, the cultivation of skills, and greater understanding, with a continual

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striving for excellence in chiropractic care and the improvement in the health and welfare of the
public.
(b) Each course approved by the board must present subject material directly related to the
concepts of chiropractic principles and practice including diagnostic procedures, patient care and
management. The board recommends special attention be given to the following:
(1) Principles of practice of chiropractic and office procedures including, but not limited to:
(A) Chiropractic treatment and adjustment technique, including physiotherapy, nutrition and
dietetics;
(B) Examination and diagnosis or analysis including physical, laboratory, orthopedic,
neurological and differential;
(2) Radiographic technique and interpretation involving all phases of roentgenology as
permitted by law;
(A) Study of the methods employed in the prevention of excessive radiation and safety
precautions to the patient;
(3) Postgraduate studies including, but not limited to, subjects contained within groups one
through six of Section 5 of the Chiropractic Initiative Act;
(4) Insurance procedures and reporting.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e), Business and Professions Code.
Reference: Sections 1000-4(b) and 1000-10(a), Business and Professions Code.
HISTORY:
1. Amendment filed 5-5-78; effective thirtieth day thereafter (Register 78, No. 18).
2. Amendment of subsection (d) filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
3. Amendment of subsection (d) filed 6-3-92; operative 7-3-92 (Register 92, No. 23).
4. Amendment filed 3-22-99; operative 3-22-99 pursuant to Government Code section
11343.4(d) (Register 99, No. 13).
§356.1. Cardiopulmonary Resuscitation/Basic Life Support Training.
As a condition of licensure and license renewal, all licensees are required to maintain current
certification in cardiopulmonary resuscitation (CPR) or basic life support (BLS) from the
American Red Cross, American Heart association, or other associations approved by the Board.
Training required for the CPR/BSL certification shall not be credited toward the requirements set
forth in section 356. Exemptions will be made for licensees as the Board, in its discretion,
determines were unable to maintain current CPR/BLS certification due to physical impairment,
illness, incapacity or other unavoidable circumstances.
NOTE:
Authority cited: Section 1000-4(b), Business and Professions Code (Chiropractic Initiative Act of
California, Stats. 1923, p. lxxxvii). Reference: Section 1000-4(e), Business and Professions Code (Chiropractic
Initiative Act of California, Stats. 1923, p. lxxxvii).
HISTORY: 1. New section filed 10-22-2003; operative 11-21-2003 (Register 2003, No. 43).

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§356.5. Continuing Education Provider Approval, Duties and Responsibilities.
(a) In order to become and remain eligible for approval by the board as a continuing education
provider, each provider must comply with provisions (b)(1) through (b)(10) of this section and
provisions of section 357. Failure to comply with these provisions may result in the withdrawal
of approval of the provider by the board. A provider that has had its approval withdrawn by the
board shall not be eligible to provide continuing education credit until the board reinstates the
provider. A provider that has lost approval may reapply to the board for approval as a continuing
education provider after a period of suspension established by the board at the time that approval
is withdrawn not to exceed two years.
(b) Each continuing education provider shall:
(1) Make written application to the board for approval as a continuing education provider, and
also provide to the board a written mission statement that outlines the provider's continuing
education objectives and declares the provider's commitment to conform to the standards set
forth in this section. Applications for approval shall be submitted to the board office at least 30
days prior to a scheduled board meeting. Providers with applications that are incomplete will be
notified of the deficiencies in writing within three weeks from the date of receipt. Complete
applications will be reviewed at the scheduled board meeting and notification of the board's
decision will be provided in writing within two weeks following the board meeting;
(2) Have engaged in the business of providing education to licensed health care professionals
consisting of no less than one course in each year of a five year period immediately preceding
the date of application for approval by the board as a continuing education provider;
(3) Designate a person responsible for overseeing all continuing education activities of the
provider and provide written notification to the board identifying that individual;
(4) Use teaching methods that ensure student comprehension of the subject matter and
concepts being taught;
(5) Establish and maintain procedures for documenting completion of courses, retain
attendance records for at least four (4) years from the date of course completion, and furnish the
board with a roster of persons completing the course, including the name and state chiropractic
license number of each course participant, within sixty (60) days of course completion. Failure to
submit the list of course participants within sixty (60) days of course completion may be grounds
for withdrawal or denial of course approval;
(6) Be responsible for maintaining full-time monitoring of course attendance. If any
participant's absence from the room exceeds ten (10) minutes during any one hour period, credit
for that hour shall be forfeited and such forfeiture shall be noted in the provider's attendance
report submitted to the board as required in subsection (b)(5) of this section. It shall further be
the responsibility of the provider to see that each person in attendance is in place at the start of
each course period. Failure to maintain proper attendance monitoring procedures may be grounds
for withdrawal or denial of course approval;
(7) Ensure availability to course participants of meeting rooms, study aids, audiovisual aids,
and self-instructional materials designed to foster learning and ensure student comprehension of
the subject matter and concepts being taught;
(8) Disclose in any continuing education course advertising if expenses of the program are
underwritten or subsidized by any vendors of goods, supplies, or services;

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(9) Inform the board immediately of any event that may affect the provider's approval as a
continuing education provider by the board;
(10) Inform the board in writing immediately of any change to the course that would affect the
date, time or location when or where the course will be held.
NOTE: Authority cited: Sections 1000-4(b) and 1000-4(e), Business and Professions Code.
Reference: Sections 1000-4(b) and 1000-10(a), Business and Professions Code.
HISTORY:
1. New section filed 3-22-99; operative 3-22-99 pursuant to Government Code section
11343.4(d) (Register 99, No. 13).
§357. Approval of Continuing Education Courses.
(a) The application for approval of a continuing education course shall be submitted to the
board office at least 45 days prior to the date of the course and shall include a nonrefundable
application fee of $50.00 and any other documentary information required by the board pursuant
to section 356. The application fee for ongoing postgraduate courses presented by chiropractic
institutions accredited by the Council on Chiropractic Education (C.C.E.) is due upon initial
receipt of the application for approval, regardless of the number of course meetings in one
calendar year. Courses with schedules continuing into a second calendar year must submit a new
application for the second year if continuing education credit hours are to be offered for that
year. The new application for the second year must contain the required fee ($50.00).
If a course meets the criteria of the board, the board shall notify the provider when a course
has been approved.
Mention of such approval shall be included in announcements of the program and the printed
program itself as follows: "Approved by the California State Board of Chiropractic Examiners
for license renewal."
(b) Any board member, or members, or board designee shall have the right to inspect or audit
any approved chiropractic course in progress.
(c) The board, may, after notification and an opportunity to be heard, withdraw approval of
any continuing education course, and shall immediately notify the provider of such action.
NOTE: Authority cited: Sections 1000-4(b), 1000-(e), Business and Professions Code.
Reference: Sections 1000-4(b), 1000-10(a), Business and Professions Code.
HISTORY;
1. Amendment filed 1-4-77; effective thirtieth day thereafter (Register 77, No. 2).
2. Amendment filed 5-5-78; effective thirtieth day thereafter (Register 78, No. 18).
3. Amendment of subsection (a) filed 2-15-79; effective thirtieth day thereafter (Register 79, No.
7).
4. Amendment of subsection (a) filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
5. Editorial correction of subsection (a) printing error (Register 87, No. 38).
6. Amendment filed 3-22-99; operative 3-22-99 pursuant to Government Code section
11343.4(d) (Register 99, No. 13).

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§358. Exemptions and Reduction of Requirement.
(a) All doctors of chiropractic specifically exempted from, or obtaining a reduction in
continuing education requirements include the following:
(1) Inactive licentiates;
(2) New licentiates in the year of initial licensure;
(3) Teachers. A full-time teacher, as defined by C.C.E. regulation, shall be exempt from the
required hours until no longer engaged in full-time chiropractic teaching.
(4) Lecturers. A lecturer shall be given two hours credit for each hour of actual lecturing at a
recognized course. Credit for the same course presentation shall be granted only once during
each year.
(5) If a doctor is unable to attend a continuing education course due to ill health, credit may be
granted by the board upon request for documented completion of twelve (12) hours of recorded
or videotaped approved continuing education course work. Such an exemption request must be
made prior to the date that the required continuing education must be completed and in writing to
the board's office and must also be accompanied by an attending doctor's statement.
The licensee shall send to the board's office a signed affidavit affirming he or she has
completed twelve (12) hours of approved continuing education tapes and must provide the board
with the names and dates of the approved continuing education courses comprising the lecture
tapes.
(6) Commissioners on Examination. Commissioners on Examination who administer the
practical examination at least twelve (12) hours annually shall be exempt from the continuing
education requirement in the years they act as Commissioners on Examination.
(7) Active Board Members. Professional board members who have served one full year on the
Board of Chiropractic Examiners shall be exempt from the continuing education requirement in
each year of board member service.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code. Reference: Sections
1000-4(b) and 1000-4(e), Business and Professions Code.
HISTORY:
1. Amendment filed 1-4-77; effective thirtieth day thereafter (Register 77, No. 2).
2. Repealer and new section filed 5-5-78; effective thirtieth day thereafter (Register 78, No. 18).
3. New subsection (6) filed 9-27-79; effective thirtieth day thereafter (Register 79, No. 39).
4. Amendment filed 7-30-87; operative 8-29-87 (Register 87, No. 32).
5. Amendment filed 3-22-99; operative 3-22-99 pursuant to Government Code section
11343.4(d) (Register 99, No. 13).
§359. Revoked or Suspended Licenses.
Any person making application for reinstatement or restoration of a license which has been
revoked or suspended may be required, as a part of the relief granted, to complete an approved
course of continuing education, or to complete such study or training as the board may require.

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HISTORY:
1. New section filed 5-5-78; effective thirtieth day thereafter (Register 78, No. 18).
§360. Continuing Education Audits.
The Board shall conduct random audits to verify compliance with Continuing Education
requirements of active licensees. Licensees shall retain documents of completion issued to them
at the time of attendance of Board-approved Continuing Education courses for a period of four
years and shall forward such proof to the Board upon request.
Licensees who fail to retain documents of completion shall obtain duplicate documents, from
Board-approved Continuing Education providers, who shall issue duplicates only to licensees
whose names appear on the providers' rosters of course attendees. The documents of completion
shall be clearly marked "duplicate" and shall contain the licensees' names and license numbers,
as well as providers' names, course approval numbers, dates of attendance, and hours earned.
Licensees who furnish false or misleading information to the Board regarding their
Continuing Education hours shall be subject to disciplinary action.
NOTE:
Authority cited: Section 1000-4(b), Business and Professions Code (Chiropractic Initiative Act of
California, Stats. 1923, p. lxxxviii). Reference: Sections 1000-4(b), 1000-4(e) and 1000-10, Business and
Professions Code (Chiropractic Initiative Act of California, Stats. 1923, p. lxxxviii).
HISTORY: 1. New section filed 10-16-2003; operative 11-15-2003 (Register 2003, No. 42).
Article 7. Chiropractic Corporations
§367.1. Citation of Rules.
These rules may be cited and referred to as "Chiropractic Corporation Rules." They are
subject to amendment, modification, revision, supplement, repeal, or other change by appropriate
action in the future.
NOTE: Authority cited: Secs. 4(b) and 10(a), Chiropractic Initiative Act and Sec. 1057,
Business and Professions Code. Reference: Secs. 1050-1058, Bus. & Prof. Code and Secs. 13400
through 13410, Corporations Code.
HISTORY:
1. New Article 7 (§§367.1 through 367.10) filed 7-13-71; effective thirtieth day thereafter
(Register 71, No. 29).
§367.2. Definitions.
As used in this Article:
(a) "Board" means the State Board of Chiropractic Examiners.
(b) "Licensed person" means a natural person who is duly licensed under the provisions of the
Chiropractic Act to render the same professional services as are or will be rendered by the

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professional corporation of which he is, or intends to become, an officer, director, shareholder or
employee.
(c) "Certificate of Registration" means a certificate of registration as a chiropractic
corporation.
(d) "Professional services" means rendering professional services as a chiropractor.
§367.3. Professional Relationships, Responsibilities, and Conduct Not Affected.
Nothing in the laws or rules relating to chiropractic corporations alters the duties and
responsibilities of a licensed person to and professional relationships with his clients and others;
nor do such laws or rules in any way impair the disciplinary powers of the State Board of
Chiropractic Examiners over licensed persons; nor do such laws or rules impair any other law or
rule pertaining to the standards of professional conduct of licensed persons.
§367.4. Office for Filing.
All applications for a Certificate of Registration and any of the documents or reports required
by these rules or by law to be filed with the board shall be filed with the principal office of the
board in Sacramento.
§367.5. Application, Review of Refusal to Approve.
(a) An applicant corporation shall file with the board an application for Certificate of
Registration on a form furnished by the board, which shall be signed and verified by an officer of
the corporation who is a licensed person and be accompanied by a nonrefundable application fee
in the amount of one hundred dollars ($100).
(b) The board, within a reasonable time after an application for registration is submitted to it,
shall either approve the application and issue a Certificate of Registration or refuse to approve
the application and notify the applicant corporation of the reasons therefor.
(c) The board may delegate to its executive secretary, or other official or employee of the
board, its authority under Section 1051, Business and Professions Code, to review and approve
applications for registration and to issue Certificates of Registration.
(d) Any applicant corporation whose application has been disapproved by the board may
request a hearing pursuant to Government Code Section 11504. The hearing shall be conducted
pursuant to the Administrative Procedure Act (Government Code Sections 11502-11528).
(e) No applicant corporation shall hold itself out or engage in nor shall it render any
professional services unless and until a Certificate of Registration has been issued.
NOTE: Authority cited: Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923,
p. lxxxviii). Reference: Section 4(b) of the Chiropractic Initiative Act of California (Stats. 1923,
p. lxxxviii).
HISTORY: 1. Amendment filed 1-4-77; effective thirtieth day thereafter (Register 77, No. 2).
2. Amendment of subsection (a) filed 2-15-79; effective thirtieth day thereafter (Register 79, No.
7).

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§367.6. Requirements for Issuance of Certificate of Registration.
A Certificate of Registration shall be issued if the board or the person delegated by it finds that
the affairs of the applicant will be conducted in compliance with law and the rules and
regulations of the board.
§367.7. Name of Corporation.
(a) The name of the corporation and any name or names under which it may be rendering
professional services shall contain and be restricted to the name or the last name of one or more
of its present, prospective, or former shareholders, and include the word "Chiropractic," and the
word "Corporation" or wording or abbreviations denoting corporate existence, limited to one of
the following: "Corp"; "Incorporated"; "Inc."; "Professional Corporation"; "Prof. Corp."
§367.8. Security for Claims Against a Chiropractic Corporation.
(a) When a chiropractic corporation provides security by means of insurance for claims
against it by its patients, the security shall consist of a policy or policies of insurance insuring the
corporation against liability imposed upon it by law for damages arising out of claims against it
by its patients arising out of the rendering of, or failure to render, chiropractic services by the
corporation an amount for each claim of at least $50,000 multiplied by the number of employed
licensed persons rendering such chiropractic services and an aggregate maximum limit of
liability per policy year of at least $150,000 multiplied by the number of such employees,
provided that the maximum coverage shall not be required to exceed $150,000 for each claim
and $450,000 for all claims during the policy year, and provided further that the deductible
portion of such insurance shall not exceed $5,000 multiplied by the number of such employees.
(b) All shareholders of the corporation shall be jointly and severally liable for all claims
established against the corporation by its patients arising out of the rendering of, or failure to
render, chiropractic services up to the minimum amounts specified for insurance under
subsection (a) hereof except during periods of time when the corporation shall provide and
maintain insurance for claims against it by its patients arising out of the rendering of, or failure to
render chiropractic services. Said insurance, when provided, shall meet the minimum standards
established in subsection (a) above.
§367.9. Shares: Ownership and Transfer.
(a) The shares of a chiropractic corporation may be issued only to a licensed person and may
be transferred only to a licensed person or to the issuing corporation.
(b) Where there are two or more shareholders in a chiropractic corporation and one of the
shareholders:
(1) Dies, or
(2) Becomes a disqualified person as defined in Section 13401(d) of the Corporations Code,
for a period exceeding ninety (90) days, his or her shares shall be transferred to a licensed person
or to the issuing chiropractic corporation, on such terms as are agreed upon. Such transfer shall
occur not later than six (6) months after any such death and not later than ninety (90) days after
the date he or she becomes a disqualified person. A person disqualified by license suspension or
revocation shall notify the Board when his or her shares are transferred. In the event that a

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person becomes disqualified by death, the representative of the deceased shareholder shall notify
the Board of the transfer of the deceased shareholder's shares.
(c) A corporation and its shareholders may, but need not, agree that shares sold to it by a
person who becomes a disqualified person may be resold to such person if and when he again
ceases to become a disqualified person.
(d) The restrictions of subsection (a) and, if appropriate, subsection (b) of this section shall be
set forth in the corporation's bylaws or articles of incorporation.
(e) The share certificates of a chiropractic corporation shall contain either:
(1) An appropriate legend setting forth the restriction of subsection (a), and where applicable,
the restriction of subsection (b), or
(2) An appropriate legend stating that ownership and transfer of the shares are restricted and
specifically referring to an identified section of the bylaws or articles of incorporation of the
corporation wherein the restrictions are set forth.
NOTE: Authority cited: Section 1000-4(b), Business and Professions Code Reference: Section
1000(b), Business and Professions Code. Section 13407, Corporations Code.
HISTORY:
1. Amendment of subsection (b)(2) and new Note filed 7-19-2001; operative 8-18-2001
(Register 2001, No. 29).
§367.10. Certificate of Registration; Continuing Validity; Reports.
(a) A Certificate of Registration shall continue in effect until it is suspended or revoked. Such
certificate may be suspended or revoked for any of the grounds permitted by law.
(b) Each chiropractic corporation shall file a special report, on a form provided by the Board,
within 30 days of any change of the officers, directors, shareholders, employees rendering
professional services, and articles of incorporation.
(c) Each special report filed hereunder shall be accompanied by a filing fee of five dollars
($5).
Article 8. Conflict of Interest Code
NOTE: It having been found, pursuant to Government Code Section 11409(a), that the printing
of the regulations constituting the Conflict of Interest Code is impractical and these regulations
being of limited and particular application, these regulations are not published in full in the
California Code of Regulations. The regulations are available to the public for review or
purchase at cost at the following locations:
BOARD OF CHIROPRACTIC EXAMINERS
3401 FOLSOM BOULEVARD, SUITE B
SACRAMENTO, CA 95816-5354
FAIR POLITICAL PRACTICES COMMISSION

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428 J STREET, SUITE 800
SACRAMENTO, CA 95814
ARCHIVES
SECRETARY OF STATE
1020 "O" STREET
SACRAMENTO, CA 95814
The Conflict of Interest Code is designated as Article 8 of Division 4 of Title 16 of the
California Code of Regulations, and consists of sections numbered and titled as follows:
Article 8. Conflict of Interest Code
Section 375. General Provisions
Appendix
NOTE: Authority cited: Sections 87300 and 87304, Government Code. Reference: Section
87300, et seq., Government Code.
HISTORY:
1. New article 8 (sections 375-383 and Exhibits A and B) filed 10-12-78; effective thirtieth day
thereafter. Approved by Fair Political Practices Commission 8-2-78 (Register 78, No. 41).
2. Repealer of article 8 (sections 375-383 and Exhibits A and B) and new article 8 (section 375
and Appendix) filed 2-26-81; effective thirtieth day thereafter. Approved by Fair Political
Practices Commission 12-1-80 (Register 81, No. 9).
3. Amendment filed 4-6-92; operative 5-6-92. Submitted to OAL for printing only. Approved by
Fair Political Practices Commission 2-14-92 (Register 92, No. 14).
Article 9. Enforcement and Discipline
§384. Disciplinary Guidelines.
In reaching a decision on a disciplinary action under the Administrative Procedure Act
(Government Code Section 11400, et seq.), the board shall consider the disciplinary guidelines
entitled "Disciplinary Guidelines and Model Disciplinary Orders" [revised September 23, 1999]
which are hereby incorporated by reference. Deviation from these guidelines and orders,
including the standard terms of probation, is appropriate where the board in its sole discretion
determines that the facts of the particular case warrant such a deviation--for example: the
presence of mitigating factors; the age of the case; evidentiary problems.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code.
(Chiropractic Initiative Act of California, Stats. 1923, p. lxxxviii). Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code. (Chiropractic Initiative Act of California, Stats.
1923, p. lxxxviii).
HISTORY:
1. New article 9 (section 384) and section filed 7-15-99; operative 7-15-99 pursuant to
Government Code section 11343.4(d) (Register 99, No. 29).
2. Change without regulatory effect amending the document entitled ``Disciplinary Guidelines
and Model Disciplinary Orders" (incorporated by reference) and amending section filed 11-4-99
pursuant to section 100, title 1, California Code of Regulations (Register 99, No. 45).

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§386. Fraud
Any proposed decision or decision issued in accordance with the procedures set forth in
Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the
Government Code that contains any finding of fact that the licensee has a second separate
conviction for fraud, shall contain an order of revocation, which shall not be stayed.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code.
(Chiropractic Initiative Act of California, Stats. 1923, p. lxxxviii). Reference: Sections 1000-
4(b) and 1000-10, Business and Professions Code. (Chiropractic Initiative Act of California,
Stats. 1923, p. lxxxviii).
HISTORY:
1. New section filed 12-7-2001; operative 1-6-2002 (Register 2001, No. 49).
§390. Issuance of Citations.
(a) The executive director of the board or his/her designee may issue a citation with an order
of abatement against a licensee for any violation of the California Code of Regulations which
would be grounds for discipline.
(b) Each citation shall be in writing and shall describe with particularity the nature and facts of
each violation specified in the citation, including a reference to the law and/or regulation alleged
to have been violated.
(c) The citation shall be served upon the individual personally or by certified mail.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code; and
Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxviii. Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code; and Chiropractic Initiative Act of California, Stats.
1923, p. 1xxxviii.
HISTORY: 1. New section filed 9-25-2000; operative 10-25-2000 (Register 2000, No. 39).
§390.1. Criteria to Be Considered.
In the issuance of any citation, the following factors shall be considered:
(a) Nature and severity of the violation.
(b) Length of time that has passed since the date of the violation.
(c) Consequences of the violation, including potential or actual patient harm.
(d) History of previous violations of the same or similar nature.
(e) Evidence that the violation was willful.
(f) Gravity of the violation.
(g) The extent to which the cited person has remediated any knowledge and/or skill
deficiencies which could have injured a patient.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code; and
Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxviii. Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code; and Chiropractic Initiative Act of California, Stats.
1923, p. 1xxxviii.
HISTORY: 1. New section filed 9-25-2000; operative 10-25-2000 (Register 2000, No. 39).

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§390.2. Violation Codes and Penalty.
(a) The issuance of a citation can be for any of the following violations:
Title 16 California Code of Regulations Section 302(a)(7)
Title 16 California Code of Regulations Section 303
Title 16 California Code of Regulations Section 308
Title 16 California Code of Regulations Section 310
Title 16 California Code of Regulations Section 310.2
Title 16 California Code of Regulations Section 311
Title 16 California Code of Regulations Section 312
Title 16 California Code of Regulations Section 312.1
Title 16 California Code of Regulations Section 313
Title 16 California Code of Regulations Section 317(d)
Title 16 California Code of Regulations Section 317(f)
Title 16 California Code of Regulations Section 317(p)
Title 16 California Code of Regulations Section 317(r)
Title 16 California Code of Regulations Section 317(u)
Title 16 California Code of Regulations Section 317.1
Title 16 California Code of Regulations Section 318
Title 16 California Code of Regulations Section 319
Title 16 California Code of Regulations Section 355(b)
Title 16 California Code of Regulations Section 367.5(e)
Title 16 California Code of Regulations Section 367.7
Chiropractic Initiative Act Section 15
Business and Professions Code Section 725
Business and Professions Code Section 1054
Business and Professions Code Section 1055
Business and Professions Code Section 17500
Health and Safety Code Section 123110
(b) In his/her discretion, the executive director or designee may issue an order of abatement
for the first violation of any provision set forth in subsection (a).
(c) If a licensee has previously been issued two citations for violation of any of the code
sections in subsection (a), the third violation will result in filing an accusation.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code; and
Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxviii. Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code; and Chiropractic Initiative Act of California, Stats.
1923, p. 1xxxviii.
HISTORY: 1. New section filed 9-25-2000; operative 10-25-2000 (Register 2000, No. 39). 2.
Amendment of subsection (a) filed 10-16-2003; operative 11-15-2003 (Register 2003, No. 42).
§390.3. Citations for Unlicensed Practice.
The executive director or his/her designee may issue a citation against any unlicensed person
who is acting in the capacity of a licensee under the jurisdiction of the board and who is not
otherwise exempt from licensure. Each citation may contain an order of abatement fixing a

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reasonable period of time for an abatement. Any sanction authorized for activity under this
section shall be separate from and in addition to any other civil or criminal remedies.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code; and
Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxviii. Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code; and Chiropractic Initiative Act of California, Stats.
1923, p. 1xxxviii.
HISTORY: 1. New section filed 9-25-2000; operative 10-25-2000 (Register 2000, No. 39).
§390.4. Contested Citations.
(a) The citation shall inform the licensee that if he/she desires a hearing to contest the finding
of a violation, that hearing shall be requested by written notice to the board within 30 calendar
days of the date of issuance of the citation. Hearings shall be held pursuant to the provisions of
Chapter 5 (commencing with Section 11500) of Part 1 of Division 3 of Title 2 of the
Government Code.
(b) In addition to requesting a hearing provided for in subdivision (a) of this section, the cited
person may, within 14 calendar days after service of the citation, submit a written request for an
informal conference with the executive director.
(c) The executive director or his/her designee shall, within 30 calendar days from receipt of
the written request, hold an informal conference with the person cited and/or his/her legal
counsel or authorized representative.
(d) The executive director or his/her designee may affirm, modify or dismiss the citation, at
the conclusion of the informal conference. A written decision stating the reasons for the decision
shall be mailed to the cited person and his/her legal counsel, if any, within 14 calendar days from
the date of the informal conference. This decision shall be deemed to be a final order with regard
to the citation issued.
(e) If the citation is dismissed, the request for a hearing shall be deemed withdrawn. If the
citation is affirmed or modified, the cited person may, in his/her discretion, withdraw the request
for a hearing or proceed with the administrative hearing process.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code; and
Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxviii. Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code; and Chiropractic Initiative Act of California, Stats.
1923, p. 1xxxviii.
HISTORY: 1. New section filed 9-25-2000; operative 10-25-2000 (Register 2000, No. 39).
§390.5. Compliance with Citation/Order of Abatement.
(a) Orders of abatement may be extended for good cause. If a cited person who has been
issued an order of abatement is unable to complete the correction within the time set forth in the
citation because of conditions beyond his/her control after the exercise of reasonable diligence,
the person cited may request an extension of time from the executive director or his/her designee
in which to complete the correction. Such a request shall be in writing and shall be made within
the time set forth for abatement.

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(b) When a citation or order of abatement is not contested or if the order is appealed and the
person cited does not prevail, failure to abate the violation within the time allowed shall
constitute a violation and a failure to comply with the citation or order of abatement.
(c) Failure to timely comply with an order of abatement is unprofessional conduct and may
result in disciplinary action being taken by the board.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code; and
Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxviii. Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code; and Chiropractic Initiative Act of California, Stats.
1923, p. 1xxxviii.
HISTORY: 1. New section filed 9-25-2000; operative 10-25-2000 (Register 2000, No. 39).
§390.6. Notification to Other Boards and Agencies.
The issuance and disposition of a citation shall be reported to other chiropractic boards and
other regulatory agencies.
NOTE: Authority cited: Sections 1000-4(b) and 1000-10, Business and Professions Code; and
Chiropractic Initiative Act of California, Stats. 1923, p. 1xxxviii. Reference: Sections 1000-4(b)
and 1000-10, Business and Professions Code; and Chiropractic Initiative Act of California, Stats.
1923, p. 1xxxviii.
HISTORY:
1. New section filed 9-25-2000; operative 10-25-2000 (Register 2000, No. 39).


What's in the Business & Professions Code itself (other than the Appendix) has more to do with the Board, and with chiropractic corporations, rather than chiropractic licensure and discipline:

CHAPTER 2. CHIROPRACTORS
Article 1. General ............................................ 1000-1005
Article 2. Chiropractic Corporations .......................... 1050-1058

BUSINESS AND PROFESSIONS CODE
SECTION 1000-1005

1000. The law governing practitioners of chiropractic is found in
an initiative act entitled "An act prescribing the terms upon which
licenses may be issued to practitioners of chiropractic, creating the
State Board of Chiropractic Examiners and declaring its powers and
duties, prescribing penalties for violation hereof, and repealing all
acts and parts of acts inconsistent herewith," adopted by the
electors November 7, 1922.

1001. In each year, the State Board of Chiropractic Examiners shall
compile and may thereafter publish and sell a complete directory of
all persons within the state who hold unforfeited and unrevoked
certificates to practice chiropractic, and whose certificate in any
manner authorizes the treatment of human beings for diseases,
injuries, deformities, or any other physical or mental conditions.
The directory shall contain:
(a) The following information concerning each such person:
1. The name and address of such person.
2. The names and symbols indicating his title.
3. The school, attendance at which qualified him for examination
or admission to practice.
4. The date of the issuance of his certificate.
(b) The annual report of the board for the prior year.
(c) Information relating to other laws of this state and the
United States which the board determines to be of interest to persons
licensed to practice chiropractic.
(d) Copies of opinions of the Attorney General relating to the
practice of chiropractic.
(e) A copy of the provisions of this chapter and a copy of the
act cited in Section 1000.
The board may require the persons designated in this section to
furnish such information as it may deem necessary to enable it to
compile the directory. Every person so designated shall report
immediately each and every change of residence, giving both his old
and new address.
The directory shall be evidence of the right of the persons named
in it to practice unless his certificate to practice chiropractic has
been canceled, suspended or revoked. The board may collect from
each person who voluntarily subscribes to or purchases a copy of the
directory the cost of publication and distribution thereof; except
that one copy of the directory shall be distributed without charge to
each certificate holder of the board.

1002. Whenever any person has engaged in or is about to engage in
any acts or practices which constitute or will constitute an offense
against the Chiropractic Act or its rules or regulations, the
superior court of any county, on application of the State Board of
Chiropractic Examiners, or on application of 10 or more persons
licensed under the Chiropractic Act may issue an injunction or other
appropriate order restraining that conduct. Proceedings under this
section shall be governed by Chapter 3 (commencing with Section 525)
of Title 7 of Part 2 of the Code of Civil Procedure.

1003. (a) Except as otherwise allowed by law, the employment of
runners, cappers, steerers, or other persons to procure patients
constitutes unprofessional conduct.
(b) A licensee of the State Board of Chiropractic Examiners shall
have his or her license to practice revoked for a period of 10 years
upon a second conviction for violating any of the following
provisions or upon being convicted of more than one count of
violating any of the following provisions in a single case: Section
650 of this code, Section 750 or 1871.4 of the Insurance Code, or
Section 549 or 550 of the Penal Code. After the expiration of this
10-year period, an application for license reinstatement may be made
pursuant to subdivision (c) of Section 10 of the Chiropractic Act.

1004. The State Board of Chiropractic Examiners shall investigate
any licensee against whom an information or indictment has been filed
that alleges a violation of Section 550 of the Penal Code or Section
1871.4 of the Insurance Code, if the district attorney does not
otherwise object to initiating an investigation.

1005. The provisions of Sections 12.5, 23.9, 29.5, 30, 31, 35, 104,
114, 115, 119, 121, 121.5, 125, 125.6, 136, 137, 140, 141, 143,
163.5, 461, 462, 475, 480, 484, 485, 487, 489, 490, 490.5, 491, 494,
495, 496, 498, 499, 510, 511, 512, 701, 702, 703, 704, 710, 716,
730.5, 731, and 851 are applicable to persons licensed by the State
Board of Chiropractic Examiners under the Chiropractic Act.

BUSINESS AND PROFESSIONS CODE
SECTION 1050-1058

1050. A chiropractic corporation is a corporation which is
registered with the State Board of Chiropractic Examiners with
reference to corporations rendering professional services as
chiropractors and has a currently effective certificate of
registration from the board pursuant to the Professional Corporation
Act, as contained in Part 4 (commencing with Section 13400) of
Division 3 of Title 1 of the Corporations Code, and this article.
Subject to all applicable statutes, rules and regulations, such
chiropractic corporation is entitled to practice chiropractic. With
respect to a chiropractic corporation, the governmental agency
referred to in the Professional Corporation Act is the State Board of
Chiropractic Examiners with reference to corporations rendering
professional services as chiropractors. As used in this article, the
"board" refers to the State Board of Chiropractic Examiners.


1051. An applicant for registration as a chiropractic corporation
shall supply to the board all necessary and pertinent documents and
information requested by the board concerning the applicant's plan of
operations. The board may provide forms of application. If the
board finds that the corporation is duly organized and existing
pursuant to the General Corporation Law, that each officer as
provided in Section 1055, director, shareholder and each employee who
will render professional services is a licensed person as defined in
the Professional Corporation Act, and that from the application it
appears that the affairs of the corporation will be conducted in
compliance with law and the rules and regulations of the board, the
board shall upon payment of the registration fee in such amount as it
may determine issue a certificate of registration.

1053. Each chiropractic corporation shall file with the board a
report containing such information relating to professional
corporations as may be required by board regulations as well as
information required by law. The fee for filing such a report shall
be fixed by the board. All reports shall be signed and verified by
an officer of the corporation.

1054. Notwithstanding any other provision of law, the name of a
chiropractic corporation and any name or names under which it may be
rendering professional services, shall contain the name or the last
name of one or more of the present, prospective, or former
shareholders, and shall include the word "chiropractic" and the word
"corporation" or wording or abbreviations denoting corporate
existence.

1055. Except as provided in Section 13403 of the Corporations Code,
relating to the Professional Corporation Act, each director and each
officer of a chiropractic corporation, except an assistant secretary
and an assistant treasurer, shall be a licensed person as defined in
the Professional Corporation Act.


1056. The income of a chiropractic corporation attributable to
professional services rendered while a shareholder is a disqualified
person (as defined in the Professional Corporation Act) shall not in
any manner accrue to the benefit of such shareholder or his shares in
the chiropractic corporation.


1057. A chiropractic corporation shall not do or fail to do any act
the doing of which or the failure to do which would constitute
unprofessional conduct under any statute, rule or regulation now or
hereafter in effect. In the conduct of its practice, it shall
observe and be bound by such statutes, rules and regulations to the
same extent as a person holding a license under the Chiropractic Act.
The board shall have the same powers of suspension, revocation and
discipline against a chiropractic corporation as are now or hereafter
authorized by the initiative measure mentioned in Section 1000 or by
any other similar statute against individual licensees, provided,
however, that proceedings against a chiropractic corporation shall be
conducted in accordance with Chapter 5 (commencing with Section
11500) of Part 1 of Division 3 of Title 2 of the Government Code, and
the board shall have all the powers granted therein.
The board may formulate and enforce rules and regulations to carry
out the purposes and objectives of this article, including rules and
regulations requiring (a) that the articles of incorporation or
bylaws of a chiropractic corporation shall include a provision
whereby the capital stock of such corporation owned by a disqualified
person (as defined in the Professional Corporation Act), or a
deceased person, shall be sold to the corporation or to the remaining
shareholders of such corporation within such time as such rules and
regulations may provide, and (b) that a chiropractic corporation as a
condition of obtaining a certificate pursuant to the Professional
Corporation Act and this article shall provide adequate security by
insurance or otherwise for claims against it by its patients arising
out of the rendering of professional services.


1058. Moneys received by the board pursuant to this article shall
be used to carry out the purposes of this article.

The license and discipline provisions for chiropractors are in Appendix I itself.

Another useful source for information about chiropractic regulation and laws governing practice would be:

California Chiropractic Association
1600 Sacramento Inn Way, Suite 106
Sacramento, CA 95815
Phone: 916-648-2727
Fax: 916-648-2738


When researching applicable law, one wouldn't want to forget the laws against unlicensed medical practice, and other provisions of the Business & Professions Code, such as:

§ 2264. Employment of unlicensed person

The employing, directly or indirectly, the aiding, or the abetting of any unlicensed person or any suspended, revoked, or unlicensed practitioner to engage in the practice of medicine or any other mode of treating the sick or afflicted which requires a license to practice constitutes unprofessional conduct.