Frequently Asked Questions
This page contains information on the most common questions we get from doctors.
If you have a question that is not covered on this page, feel free to call our office or send us an email. It’s our pleasure to help you stay informed and up to date on these issues!
Certification is required for those performing needle acupuncture. Certification requires the submission of an application form (available through DORA), documentation attesting to completion of a combined total of 100 hours of theoretical study and supervised clinical instruction obtained from a CCE approved college or an instructor approved by the Colorado Board of Chiropractic Examiners AND successfully passing the National Board of Chiropractic Examiners Acupuncture Boards. You must maintain malpractice insurance for acupuncture if you actively practice acupuncture in your office. See Dry Needling below for separate dry needling requirements.
Address and Name Changes
It is your responsibility to make sure your records are correct with DORA. You must notify DORA within 60 days of a change of address or a name change, which must be submitted in writing, by fax, or electronically. Changes will not be accepted over the phone. To check and see if your license is up to date, you can Search for a License on DORA’s website here. You can also check and update your own Healthcare Professionals Profile by searching here.
Advertising Free Services
You may NOT advertise free or discounted x-rays, nor can you bundle services with x-rays. It must be clear to the public that the x-rays are a separate charge/line-item, and what the patient is getting for free. Other services may be offered free, or at a discounted rate, however this must be offered to all patients and must be clear on which services are actually free/discounted and which services will be charged for. You cannot make a guarantee or promise which is deceiving to the public.
You may perform chiropractic on fully awake dogs and horses after successful completion of a 210 hour course from 1 of 5 approved schools (can be found on DORA’s website). You must maintain an additional 20 hours of continuing education specific to animal chiropractic in addition to the 30 hours required for your chiropractic license per licensing period. A chiropractor can work on their own if they are on the registry of animal chiropractors, managed by DORA. You can apply for the registry upon showing proof of meeting the requirements as outlined by the statue. You may also work under direct supervision of a veterinarian.
As of 2018 – Direct Access was granted for Animal Chiropractors to adjust Dogs and Equids (Donkeys, zebras, horses, mules, etc,) only upon completion of a 1-time 8-hour Zoonotic, Contagious & Infectious disease course approved by the Colorado State Veterinarian and a 1-time 1-hour Animal Chiropractic Jurisprudence course approved by the Colorado State Veterinarian office. Until successful completion of this course is achieved, an animal chiropractor must obtain a Veterinarian Medical Clearance form prior to treatment of Dogs and Equids.
As of 2018 – an animal chiropractor must send an initiation of treatment to the animal primary veterinarian within 7 business days of initiation of care. If an animal chiropractor suspects the animal has a mandated reportable disease, you must contact the animal’s primary veterinarian’s office and the Colorado State Veterinarian’s office.
Chiropractors who treat animals are required to carry malpractice rider on their malpractice insurance.
For more information, please contact the CCA office.
CA X-Ray Training
All unlicensed personnel taking x-rays in a chiropractic clinic are required to have at least 24 hours of training, including 5 hours of basic radiological guidelines, 5 hours of operator and patient safety, and 14 hours of practical and clinical experience in all other aspects of x-ray production and procedures. This training must be conducted by a qualified instructor and written verification of such training must be maintained in the employee’s file. A copy of the verification must be provided to the employee upon successful completion f the training. the CCA’s training (X-Files) is offered at least 4 times per year.
Chiropractic Practice Act
You are responsible for knowing what is within your scope of practice for which you are licensed. You need to know about discipline of chiropractors, use of your title, advertising, how to form a professional corporation, safety training for unlicensed x-ray technicians, requirements to perform dry needling, documentation requirements (rule 22), and so much more. You can find the Rules and Regulations on DORA’s website here.
Colorado Board of Chiropractic Examiners (CBCE)
Program Director: TBD (as of August 2020) as they are currently in transition
1560 Broadway Suite 1350, Denver, CO 80202
P: 303.894.7800 | F: 303.894.7764 | Dora_chiropractorsboard@state.co.us
Visit the CBCE at DORA’s website to:
- Renew your license
- Change your address
- Update your professional profile
- View the Colorado Chiropractic Practice Act, Rules and Regulations, and Board Rules
- All board application forms
- Complaint forms
- List of board disciplinary actions
- Continuing education requirements
- Look up a license
Continuing education hours are counted from November 1st through October 31st each year. ALL CHIROPRACTIC LICENSES EXPIRE OCTOBER 31ST OF ODD YEARS. Colorado law requires a minimum of 15 CE hours per year, totaling 30 per licensing period. Additional hours can not be “carried over” to the next year. You are required to maintain an active CPR card. You can count the hours of the CPR class towards your required CE hours. You are also required to take 4 hours of documentation and recordkeeping as part of the total 30 CE hours required in a licensing period. These hours can be taken at any time during the licensing period, they do not need to be taken all at once or split up into 2 hours a year. You must maintain records of the courses you take. This includes record of the course sponsor, date(s) of the seminar, certificate of attendance including the hours you were in attendance, a synopsis of the course content and qualifications of the presenter. Records must be kept for a period of 4 years.
New in 2019 – CPR lecture portion can be done online however there must be an in-person skills practical portion at a live class. See rule 1.8
You may charge a reasonable copying fee for records requested by patients or a patient’s representative (with proper release). The CCA recommends using the Workers’ Comp copying fee schedule which is as follows: $18.53 for the first 10 or fewer pages, $0.85 per page for pages 11-40, $0.57 per page for all remaining pages, $1.50 per microfilm page, $14.00 per computer disc, $0.10 per electronic page. You can also charge for any postage paid to mail the records.
Display of License
A licensed chiropractor must display their chiropractic license in a conspicuous manner so it stands out and is clearly visible.
To perform dry needling in your office you must first be a licensed chiropractor for 2 years prior to the use of dry needling. You are required to have an electrotherapy certification under your chiropractic license. If you have BOTH the electrotherapy and acupuncture certification, you are required to document and complete a minimum of 24 hours of face-to-face IMS/dry needling course study. If you maintain your electrotherapy certification but NOT the acupuncture certification, you are required to complete 46 hours of face-to-face IMS/dry needling course study. Online course training is NOT considered appropriate training by the Colorado Board of Chiropractic Examiners. The instructor of the dry needling course must be recognized by the US Department of Education, or a similar agency of a foreign country and demonstrate a minimum of two years of dry needling practice techniques. You must provide written informed consent if you practice dry needling in your office (according to Rule 6)
Gifts to Patients
Offering, giving, or receiving remuneration for the referral of patients is forbidden by the practice act. You may give an “incidental” gift to a patient in appreciation for a patient referral. Medicare limits “incidental” gifts to $75 currently.
Handicapped Parking Stickers
Effective January 1, 2014, licensed chiropractors can sign for short term placards for persons who meet the requirements with a disability or impairment. For more information, click here.
Immunization exemptions for medical reasons can only be signed by an MD, DO, APN or delegated PA according to Rule 6 CCR 1009-2.
Chiropractic licenses in Colorado are approved and maintained by the Colorado Board of Chiropractic Examiners and the Department of Regulatory Agencies (DORA). You can find license information, the practice act, and more information on their website.
Actively practicing chiropractors in Colorado must maintain malpractice insurance unless they are working for the United States Government, the Olympic Training Center, or are not receiving compensation for the care they provide. (For a full list of exemptions, please see Rule 3.) The required malpractice limits are $300,000/ $1,000,000. If you maintain an electrotherapy and/or acupuncture certification under your chiropractic license, you are required to maintain malpractice insurance for those additions.
As of July 1, 2014 massage therapists are required to maintain a valid license through DORA.
The terms “physical therapist”, “licensed physical therapist”, “physiotherapist”, or “physical therapy technician” are reserved for use by a licensed physical therapist only. Chiropractors are not allowed to use the quoted words directly above to imply in any such manner that they are a licensed physical therapist, unless the chiropractor is in fact also a licensed physical therapist in Colorado. Chiropractors may state that they perform physical therapy or physiotherapy in their office.
Release of Records
Colorado law requires that a licensed healthcare professional must release copies of patient’s records (including x-rays) upon written authorization or request dated and signed by the patient, with reasonable notice. You cannot withhold a patient’s records due to an outstanding balance. You can charge a reasonable fee for copying records. Please see copying fees above.
Retention of Records
Patient records must be maintained for 7 years after the last date of service OR at least 2 years after the patient reaches the age of eighteen, whichever occurs later (Rule 22). You must publicly post when you are destroying records prior to shredding or destroying them, allowing time for patients to pick up their records if they wish.
Solicitation of Accident Victims
It is the position of the CCA that the practice of purchasing accident reports for the purpose of patient solicitation is unprofessional. While not widespread in the chiropractic profession, it is very visible and is an unwarranted invasion of privacy. The CCA stands opposed to any such activity conducted by any professional person or corporation (adopted November 1992). Remember, solicitation of accident victims is ILLEGAL.
Sports Physicals (Middle and High School Pre-participation Examinations)
The Colorado High School Athletic Association (CHSAA) changed their bylaws in 2000-2001 to allow Doctors of Chiropractic to perform middle school and high school athletic physicals IF the chiropractor has been certified to perform such physicals. You must have an SPC (sports physicals certification) number on file with CHSAA. This certification must be renewed every two years. The CCA maintains their PPE course to meet CHSAA’s requirements and each SPC number is individualized and easily identifiable to each chiropractor. Upcoming courses can be found through the CCA’s Calendar of Events.
The CCA expressly condemns the use of telemarketing or “ambulance chasing” for the purposes of patient solicitation.
Use of Title and Credentials
All advertising, including business cards, signage, and signatures must clearly identify you as a doctor of chiropractic in one of the following ways:
John Doe, DC OR Dr. John Doe, DC OR Dr. John, Doe, Chiropractor
Use of the word “physician” is strictly prohibited at this time. Post graduate degrees received from an institution accredited by the CCE or diplomat status, such as CCSP, DABCO, DABCN, etc may be used in conjunction with those titles authorized by the state.
Website and Social Media
You are accountable for everything with your name or business name on it. If you have someone else maintain your website or social media make sure you are monitoring it for accuracy.