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Maryland Department of Health

Board of Chiropractic Examiners Portal

Forms & Services Apply For A New License Verify A License

Welcome to the Online Portal for the
Maryland State Board of Chiropractic Examiners!

Locate & Download Forms
Pay Online
Upload Forms & Documentation

Online Forms & Services

1. Start by selecting a category: ‡

Chiropractors (DC): Initial Applications
Chiropractors (DC): General
Chiropractors (DC): Preceptorship
Chiropractors (DC): Temporary Licensure
Chiropractic Assistants (CA): General
Chiropractic Assistants (CA): Training Program
Other (CEUs, Rosters, Statutes, Special Requests)
For The Public / Consumers

2. Next, select a service: ‡

» Application for Licensure by Waiver For Visiting Chiropractor
» Dry Needling Registration Application Form
» Inactive Status Application (DC)
» Notification of Address Change (DC)
» Notification of Name Change (DC)
» Penalty for Failure to Notify of an Name Change (DC)
» Penalty for Incorrect Address or Failure to Notify of an Address Change (DC)
» Reactivation Application (DC)
» Reinstatement Application (DC)
» Request for Duplicate License (DC)
» Request for License Verification (DC)
» Request for Replacement License (DC)
» Supervising Chiropractor Application
» Supervising Chiropractor: Status change to β€œSupervising (S)” designation.
Submit a Custom Payment (for authorized unlisted items)
Maryland State Board of Chiropractic Examiners
4201 Patterson Ave; Suite 301
Baltimore, MD 21215-2299
mdh.chiropractic@maryland.gov
Phone: 410-764-4738
Board Website
Statutes & Regulations
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