Maryland Department of Health
Board of Chiropractic Examiners Portal
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Forms & Services
Apply For A New License
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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:
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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:
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» 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 βSupervising (S)β designation.
Submit a Custom Payment (for authorized unlisted items)
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