Chiropractic

The practice of Chiropractic means one or a combination of the following, without the use of drugs or surgery:
  • The diagnosis and analysis of the living human body for the purpose of detecting ailments, disorders, and disease by the use of diagnostic X-ray, physical and clinical examination, and routine procedures including urine analysis; or
  • The science and art of treating human ailments, disorders, and disease by locating and removing any interference with the transmission and expression of nerve energy in the human body by chiropractic adjustment, chiropractic physiotherapy, and the use of exercise, nutrition, dietary guidance, and colonic irrigation.

The use of X-rays beyond the axial skeleton shall be solely for diagnostic purposes and shall not expand the practice of chiropractic to include the treatment of human ailments, disorders, and disease not permitted when the use of X-rays was limited to the axial skeleton.

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Chiropractic Practitioner

Chiropractic practitioners shall observe and be subject to all state and municipal laws and regulations relative to the control of contagious and infectious diseases, and all matters pertaining to public health. They shall report to the proper health officers the same as other practitioners. Chiropractic practitioners may sign death certificates. When performing acupuncture, a chiropractor licensed under the Uniform Credentialing Act shall provide the same standard of care to patients as that provided by a person licensed under the Uniform Credentialing Act to practice medicine and surgery, osteopathy, or osteopathic medicine and surgery when such person performs acupuncture.

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Qualifications for Chiropractic Licensure

Examination: Any applicant who is applying on the basis of examination must submit:

  • An official transcript - Graduation from a Board approved accredited College of Chiropractic as defined by 172 NAC 29-002 and accredited by the Council on Chiropractic Education - United States (CCE-US).
  • Official documentation of passing Parts I, II, III, IV, and physiotherapy of the National Board of Chiropractic Examiners (NBCE) examination with a scaled score of at least 375 in each part.

Passed Licensure Examination no more than three years prior to application: An applicant who applies for licensure no more than three years after passing the examination must have met the requirements for licensure by passing Parts I, II, III, IV, and physiotherapy of the examination given by the National Board of Chiropractic Examiners (NBCE) with a scaled score of at least 375 in each part.

Passed Licensure Examination more than three years prior to application and is not currently practicing:  An applicant who applies more than three years after passing the examination and is not practicing in another jurisdiction at the time of application must have met the requirements for licensure by passing Parts I, II, III, IV, and physiotherapy of the examination given by the National Board of Chiropractic Examiners (NBCE) with a scaled score of at least 375 in each part and must successfully pass the Special Purposes Examination for Chiropractic (SPEC) with a scaled score of at least 375 within 3 years of applying for licensure.


Licensed in Another Jurisdiction and is not currently practicing: An applicant who is applying for licensure based on a license in another jurisdiction and is not practicing at the time of application for licensure must have met the requirements for licensure by passing Parts I, II, III, IV, and physiotherapy of the examination given by the National Board of Chiropractic Examiners (NBCE) with a scaled score of at least 375 in each part and must have completed 36 hours of continuing education pursuant to 172 NAC 29-006.02 within the 24 months prior to making application; or

  • Passed Parts I, II, and Physiotherapy of the examination given the by National Board of Chiropractic Examiners with a scaled score of at least 375 in each part; and
  • Passed the National Board of Chiropractic Examiners' Special Purposes Examination for Chiropractic (SPEC) with a scaled score of at least 375 within the two years immediately preceding the application; and
  • Completed 36 hours of continuing education pursuant to 172 NAC 29-006.01 within 24 months prior to making application (see Attachment A3). 
Licensed in Another Jurisdiction and is currently practicing:  An applicant who is applying for licensure based on a license in another jurisdiction and is practicing at the time of application for licensure must have met the requirements for licensure by passing Parts I, II, III, IV, and physiotherapy of the examination given by the National Board of Chiropractic Examiners (NBCE) with a scaled score of at least 375 in each part; or
  • Passed parts I, II, and Physiotherapy of the examination given by the National Board of Chiropractic Examiners with a scaled score of at least 375 in each part; and
  • Passed the National Board of Chiropractic Examiners' Special Purposes Examination for Chiropractic (SPEC) with a scaled score of at least 375 within the two years immediately preceding the application.
 
Documentation and fee required:

  • A completed chiropractic application;
  • Appropriate licensure fee;
  • Proof of age of majority;
  • Proof of citizenship or alien lawfully admitted into the United States who is eligible for a credential under the Uniform Credentialing Act; or a nonimmigrant lawfully present in the United States who is eligible for a credential under the Uniform Credentialing Act;
  • Convictions (if applicable): If you have been convicted of a misdemeanor or felony, you must submit the required documentation listed in Section 1 of the application; and 

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Applications

These forms may be completed online; however, they cannot be submitted via e-mail due to the fact that all applications and forms require original signatures. If you complete the form online, you must print the form and mail it to the address below. Fees (if applicable) are payable to DHHS/Licensure Unit.

Licensure Unit
PO Box 94986
Lincoln, NE 68509-4986


PDF File Chiropractic Application

PDF File Duplicates/Reissue Form

PDF File Name Change Form

PDF File Reinstatement          

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    Renewal Information

    All chiropractic licenses expire August 1 of each even-numbered year. The Department will send all active license holders a renewal notice at least 30 days before August 1 of each even-numbered year to the license holder’s last address of record. The licensee must choose one of the following options during the renewal period:

    • Active Status: Submit the renewal notice, the renewal fee of $144, and attestation of completing 36 hours of continuing education during the preceding 24-month period; or
    • Inactive Status: Submit the renewal notice with a check in the box marked "Inactive." No fee is required for inactive status.

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    Continuing Competency

    On or before August 1 of each even-numbered year, each person holding an active credential, must comply with the continuing competency requirements, unless the requirements are waived in accordance with 172 NAC 29-007.03, 29-007.04 and 29-007.04A.  The Department waives continuing competency requirements for individuals who were first credentialed within the 24-month period immediately preceding the renewal date.

    Chiropractors must complete 36 hours of continuing education pursuant to 172 NAC 29-006.02.  The 36 hours must include eight mandatory hours which are:
     
    1. Four hours related to technical skills in one or a combination of the following categories:
      A. Continuing education designed to enhance the practitioner’s technical and clinical skill related to x-ray physics,
          quality control, x-ray production, and interpretation of diagnostic imaging; and
      B. Continuing education designed to enhance the techniques; and

        2.  Four hours related to practice issues in one or a combination of the following categories:
             A. Continuing education pertaining to HIV/Aids, infectious diseases and related conditions as they relate to
                 chiropractic 
             B. Continuing education designed to enhance the practitioner’s awareness of gender sensitivity and sexual
                 harassment issues. These programs are commonly referred to as boundary training;
             C. Continuing education related to the chiropractic scope of practice in the State of Nebraska. The programs must
                 include adopted practice guidelines and practice law specific to Nebraska only;
             D. Continuing education designed to enhance the practitioner’s skill related to ordering laboratory tests and
                 interpreting information from laboratory tests;
             E. Continuing education designed to enhance the practitioner’s skill in performing physical, neurological, and
                 orthopedic examination procedures as they relate to chiropractic practice;
             F. Continuing education related to prevention of fraud, system set-ups, coding, quality control, and standards of
                 practice;
             G. Continuing education pertaining to the provision of rehabilitative care as it relates to chiropractic practice;
             H. Continuing education related to practice ethics as recognized by state or national associations; and  
             I.  Continuing education related to the use of unlicensed personnel.

     

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    Reinstatement for Chiropractic

    An individual whose credential has expired, been placed on inactive status, voluntarily surrendered unrelated to discipline, been placed on lapsed status or non-disciplinary revocation may apply for reinstatement at any time.

    The applicant must:
    • Submit a completed reinstatement application;
    • Obtain 36 hours of continuing education; and
    • Pay the fee(s)

    An individual whose credential was suspended or limited may apply for reinstatement at any time. An individual whose credential has been revoked may apply for reinstatement after a period of two years has elapsed from the date of revocation. An individual whose credential was voluntarily surrendered may apply for reinstatement according to the order entered by the Director. To apply for reinstatement, the individual must contact the Licensure Unit for further direction. (402-471-2299)

     

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    Jurisprudence Examination

    The PDF File jurisprudence examination is not a requirement for licensure in Nebraska; however, the Board of Chiropractors feels that if you do not participate in this test, you may not have the knowledge of what is needed to practice Chiropractic in Nebraska.

    The open book jurisprudence examination (click the link above) is provided for your benefit to assist you in gaining further knowledge about the practice of chiropractic in the state of Nebraska in order to protect your license.

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    Examination Requirements

    The qualifying examination for chiropractic licensure is administered through the National Board of Chiropractic Examiners (NBCE). Please contact the NBCE for information regarding the examination:

    National Board of Chiropractic Examiners
    901 54th Avenue
    Greeley, CO 80634
    Phone: (970) 356-9100
    Fax: 1-800-450-0519
    E-mail Address:  www.nbce.org
     

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    Fees

    PDF File Fee Schedule

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             Name and Address Change

      To request an address change, you can contact any staff member at (402) 471-2299 or e-mail Sue Kopera-Crumb at susan.kopera-crumb@nebraska.gov, or you may update your own address at http://dhhs.ne.gov/publichealth/Pages/crl_profindex1.aspx. Click "Update Your Address" at the top of the page.

      If you wish to change your name on your licensure record, you must complete the PDF FileAffidavit of Name Change form and submit it along with a copy of the legal document verifying name change to:

      Licensure Unit
      Chiropractic
      P.O. Box 94986
      Lincoln, NE 68509-4986

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      Duplicates/Reissue

      Duplicates: A duplicate large license or small license card may be requested at the time of initial licensure. A $10.00 fee, per document, is required.

      Reissue: A large license and/or small license card may be reissued when the licensee requests: additional documents; replacement of original document(s) due to loss, mutilation or destruction; or replacement of document(s) due to a name change.

      To request a reissued license, you must submit a PDF Filerequest for reissuance and include a fee in the amount of $10.00 per document. Submit said request to:

      Licensure Unit
      Chiropractic
      PO Box 94986
      Lincoln, NE 68509-4986

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      Rules and Regulations/Statutes

      PDF File Regulations Governing the Practice of Chiropractic - 172 NAC 29
      PDF File Regulations Defining and Governing the use of Routine Procedures by Chiropractors - 172 NAC 30
      PDF File Rules and Regulations concerning the Reporting and Control of Communicable Diseases and Poisonings - 173 NAC 1
      PDF File Statutes Relating to Chiropractic
      PDF File Statutes relating to the Uniform Credentialing Act
      PDF File Regulations relating to Mandatory Reporting
      PDF File Mandatory Reporting Forms

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      Board Information

      The Board of Chiropractic advises the Department of Health and Human Services Regulation and Licensure on all issues related to the regulation of chiropractic. The composition of the board is three Doctors of Chiropractic and one consumer/public member.

      Membership:

      3 Doctors of Chiropractic
      1 Public Member

      Length of Term:

      5 years, no more than 2 consecutive full 5-year terms.

      Professional Requirements:

      Been actively engaged in the practice of chiropractic in the State of Nebraska, under a license issued in this state, for a period of 5 years just preceding his/her appointment.

      Public Member:

      1. Be a resident of this state who has attained the age of majority;
      2. Represent the interests and viewpoints of consumers; and
      3. Not be a present or former member of a credentialed profession, an employee of a member of a credentialed profession, or an immediate family or household member of any person presently regulated by such board.

      The Board of Chiropractic meets at least 1 time per year - see Board meeting Schedule for meeting dates and times. Meetings are open to the public, with the exception of investigational matters. Minutes of meetings are available here or by contacting Bill Wisell at (402) 471-2299 or by e-mail at bill.wisell@nebraska.gov.

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      Contact Us

      Office Address:

      Mailing Address

      Physical Address

      Nebraska Department of Health and Human Services  Division of Public Health

      Licensure Unit
      PO Box 94986
      Lincoln, NE 68509-4986

      Nebraska State Office Building
      301 Centennial Mall South
      14th and M Streets
      3rd Floor
      Lincoln, Nebraska

      Phone: (402) 471-2115
      Fax: (402) 471-3577

      Office Hours:

      8:00 a.m. to 5:00 p.m. (central time) Monday through Friday

       

      Chiropractic Licensing & Continuing Education Questions:

      Sue Kopera-Crumb
      Health Licensing Specialist
      Phone: (402) 471-2299
      e-mail: susan.koperacrumb@nebraska.gov

      Chiropractic Scope of Practice & Board Related Questions:

      Bill Wisell
      Health Licensing Coordinator
      Phone: (402) 471-2299
      e-mail: Bill.wisell@nebraska.gov

      Chiropractic Scope of Practice Questions

      Rene Tiedt, Program Manager
      Phone: (402) 471-2299
      e-mail: rene.tiedt@nebraska.gov

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      Other Related Contacts

      Nebraska Chiropractic Physicians Association
      13215 Birch Street, Suite 200
      Omaha, NE 68164
      Phone: (402) 934-4744
      e-mail: lwortman@ncpa.net

      National Board of Chiropractic Examiners
      901 54th Avenue
      Greeley, CO 80634
      Phone: (970) 356-9100
      Fax: (970) 356-6134
      www.nbce.org

      Federation of Chiropractic Licensing Boards
      5401 W. 10th Street, Suite 101
      Greeley, Co 80634-4400
      Phone: (303) 356-3500
      Fax: (970) 356-3599
      e-mail: fclb@fclb.org
      www.fclb.org

      American Chiropractic Association
      1701 Clarendon Blvd
      Arlington, VA 22209
      Phone: (703) 276-8800 or (800) 986-4636
      Fax: (703) 243-2593
      www.acatoday.org

      Chiropractic Educational Organization
      104 West 7th St
      Lexington NE 68850
      308-324-5948
      ceochiro@atcjet.net

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      Brochures

      PDF File Chemical Dependency in Health Care Professionals

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      Certification/Verification

      Certification and Verification information can be obtained by checking the website,

      OR

      To request either a certification or verification or your license to be sent to another Licensing agency, send your request in writing along with the proper fee to our office. Checks should be made payable to DHHS/Licensure Unit.

      Certification: Fee - $25.00  Certification includes:

      • Name
      • Profession
      • License Number
      • Issuance Date
      • Expiration Date
      • School and date of graduation
      • Whether the license was granted by examination or by reciprocity
      • Examination information, if available
      • Administrator signature
      • SEAL of the Nebraska Department of Health & Human Services

              Verification: Fee - $5.00  Verification includes:

      • Name
      • Profession
      • License Number
      • Expiration Date
      • Department Staff Signature

       

      A verification does not include the SEAL of the Nebraska Department of Health & Human Services nor information relating to discipline, school, or examination.

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      Licensee Assistance Program

      The Licensee Assistance Program (LAP) is an assessment, education, referral, case management, and monitoring service designed to help licensees, certificate holders, and registrants of the State of Nebraska work through substance abuse/addiction problems.

      The LAP services are free. However, in some cases treatment from a community resource agency may be needed. If further assistance is needed, the LAP Coordinator will help refer the Licensee to the most appropriate agency. When a treatment referral is made, those expenses become the responsibility of the Licensee.

      This program was authorized by PDF FileNeb. Rev. Stat. §38-175 and is funded by license fees.

      LAP telephone number: (800) 851-2336 or (402) 354-8055. You may also visit their website at www.lapne.org

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      Complaints

      How do I file a complaint? To file a complaint, see the Investigations Division web site: http://dhhs.ne.gov/Pages/reg_invest-p.aspx

      What activities must be reported by a licensee, certificate holder, or registrant? Every credentialed person who has first-hand knowledge of unlicensed, illegal or unethical activities is required to report (includes self-reporting) within 30 days of the occurrence. Failure to report may result in discipline. To view additional information relating to mandatory reporting, click on the options below:

      Mandatory Reporting Forms

      PDF File Mandatory Reporting Summary (chart showing who is to report and what is to be reported)

      PDF File Mandatory Reporting Regulations

      Mandatory Reporting shall not apply:

    • to the spouse of the person,

    • to a practitioner who is providing treatment to such person in a practitioner-patient relationship concerning information obtained or discovered in the course of treatment unless the treating practitioner determines that the condition of the person may be of a nature which constitutes a danger to the public health and safety by the person's continued practice, or

    • when a credentialed person who is chemically impaired enters the Licensee Assistance Program authorized by PDF FileNeb. Rev. Stat. § 38-175 except as provided in such section.

      How is a complaint reviewed, and what is the disciplinary process? The following provides information relating to the complaint, investigative, and disciplinary process.

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